TX.RN.Shannon 2,715 Views
Joined Jun 9, '12.
Posts: 65 (42% Liked)
I was hospitalized a few years ago with a severe gastroenteritis that was related to e.coli (ended up with positive blood cultures). My symptoms started almost 12 hours after eating out.
i can only assume TX.RN.Shannon has never herd the "definition of a gentlman", and now i need to go get a rag to clean up the drink of coffee i took as i read the ugly" part : )
The good: no falls, no incident reports.
The bad: lots of flu, so lots of isolation rooms.
The ugly: being told by a totally lucid gentleman, "honey, just scratch my balls a little bit."
First of all, congratulations! If it's a med surg/tele floor, get ready to hustle!
The shoes and scrubs/hose thing is something you'll have to figure out. I don't wear hose because I am too hot natured. I have one pair of "work" Nikes that I replace every few months. I only have 4 or 5 sets of scrubs right now as there is talk of a possible dress code change.
Supplies you have covered; just bring lots of pens--they will disappear. I don't remember if you listed hemostats, but they are a necessity for me.
I bring my lunch and snacks since I work nights. I also have a coin purse with change and small bills for hitting the Coke machine. I also absolutely have to have my "bag o' goodies"---a makeup bag with ibuprofen, Chapsticks, hand lotion, etc.
Currently, our hospital only swabs those symptomatic or exposed to someone that has tested positive. The only exception has been at a residential facility in our town---all residents on Tamiflu and all that come to ER are tested.
We have a 15 minute "rapid flu" test for type A & B; there is also a send-out panel that takes 3-5 days for results. We have had a few patients that have had negative rapid results but positive on the send-outs.
All patients that test positive anytime during hospitalization are placed in contact/droplet. There is no policy for retesting after treatment or for discontinuing isolation.
In my institution, an Advanced Directive (being written by a competent, appropriate PATIENT) is witnessed by 2 people when signed. Basically, the witnesses are signing only that they saw the document being signed. Usually it is done by the hospital 'Pink Ladies' volunteers. Most often, there isn't a problem with anyone--patient, family, witness--feeling akward or put out.
In a couple of isolated incidents, we have asked other visitors to be a witness. I work nights, so there's a lot of improvising going on.
I had a patient who insisted on writing her Directive at 0200 in the morning. There was no Social Services or Pastoral Care available to help her, so the Charge Nurse (Me) had to.
After filling out her Advanced Directive and Medical Power of Attorney, with her family's help, I rounded up two witnesses. I explained to the witnesses that I just needed them to watch the patient sign a document (nothing else disclosed to them) and sign their name as a witness that they saw the patient sign said document. Took about a minute, then all was done. No problems from patient, family, witnesses, or staff.
But in a situation of an emergent DNR like described above, involving strangers doesn't seem appropriate. It seems like the 'witnesses' in that situation would definitely make it an uncomfortable HIPAA violation.
It sounds like this patient had a life-ending event and nothing you gave or didn't give would've changed that.
If I have a situation where there are different PRN meds, I try to look at the whole picture. For example, maybe each med had different parameters regarding vital signs (like give this one if SBP is over 160 or that one if over 180). If there is a beta blocker ordered, you have to consider the heart rate; maybe it's too low to use that med.
But sometimes, it's just trial and error---you try one med and see how it works. If it doesn't work too well, then try another.
It's definitely hard to pick which med to use, but hopefully the MD has provided detailed and specific parameters. If not, you have to look at the patient/vital signs/history and pick one.
I saw this post, and the pedicure photo and was hoping it was some way to use it to make swirly toenail polish....but alas I am wrong again. Why would visine make for a clean drug screen that makes no sense.
Nope its a myth; How to Pass a drug test, Pass a urine test - Pass Your Drug Test .com
Congrats on the call-back! And good luck!!!
I guess that I would not volunteer more than necessary until you actually have the job or an offer. And I wouldn't want to possibly negatively the interviewer.
I would definitely not mention the pregnancy until after this week's appointment. Once you know that it is viable, then you can share.
If they ask if you are planning on going back to school, tell the truth. Just say that you are interested in becoming a RN.
As far as the scheduled appointments, you can inform them of those when you have an actual offer.
I am definitely not advocating lying; just not volunteering too much info, too soon.
I recently had a young patients who admittedly used many drugs---nicotine, alcohol, marijuana, meth, cocaine. He was admitted and among his belongings was a full bottle of Visine. I asked him what he used them for--expecting that he would say to help with the 'druggy' eyes---but he said it was to help him "not pee hot". I hadn't heard about it's supposed benefit of making a urine drug screen 'clean'. Anybody else heard that?
Back rubs, foot rubs, a good scalp massage...heck, if they're really cranky I'll sit and snuggle with them for an hour or so. Of course, things are a little different in the NICU.
Thanks to (most of) you who took the time to respond. There were some good points and information. I definitely learned a couple of important things.
Hope y'all have a nice day.
That was cool and interesting. Thanks for sharing!
S&W Hillcrest Baptist Medical Center L&D
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