Starfire61

Latest Activity

1. Nurses Notes: Guidelines On What Not To Chart

   Starfire61 replied to TheCommuter's topic in Safety

   Hi Loo17, The information you include in your documentation upon encountering a pt refusal is fabulous; very thorough. I document pt refusals in the same manner, adding the name and rank of the clinical supervisor in the office that I called and...

2. Nurses Notes: Guidelines On What Not To Chart

   Starfire61 replied to TheCommuter's topic in Safety

   Great post, jewel53; thank you for sharing how too-limited charting in today's litigious society just doesn't cut it. When I entered nursing 17 years ago if a pt refused a treatment, their meds, etc., that is all you wrote in your narrative; pt refus...

3. Racial Refusals In Nursing

   Starfire61 replied to TheCommuter's topic in Relations

   In a perfect world that is how the situation would be handled. Unfortunately, we live in a society that values money over and above everything else and with most institutions it is about keeping the numbers up.

4. Racial Refusals In Nursing

   Starfire61 replied to TheCommuter's topic in Relations

   Hope your BFF is the DON.

5. Choked by a patient. How do you deal with this trauma?

   Starfire61 replied to 222mom222's topic in Safety

   I believe this is PTSD. Panick attacks can really get out of control you need to be seeing a Psychologist who works with PTSD pts and they will give you tools to start to get this under control. I agree with pp that a simple and effective self defe...

6. Three months to kill before Nursing School... what to do

   Starfire61 replied to Myoclonicjerk's topic in General Students

   Trying to prepare ahead of time for nursing school is admirable, but, it's like trying to prepare for being sucked up into the vortex of an F5 tornado, you can't. Nursing school is a pressure cooker environment that puts you under a tremendous amoun...

7. Racial Refusals In Nursing

   Starfire61 replied to TheCommuter's topic in Relations

   When I worked in acute care 16 years ago at a small town hospital we would run into racial requests from the elderly several times a year. Now I'm in home health and what I hear from my elderly pts is I don't want a male nurse or, I don't want a fem...

8. Mistakes Are Inevitable: No One Is Perfect.

   Starfire61 replied to Ruby Vee's topic in Professionalism

   ..."we should examine the surrounding factors that could have contributed to the error, like unsafe working conditions, pressure from management or doctors, personal problems, stress, fatigue, etc..." Hospitals and the BON have been promoting just th...

9. Mistakes Are Inevitable: No One Is Perfect.

   Starfire61 replied to Ruby Vee's topic in Professionalism

   I remember what I was taught in nursing school a long time ago and it probably rings true more today than ever. It doesn't matter if the med error began with the Dr's Order, the Pharmacist or the transcriber, you gave the medication, you will be the...

10. Mistakes Are Inevitable: No One Is Perfect.

    Starfire61 replied to Ruby Vee's topic in Professionalism

    Wow. In a busy environment (and they're all busy), I could easily see that happening to anyone. You execute the order first since your in with the pt and then go enter it into the system, seems like a logical way to not waste time or steps. Thanks...

11. Mistakes Are Inevitable: No One Is Perfect.

    Starfire61 replied to Ruby Vee's topic in Professionalism

    Don't get too down on yourself every time you get a new preceptor they want you to do things the way they teach you to do it, this makes moving forward in skills, speed and confidence difficult at best because instead of moving on to the next item on...

12. Mistakes Are Inevitable: No One Is Perfect.

    Starfire61 replied to Ruby Vee's topic in Professionalism

    You are so right! I'm an LVN, and was fortunate enough to work in a hospital (on the SNF unit), as a new grad back in the day when LVNs could still get a job in an acute care facility. In TX LVN's were not allowed to hang the first bag of IV antibi...

13. Mistakes Are Inevitable: No One Is Perfect.

    Starfire61 replied to Ruby Vee's topic in Professionalism

    Amen.