steelcityrn

steelcityrn RN

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About steelcityrn

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  1. The Mockery of Nursing

    Why Lord, Why?
  2. Which one is more stressful: med-surg or LTC

    I would vote med surg due its ever changing events that can take place. At least when its LTC, you are used to the patient and families.
  3. what's a 23 hour observation unit is like?

    All the above and to add it can be up to 72 hours now and called out patient care. This also is used to prevent another re-hospitalization used as a negative statistic against the hospital. Hospitals cannot bill for a diagnosis r/t previous admissio...
  4. Are nurses being replaced?

    Insurance companies are not going to pay for acute care without a licensed professional taking care of them. There may be virtual nurses used in the future, but I do not believe they will ever be used for the total care of a patient in an acute care ...
  5. Charge nurse has it out for me...kind of a rant

    Agree with the others. Time to walk to H.R. They know how to deal with this.
  6. Will I be held responsible ?

    My point was maybe there was nothing to document, as it was not a true wandering situation. Now that your saying it was, I like the other agree you do not document on anything you did not witness or was present during the incident. Why doesn't your s...
  7. Will I be held responsible ?

    I would probably want more information about a patient "attempting"to wander. Was it something as simple as walking towards an elevator?
  8. Getting Sick at Work

    Oh yes, fell in a wet floor. leople probably thought it wasn't anything big, but besides a knot on my head and a sore back, I had a very rare post traumatic cataract form immediately. If you hit your head that hard, not a good situation!
  9. Time to call a duck a duck, part II

    My point is "Its all nursing".
  10. Time to call a duck a duck, part II

    Nursing also happens behind a desk. Upon looking at pages and pages of documentation, I cannot tell you how many times I have to talk to the direct care nurse to have a patient re-evaluated for a problem, call the physician for a change dressing, med...
  11. Lots of young people on disability?

    I recently met a distant relative at a funeral who is diagnosed with bi-polar. He could not sit still at his own mothers funeral. He was her only child. He was disheveled, had no one there who he could call to give him a ride to his own mothers funer...
  12. Ativan...do i hold or give?

    If a medication is not ordered as a prn, you need to report the lethergy to the physician. The order may be changed to 1-2 prn qhs. Once the patient has been on fentenyl for a while, they may need the order changed again to qhs.
  13. Admissions and Privacy

    If that is your facilities policy to ask all of those questions, then so be it. I usually say something like " I know there are alot of questions here for you to answer, do you want family in to help, keep in mid some may be personal"? Usually this i...
  14. Disruptive co-worker

    Yup, nothing like a negative person to try and spoil the teamwork. Work even harder to over come this.
  15. Nurse not passing meds...should I report to BON?

    Continue to monitor as you are a supervisor. Continue to be aware of the need to assess her medication rounds. You as a supervisor need to make her aware that you are making sure all medications are delivered and signed off as given at the correct ti...