MattNurse MSN, RN

MattNurse has 39 years experience as a MSN, RN and specializes in med-tele/ER.

Latest Activity

1. RN forging doc's signature

   MattNurse replied to Student Mom to Three's topic in General Nursing

   Actually you probably need to report that to the compliance officer at your hospital. It is a big no-no and if you are aware of fraud then you should call the compliance line. You probably have an ethics committee at your hospital that you can turn...

2. Lessons on why not to "Assume" things.

   MattNurse replied to TigerxLiLy's topic in Geriatric

   Just curious what her ABG looked like. Must be horrid as well.

3. Lessons on why not to "Assume" things.

   MattNurse replied to TigerxLiLy's topic in Geriatric

   If that were my family member I would be grateful to the OP.

4. Help with fluids/electrolytes.

   MattNurse replied to studentnursemon86's topic in Student Assist

   Any normal saline solution with an added ingredient makes it hypertonic. I said technically because of the way it works in the body but that does not change the osmolarity and osmolality of any given solution. And as I wrote "dextrose gets metaboliz...

5. Help with fluids/electrolytes.

   MattNurse replied to studentnursemon86's topic in Student Assist

   dextrose is metabolized so technically NS with anything added is hypertonic, the fact that dextrose gets metabolized really makes it an isotonic solution in the body.

6. Nursing diagnosis help

   MattNurse replied to Stoogesfan's topic in Student Assist

   I would be more concerned if I had a diabetic patient on insulin around 70, less concerned with a sugar of 172, I would still cover the sugar at meal time. Even though 70 falls in the ideal range for a diabetic, I would monitor that level closer the...

7. Nursing diagnosis help

   MattNurse replied to Stoogesfan's topic in Student Assist

   Were any of those medications new to the patient?

8. Nursing diagnosis help

   MattNurse replied to Stoogesfan's topic in Student Assist

   If this were real life you would focus on the reason for admission. The patient is not left in acute chest pain but still needs interventions to prevent the chest pain from recurring. The nurses are probably intervening and preventing the pain via ...

9. Nursing diagnosis help

   MattNurse replied to Stoogesfan's topic in Student Assist

   That blood sugar for a diabetic non-fasting is rather normal and probably won't lead to much pathology. I would go with something related to his chest pain/SOB as the nursing diagnosis, all the other issues are chronic issues that you wouldn't addre...

10. Refusing food offered by patients

    MattNurse replied to Lev's topic in Relations

    I tell patients I am eating a special diet and leave it at that.

11. Help! I don't "get" vents!!!

    MattNurse replied to Penelope_Pitstop's topic in MICU

12. Peer Evaluations- Venting

    MattNurse replied to Rose_Queen's topic in Relations

    I wouldn't want a peer review. And if it is optional I would think you would be able to opt out. My hospital doesn't do peer review. I wouldn't know what other people do on my shift. I wish I was part of the review process for CNA's though.

13. I don't want a male nurse! - Caption Contest Winner

    MattNurse replied to Brian's topic in Rock

    I don't get it.

14. Can visitors be 'forced' to wear PPE?

    MattNurse replied to Double-Helix's topic in General Nursing

    Yes you can force for certain instances, the instance that comes to mind is neutropenic patients, I make them put on a mask when they are sick and wash their hands before entering the room. We have signs outside the door that says a patient must che...

15. Boy, did I mess up :(

    MattNurse replied to soon_2Bnurse's topic in HIPAA

    Nurses make med errors and don't lose their jobs. If you lost your job over this then the hospital must have a high turnover rate.