Pudnluv replied to livingthedream77's topic in Emergency
We were intubating a pt the other night and the pt on the other side of the curtain was complaining that no one had been in to see him. When his wife told me they were going to leave, i replied, "so leave". I told her it was absolutely her right to...
We do much the same. As one of the designated "Ebola" hospitals in my state, our guidelines exceed the CDC guidelines. We have a special room (negative pressure) for the patients and we have converted another room for doffing. We use three people ...
Pudnluv replied to maddison1002's topic in Correctional
I just tell them flat out that we do not give narcotics. I also tell them that people with chronic pain will NEVER have a pain level of zero. That is an unrealistic goal and taking more and more narcotics, will only exacerbate the problem. Then I ...
Pudnluv replied to bsn-bridge-student's topic in Correctional
The photo Huffington has was clearly taken before all the toes were gone. The picture in the Denver Post shows all the toes on the right foot have been removed. We only see one side of the story, but from what I can see, there is clearly negligence ...
I would think they would tread carefully. They have already been found guilty of unfair labor practice. The last thing they would need to is a suit claiming a hostile work environment.
There is no nursing shortage and there hasn't been one in years. There is however, a staffing shortage. Hospitals are cutting back on staffing, so more and more nurses are working short staffed. Adding to that is that the patients being admitted a...
Pudnluv replied to nick7331's topic in Correctional
In the jail, I am surrounded by correctional officers. Inmate movement is monitored and boundaries are clearly established. Also, every inmate is searched before entering (although I am sure some get away with contraband). In the ER, people just c...
Pudnluv replied to nick7331's topic in Correctional
I have been a RN for 20 years and have worked in various settings. After spending 11 years doing med/surg/telemetry, I moved to the ED, which I absolutely love. Recently, I decided to take a part time job at the county jail (I still work in the ED)...
I know in our ER we have had inmates come in due to mental health issues. If they are having a psychotic break, this is a mental health emergency and should be evaluated by a medical professional. There have also been a couple of times we have had ...
Pudnluv replied to princess pickles's topic in Correctional
I just started working in corrections, but still have my job in the ED. We get a lot of fake seizures in the ED. One thing I usually find, is that the fake seizures are usually preceded by some comment like," if I don't get my pain med, xanax, ect,...
We have hospitalists that come down and do the admission for all patients. Once the patient gets to the ICU, the ICU doc takes over. So it is up to the hospitalist to make the initial determination, although the ED doc usually is the one to make th...
Everyone makes mistakes. No one was harmed. All you can do is learn from this. I am willing that you will become a "house expert" on the use of the pumps and blood administration. Don't lose sleep, just don't do it again.
Pudnluv replied to BuckyBadgerRN's topic in Activism
Not sure, but I don't think snow shoveling is in a RN's scope of practice. I am willing to bet that having nursing staff going outside to shovel snow, without providing proper equipment is an OSHA violation. Is the facility providing proper footwea...
I would love to see the breakdown of a CEO's daily work day. While I am sure that the majority really do work hard, I would like to see what they do day to day to earn their enormous salaries. We had a CEO that came to work every day at 4am. He st...