DYLANB

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1. Forced to float and already short

   DYLANB posted a topic in General Nursing

   The hospital I work for has for several years now used a system where they will float two nurses, one from a critical care area (ICU/CVICU) and one from a medical/tele unit, to the ER when they are holding pts. (pts with admission orders but no room ...

2. eMAR & quick patient info at bedside

   DYLANB replied to deweydecimal13501's topic in Informatics

   In the hospital I work for, we have a "paper lite" chart and a CPOE (computerized provider order entry) system in which all orders and medications for the patients are entered and viewed. We have to open an icon on the desktop, log in and this gives ...

3. Total Disregard for Visiting Hours

   DYLANB replied to DYLANB's topic in Relations

   I thought it was clever. You're right, I didn't indicate directly in my initial post that I and other nurses had experienced abuse by family members starting with blatant disregard for hospital policy. Others in this thread seemed to have understood...

4. Total Disregard for Visiting Hours

   DYLANB replied to DYLANB's topic in Relations

   I understand full well we are not McDonald's but, if you look at health care trends we are heading in that direction. ie core measures, satisfaction based reimbursement by medicare. We are heading towards prepackaged healthcare for everyone. I don't ...

5. Total Disregard for Visiting Hours

   DYLANB replied to DYLANB's topic in Relations

   5thflrnrse, You are right, I have never been a patient but, I have been a family member to a patient admitted to a critical care unit. I know based on that experience alone how to behave in a hospital. I also know what manners, common courtesy and ...

6. Total Disregard for Visiting Hours

   DYLANB posted a topic in Relations

   Just curious to hear about other nurses experiences with the total disregard patient families have for visiting hours and hosptial policies. I have been a nurse now for 3 years and have split time between ICU and CVICU. Patient families skirt the rul...

7. Med order question -giving Roxanol to someone who is dying

   DYLANB replied to Need2Care's topic in Medications

   I have never used or even heard of Roxanol before reading this post. I breifly looked it up and I found it was morphine sulfate. I assumed it was an injectable form not realizing it was strictly an oral/sublingual form of morphine. I should have look...

8. DNR- Do Not Treat?

   DYLANB replied to GinaCat's topic in Safety

   I understand your desire to keep the patient alive until family arrived. I can see your dilema but, there does come a time when treating a rapidly declining DNR is like beating a dead horse, no offense or pun intended. A patient that sick requiring d...

9. Med order question -giving Roxanol to someone who is dying

   DYLANB replied to Need2Care's topic in Medications

   5-20mg q4 is considered an incomplete/incorrect order. When ever an MD writes an order for a medication the order must have the name of the medication, the dose, the route and the frequency. Pain medications must have an accompanying pain scale. ie....

10. Med order question -giving Roxanol to someone who is dying

    DYLANB replied to Need2Care's topic in Medications

    Is the strength of the prn dose the same as that of the scheduled dose? If so, it seems to me that by giving a q8h order the ordering MD intended for the patient to receive a minimum of 3 doses within a 24 hour period and by leaving a q4h prn order t...