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Double-Helix, BSN, RN 27,926 Views

Joined Apr 5, '11 - from 'New Jersey'. Double-Helix is a Nurse, Children's Hospital. She has '6' year(s) of experience and specializes in 'PICU, Sedation/Radiology, PACU'. Posts: 2,881 (51% Liked) Likes: 5,185

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  • Jan 19

    Quote from Alex_RN
    Well EXCUUUUUSE me! Next time I ask you if you need anything, I will utilize interpretive dance and/or haiku. When I chart your pain scale, I will use a code of my own devising based upon your astrological sign (sun sign only, duh). On days of the month that are prime numbers, I will use hand puppets and hand puppets ONLY.
    Your opinion is important to us, thank you for sharing. We will use this feedback to improve our practice. We rely on you, the viewing public, to help us to provide the best threads possible. We care about you!

  • Dec 24 '16

    Quote from CCU BSN RN
    I do wish that when an RN is interviewed by a news outlet, he/she would attempt to speak in a polished and professional manner. Don't use slang. Don't give God all the credit. That boy lived because you were highly educated, competent, and professional.

    I admit I felt the same as the OP when I read the article: 'this is why people think nurses are dumb' 'this will hurt the professional image that we're trying to portray'

    I understand that 'fixin to' is perfectly normal verbage in parts of this fine nation. I don't think someone is dumb for using regional dialect.

    I think it's dumb to give an interview to a news outlet using regional dialect, especially when you are being identified as an RN.
    Regional dialect = how people speak. It's not something you turn on and off for different audiences.

    Perhaps if I'm ever interviewed, I'll speak with a British accent so as not to embarrass my fellows.

  • Dec 22 '16

    It can be true for some (it's not for me; there are types of units I don't really think I could work in), but that's not to say that that working anywhere can happen without proper training. A floor nurse -- no matter how good they are -- should NOT float to the ICU or ED without training. I as an adult ICU nurse should NOT float to ED or NICU or L&D or psych or........... without training.

    Generally how I take that "if you can work here, you can work anywhere" statement is: "This is a *****y place to work, and if you can work here any other level of *****yness will seem mild in comparison."

  • Oct 23 '16

    Quote from Xlorgguss
    As far as cranking the oxygen, each liter of air adds 3% O2. So 2 liters would add 6% to the 84 to give 90% so that seems completely appropriate.
    That's *not* how that works. You are confusing two different measurements. Each liter of oxygen adds approximately 4% of oxygen to the percent of oxygen in *room air* (after 1L). Room air is 21% O2. A nasal cannula at 1L is approx 24%, 2L approx 28%, etc. It is not a guide to determine how many liters of oxygen to give to increase the SpO2 by a set amount.

  • Oct 16 '16

    Thanks for explaining this. You're very knowledgeable!

  • Oct 15 '16

    Quote from Noctor_Durse
    There is still a risk for bleeding though yeah?
    I....think you need to look up these meds.

    Tylenol is acetaminophen...metabolized by the liver and given for pain/fever.

    Enoxaprin is Lovenox....a low molecular weight heparin. Giving these meds and not knowing what they are is asking for a disaster to happen. This would be a SERIOUS med error.

    Are you in school for nursing?

    We try as best we can to assist and not confuse the students. We are trying to help students become the best nurse they can be so giving the correct interventions is helpful. I have been ill for a long time but I am better and I will be here helping students.

  • Oct 10 '16

    And that attitude also isn't going to encourage anyone to respond.

  • Mar 14 '16

    Just take it as practice for the endless useless continuing ed requirements you'll face throughout your career.

    Now, breathe deeply, in and out. Imagine your peaceful center, that calm, happy place, free from discord and strife. Nothing can disturb your peace of mind.

  • Mar 2 '16

    Have you taken the time to review your Candidate Performance Report? This report can provide information about what areas are strengths, what areas are near passing, and what areas are weaknesses. That can help you with developing a study plan.

