ckm2

Latest Activity

1. Using Equipment with no Training?

   ckm2 replied to NeuroRNny's topic in Safety

   Of course its wrong and unsafe not to be trained on equipment. Ask for training and to have super users. The device company has educators or sales people to train you. Having worked for Baxter IV for 17 years the company will have education available...

2. The Childish "I Wuv You" Act

   ckm2 replied to LittleTwinStars's topic in Relations

   people I am from NYC where people respect boundaries (its crowded) and a french Canadian descent the non touchers. To Touch or not to touch is a cultural habit which should be respected from both sides of the patient clinician relationship. I do hug ...

3. Good Excuses for Missing Work

   ckm2 replied to Joe V's topic in Humor

   Hey folks legally you do not have to give a reason its called HIPPA. On the lighter side, one night when I was in charge someone called in to be off because they needed to have their hamster checked for diabetes! Really?

4. Talk down to no one...please!

   ckm2 replied to Mr Sacdiff's topic in Relations

   Stay the course. report to your manager behaviors that are bullying if she doesnt do any thing look for another job where you are appreciated. There are ALOT of miserable people in healthcare that you can not fix. Look up read Malcom Bladwell which i...

5. Nurses vs Phlebotomist

   ckm2 replied to Caleb_RN225's topic in Emergency

   Nurses have academic degrees, techs do not. As a critical care nurse, who is Not really good at IV sticks (I always have CLs) I am better than most at ABGs because I have done so many and this is why I applaud all my lab tachs who can hit a vein I ca...

6. line flushes, patient safety, infection control

   ckm2 replied to LillyFish's topic in Disease

   According to CDC and manufacturers prefilled syringes are Single Use which means One Time Use, not single patient. If its a TLC triple lumen cath it needs 3 separate prefilled flushes. Once a prefilled syring is used it is NEVER recapped and reused; ...

7. Is this neglect?

   ckm2 replied to mikasa's topic in General Nursing

   please objectively report this immediately reporting the actions non actions but don't report what you feel like she is lazy that is subjective. Also remember we are not only accountable for what we do but equally or more importantantly what we dont ...

8. i'll probably get flamed to the moon and back for this but..

   ckm2 replied to elijahvegas's topic in General Nursing

   Nursing is a profession and to be successful at any profession you need to have a balance between IQ intelligent quotient and EQ emotional quotient. Its about having empathy (which requires engagement) not sympathy which denotes a degree of superiori...

9. How do you get your patients to do what they have to do?

   ckm2 replied to Brian's topic in Rock

   Please do not TELL your patients what to do unless they are mentally impaired. Be their advocate explain WHY we are doing what we do and its research based not hospital policy. Involve them in their care by allowing them to coordinate schedule with y...

10. Lab draws off PICC

    ckm2 replied to jmn126's topic in Infusion

    If blood does not return easily without additional pull the line needs to be declotted once it has been checked for position and kinking. Forced blood drawing does hemolyze cells which releases intercellular folks like Mr K+ into the Serum count.

11. Do you calculate drip rates anymore?

    ckm2 replied to goingback's topic in General Nursing

    yes you must know your drip rates to double check RX label and doctors order which may be wrong. You also need to know nl dose ranges for which indication eg hi dose/ low dose Dopamine. having been a CC nurse for 15 years I cant tell you how many tim...

12. ReUsed surgical wound ice paks

    ckm2 posted a topic in Safety

    As a new clincal educator on a neuro/spine surg unit for the past year with extensive infection control experience, I was aghast that our nurses practice was to return used surgical wound ice paks for refreezing to save money! Their practice is to pu...

13. Question about disposing of urine in sink

    ckm2 replied to lulu997RN's topic in Ob/Gyn

    No because of potential for splashing and it would require sani wipe cleansing before used again.

14. need help for pharm

    ckm2 replied to zifa0813's topic in General Students

    Categorize them by what they do and their worst side effect eg Antihypertensives: ARB,ACE etc. Try to learn by categories no one can remember all drugs. The average experienced nurse knows 70-80 drugs well; the average experienced MD knows 33! Thats ...

15. Disgusted in GA:Used ice paks in the freezer

    ckm2 posted a topic in Disease

    For the past year I have asked that our ice paks for spinal surgery wounds be one time use. Nurses routinely take the warm ice paks put a patient label on it and put it in a flimsy baggie and return it to freezer to refreeze to save money. The outc...