Latest Comments by klone

klone, MSN, RN 74,072 Views

Joined Apr 2, '03 - from 'Oregon'. klone is a L&D. She has '10+' year(s) of experience and specializes in 'Women's Health/OB Leadership'. Posts: 11,335 (55% Liked) Likes: 27,552

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    It just occurred to me right now that there might be some people here that I "know" online.

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    Requirement for frequency of charting depends on the individual patient and where she is in the labor process. Cervical ripening, vs. active labor, vs. pushing, plus things like Pitocin or MgSO4 infusion, will all change how frequently you need to chart on the patient.

  • 6
    Isakolistic, Kitiger, OlivetheRN, and 3 others like this.

    Quote from sallyrnrrt
    I awkward fi manual, as slog as correct cuff size and calibration... Ki
    Never have a problem with my assessments. But I'm old scguul

  • 0

    [QUOTE=Guy in Babyland;9427981]I am confused. Are you saying that if I come to work for OT that I would not be paid for that day? Instead I would get 18 hrs of vacation time? QUOTE]

    Not sure, but I think you get paid straight time, plus 18 hours of PTO.

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    FolksBtrippin likes this.

    I guess because a normal reading isn't going to result in a potentially serious intervention.

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    Purple_roses likes this.

    If you take a BP on a patient and it's out of normal range (either abnormally high or low, but usually high) on the machine, is it customary to recheck it manually? What if the high pressures are driving treatment and medication decisions?

    I'm trying to figure out what the practice is elsewhere.

  • 0

    I don't understand this part of the story:

    Lying on the cold, metal MRI bed, Susan felt like she was getting some redemption. Finally, she would have a legitimate diagnosis. However, as the machine started to scan, she noticed that it kept trying to venture over to her right shoulder. It wasn’t getting good pictures of her left shoulder. Tears pooled in her eyes and drifted down the side of her face.

    After the MRI, Susan asked the technician about what had happened. The tech’s face told Susan what she already knew
    Why was the machine continuing to "venture over" to her right shoulder, when it was her left shoulder that has the injury? And couldn't she have just said "Dude, it keeps taking pictures of my right shoulder - it's the LEFT shoulder that's the problem!"

    What did the tech's face tell her that she already knew? That he knew the machine didn't take proper imaging? If that's the case, why didn't they redo it?

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    poppycat likes this.

    If it's a direct shift swap, it wouldn't be OT. Our nurses do that all the time.

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    Orca, MikeyT-c-IV, ICUman, and 1 other like this.

    Quote from caliotter3
    Once you've had that first cardiac event, you wake up. In your case, it looks like you woke up one morning with that realization without needing the cardiac event to bring it to your attention. Good for you.
    Exactly what happened to my husband. He had been in a director-level position for a few years. One NSTEMI later, he's now "just" a hospice nurse, and couldn't be happier.

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    I would do it in a heartbeat. I would follow up with my PCP, though, rather than the ED.

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    I'll be interested in any responses, as we will be purchasing two of these hopefully next month. My plan is that the base is not going to stay in the labor room, but will live somewhere safe (probably my office) and be checked out by the nurse and returned as soon as the woman delivers.

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    ICUman, Orca, and MrChicagoRN like this.

    Best of luck to you. I think for many people, a manager's tenure is short for that reason. It's definitely hard to find that balance, as well as retain one's sanity when you're pulled in so many directions.

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    Quote from CCU BSN RN
    How many individual forums do you all check daily?
    I have about 12 forums on my "favorites" list. I don't use the "what's new" option for posts.

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    Plus ça change, plus c'est la même chose.

    So it will always be on long-standing internet message board communities.

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    SmilingBluEyes likes this.

    And I believe it's a "plank," and not a "stye". Assuming you're making a biblical reference.