oncrnpa

Latest Activity

1. Gonorrhea

   oncrnpa replied to kagkat's topic in General Nursing

   Good little known site: www.highwire.stanford.edu Look for the box under the pic of the journal that says this article is free :)

2. Interview left me speechless

   oncrnpa replied to loving2's topic in General Nursing

   I've come to realize that interviews can leave only 1 of 3 impressions on me: 1: "The really good place" - people and place seem to be a really cool and its a fabulous place to work. These places make me nervous because I'm always waiting for the fac...

3. Question regarding heparinized ports

   oncrnpa replied to KelliD's topic in Oncology

   Curiosity question: Can LPN's in your state access a mediport?

4. How often do pain meds cause vomitting?

   oncrnpa replied to Blackheartednurse's topic in General Nursing

   As with most Pancreatic pts sounds like he's got multiple issues.If he continues with the hiccups (hiccoughs) and the reglan is not working Ive seen them use Baclofen (? possible recommendation to the MD?) As others have said he needs an antiemetic a...

5. Audio Recordings and Patient Abuse

   oncrnpa replied to MissSpectacular's topic in Safety

   TOS prohibit any genuinely helpful advice here outside the general phrase get a lawyer. Despite how poorly the patient behavior is on a daily basis the CNA used a verbal threat on this patient and would also be in violation of HIPAA and possibly othe...

6. Gave a patient someone else's unwasted dilaudid

   oncrnpa replied to Daliadreamer's topic in General Nursing

   It sounds like there are 2 issues here... 1) There appears to be a cultural issue amongst nurses of not "wanting to waste meds". I myself am stingy and love to save a buck (even if its not mine) however the mentality of keeping it around just in case...

7. Pick your battles with your LNA.....

   oncrnpa replied to bluemorningglory's topic in Relations

   2. Again, it is about perception. I don't perceive the term "honey" to be bad and you do. Different strokes for different folks. If it is that much of an issue, make a policy and stick it in the employee handbook. What you seem to be missing is the p...

8. Termination

   oncrnpa replied to FutureERDoc's topic in General Nursing

   From what you have written you seem not to acknowlege the significance of the legal tar pit which you have potentially placed the hospital in. Your review is not about the actions of others its about you. As a potential person your panel given what y...

9. Supervisor Pay Roll Fraud - Help Me!!!

   oncrnpa replied to CanadianORNurse's topic in General Nursing

   Please investigate your need to be involved in this situation beyond bringing it to your superior and HR's attention. If you are not a representitive of HR or in the direct management of this individual you are not entitled to be involved in this ind...

10. Instructor reamed me even though nurse said I did right thing..what do you think?

    oncrnpa replied to Angels_wearScrubs's topic in General Nursing

    The OP asked a community of nurses for a 3rd party situation analysis of a clinical situation. The OP asked for constructive opinions... she mentioned the patient had a heparin drip and active bleeding... While I cant speak for nerd2nurse I will say ...

11. Instructor reamed me even though nurse said I did right thing..what do you think?

    oncrnpa replied to Angels_wearScrubs's topic in General Nursing

    As a SN you did correctly in calling the RN who is responsible for the patient period thats why your partner RN said you did the right thing. Given the info you have provided lets work through it. Your instructor may be trying to get you to connect t...

12. Instructor reamed me even though nurse said I did right thing..what do you think?

    oncrnpa replied to Angels_wearScrubs's topic in General Nursing

    I think UKstudent hit the nail on the head with the following statement "Although you are only a student your clinical instructor wants you to practice as if "you are THE nurse" while staying within your scope of practice." I can agree with your ins...

13. Just need some kind words...

    oncrnpa replied to L&Dnurse2Be's topic in General Nursing

    Sorry you are having to deal with this. If she is able to express her feelings and has thought things through now is the time to get the advanced directive done or updated and witnessed/discussed with all interested parties. Why hope not to have the ...

14. Was so impressed with my patient yesterday and not so impressed with the family

    oncrnpa replied to Blackheartednurse's topic in General Nursing

    Not to beat a dead horse but I guess what is lacking for me from this clinical situation is the even though the patient "Doesn't want Hospice" per your report. Does she understand her diagnosis and does she really know what she is declining? Most pat...

15. Was so impressed with my patient yesterday and not so impressed with the family

    oncrnpa replied to Blackheartednurse's topic in General Nursing

    Did I miss something from your post? 98year old woman with questionable orientation ("oriented as a(n) almost 100 years old person could be") and who would probably reflect some cognitive dysfunction from the saturations in the 80's who has "CHF" and...