Anna Flaxis, ASN 25,725 Views
Joined Oct 15, '10.
Posts: 2,864 (67% Liked)
Can a patient be alert and oriented but drowsy?
The doctors do it where I work.
And thus the intent of my previous post. Don’t you think that there should be some evidence behind what we teach and practice?
Why should any further study be done?
The old “rule of thumb” that a radial (femoral, carotid) pulse indicates an SPB of ≥80 (70, 60) mmHg originated from the ATLS course. This is not accurate, and using this method is generally an overestimation of the actual SBP.
In my experience, a Code Blue is for a cardiac or respiratory arrest, and I'm not sure why one would perform chest compressions on an adult with a pulse.
It is reasonable to call for assistance if your stable patient suddenly begins seizing.
I don't understand. If they're not on a hold, they have the right to leave.
Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
I work PRN exclusively. My orientation was as brief as I could possibly make it, as I am an experienced RN and have little tolerance for having my hand held.
I&D is a clean procedure. C&S is unnecessary for simple abscesses, as most abscesses heal without antibiotics.
Hmmm, I've gone as far as I wanted with my ADN. I've worked in cardiopulmonary/post-interventional/telemetry, emergency, infusion services, and administration. I've been approached for peri-operative services, but declined because I don't want to take call. I value my free time too much for that.
Is it bigger than a bread box?
Yes, my managers sided with me on the out of scope of practice, but did still choose the preceptor over me and it makes perfect sense, they've invested a lot of time, money and energy into them more than me and human nature tends to value the those opinions we've built a relationship with over a newer relationship, just part of our nature. Also I would be the most expendible due to being the most new and less skilled of the two. While it may not add up to you, that is okay. It is what it is, and I do need to move on. While I do feel that I would have thrived with a different preceptors whom I worked with side by side in different situations and they taught me well on certain skills, that doesn't really matter either since doesn't change the outcome now. The reason I had written the original post is more due to trying to figure out how to move on, and figure out how to pursue my next job since it was already difficult to get a job as a new grad, let alone someone who was let go.
I do not wish to complain I have found most nurses the most kind, sensitive, caring, people I have ever known. I want to know if I'm being overly sensitive or if my nurses (this time) were a bit out of line? I was in a rehab hospital for a hip replacement. Getting from bed to commode to toilet was an issue, but once there I had grab bars and felt myself quite safe. I assured the nurses that I would obey the rules and not get up on my own. I was extremely constipated and wanted some time and privacy to force a bowel movement. Time and again I had to specifically ask that the nurses leave and close the door. Often I was popped in on and asked how I was making out. Quite frankly the interruptions stopped the process in its tracks, I had to ask the nurse to leave, to close the door and begin my efforts all over again.
Am I being an overly sensitive prude or did I deserve a little more consideration?
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