  • Feb 7 '16

    You're certainly not going to see people at their best in the ED, so if they are a jerk on their best day... I try to keep in mind that they are in pain, or that they're having to watch their loved one in pain, and getting inadequate treatment. I usually will explain that the fewer things on my list that I have to do, the quicker I can get to getting them pain medication, and having to deal with a disruptive patient and husband isn't making my list any shorter.

    What sticks out to me though is that the doc is only giving one time pain med orders for a patient with a known kidney stone, I've never known an ED doc to do that and is pretty much guaranteed to inadequately treat the pain. I'd tell the Doc that the patient in bay 12 wants to talk to them about their poor prescribing habits.

  • Feb 5 '16

    Quote from HippyDippyLPN
    You never know though some docs are odd about stuff, it may he a rule he really put in place for his own peace of mind
    Then I'm surprised they let me sign in when the doc is not in the building--that pen could fly out of my hand and land in my carotid artery.

  • May 13 '15

    A question was posted

    By whom? You? A faculty member?
    The nursing student was given a zero on the assignment, after being reported to faculty, for a hipaa violation/ division policy violation ("posting anything related to clinic on social media") and is facing the possibility of not being allowed to participate in patient care/ have limited access to patient information, during future clinical rotations... pretty stiff penalties, for asking for help.

    Aha. It was by you. So even if you didn't do a HIPAA violation, what you did was, in fact, a division policy violation. Don't you think it's a teeny bit disingenuous (look it up) to say, "I didn't even say it was a real patient" when you're trying to finish homework on your clinical day during which you took care of ... a patient? Of course it was related to clinical. Your faculty is not as dumb as you think.

    So your question isn't really about HIPAA in this context, is it?

    What do you want? You want somebody to tell "the student," by which I think you mean "you," that you were grievously maltreated? You want resources to take to your appeal? What?

    Be upfront here, apparently not having gotten the answer you wanted when you posted it before.At this point you want to go to your appeal with abject and very sincere apologies for an unforgivable lapse in judgment, because you did your best to leave off HIPAA-related identifiers but even if you did this successfully you have violated a division policy. You want to make good and sure you convince them that you will never, ever do it again, that you are ashamed of having violated that rule, and you understand how serious it is. Throw yourself on their mercy and then shut up and see what they do, because at that point it will be out of your hands.

    Good luck.

  • Oct 18 '14

    I was assigned a patient tonight in clinical that was getting prepared for emergency surgery. He was in extreme pain and his nurse gave him dilaudid for the first time. I was asked to stay with him while she called the doctor to update him on the status of the patient's condition. He was panting and shaking and kept repeating "I can't breathe."
    I started out by trying to reassure him that he was breathing and his O2 stats were perfect. But no change in his condition. I was frustrated (not with him) because I felt like there was nothing I could do to make him feel better and wondered what in the world would convince the nurse to leave me alone with him???? So, out of desperation I sat on the side of his bed, grabbed his hands, made sure he looked in my eyes and had him breathe in and out with me and tried to keep the both of us from panicking (To be honest I needed the breathing as much as he did ). He calmed almost immediately. He squeezed my hands and said simply thank you. He asked me to stay with him until his family got there...... And then it hit me.... He was scared. He was alone. He thought he might be dying. I only held his hand but I helped him feel less afraid. I helped the person, not the assignment. I made a difference. I felt like a nurse.

    It was amazing

  • Sep 26 '14

    As has been pointed out previously, a confused patient who pulls his indwelling foley out is not likely to leave a condom catheter alone either.

    You can try a skin prep which helps it to "stick" to the skin of the penis somewhat, however, you DO NOT want to promote any shearing or tearing injuries to that skin.

    Why does this fellow require a catheter? Why is the team focusing on a POC that is irritating, agitating, and annoying the patient?

  • Sep 26 '14

    When the caregiver told him I was removing the foley this morning, he looked at me and said "God bless you!"
    AWW.. give him a little kiss from me.
    Forget the condom cath.. will never work. He is refusing the treatment,, and that's ok. He will continue to pull off the condom cath until the cows come home.Develop a toileting regimen.. use adult briefs as needed.
    This is not about condom cath techniques.. this is about solving a problem.