avado

avado BSN

CEN, PCCN

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About avado

avado has 24 years experience as a BSN.


Latest Activity

  1. I been a nurse for twenty years now in same facility. I always know social interactions have been painful for me and over the years it's becoming more apparent that I have to mask and mimic other co workers to be successful. So I know that I am undia...
  2. Is the norm with the EHR that nurses verify CPOE meds only, ancillary or both? Does your HUC triage phone calls during med pass times? Do you have a system down to prevent distractions? I am trying to improve a process that causes failure o...
  3. TPN infusing when to change PICC drsg?

    Thank you and appreciate your response.
  4. I have been a nurse for twenty years and was offended that the newer nurses looked at an old ancient vague policy regarding TPN infusion to look for dressing changes wrote an CPOE order that drsg should be changed every three days regards to that pol...
  5. I am quite aware of ARDS and YES I have done vents but when the family member has "Hope" that resting the lungs will help their mother who has severe CHF? IS a poor message! I knew she would be dead in no time flat. We are suppose to be the adv...
  6. Thank you for speaking up. Distant family member who was on bi-pap doing well and got off but then had a set back. Second, daughter was told she was getting vented "to let her lungs rest" right then I knew it was a lie to the family. They shou...
  7. What is your gear for Isolation patients? Do you have disposable stethoscopes? One mask/goggles to use for each patient? Currently, I have one n95 mask for each isolation patient and goggles/shield that I leave in ante rooms. I dispose of my gown/glo...
  8. Don't forget the crushing chest pain from over-eating edibles!!
  9. I have seen in a teen would was extremely thin and developed all the clinical signs in C.H.S as example needing to take hot showers, tiger balm, smokes a bowl a/day, retching, and losing weight with no relief inpatient. CT scan showed the secondary ...
  10. Nurse Bullying

    I would love to fill this out!! Lets say a nurse adn, been in the same organization for 30+ plus years was able to convince administration, hospital board, few doctors, and rumor mongering the staff that she felt bullied. Was able to get the board ...
  11. Tired of this manager

    I am fed up with our interim manager. She is basically a wall. When I asked there is no policy or a failed order set with issues for patient safety, the answer why don't you make that policy for me? She is directing staff to work on projects that n...
  12. I know that often our pyxis if your finger and height doesn't match up you can pull up the person or med next to it. I really do have to slow down. Last month, I had tylenol liq ud mixed in Ibuprofen liq ud. Luckily, I have experience that machines...
  13. occurrence report=doctor hates me

    yes and no its something that could be used but in reality the patient died and my occurrence report was simple but the message to the manager to look into it went too far.
  14. occurrence report=doctor hates me

    Seriously, we had no policy except another department policy that is over 7 years old. That is how messed up it is where I work. Yes, I have taken my lumps from my annoying write up. I usually write up on process problems like med reconcillation or s...
  15. occurrence report=doctor hates me

    Good question.. not to make waves I guess. Why can't it be simple and used as a study? It shouldn't deter anyone. Its just sad.