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Search Results Type: Posts; User: dudette10

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  1. How many steps do you take a shift?
    On mine either! As a stay-at-home mom, I took a seasonal retail job in 2006 working the floor at a big box store. The weight just FELL off. When I started working as a nurse, it happened again. After...
    Nov 21
    Forum: Health / Stress Management 101
  2. What is the proper way to address an RN?
    You may call me Mistress Medgiver. Thank you.
    Nov 21
    Forum: Nurse Colleague / Patient Relations
  3. IV catheter changes..
    Regardless of EBP, you have to go by facility policy until the policy is changed. off topic... I was almost written up for an IV that was 72 hours old not changed on my shift. I distinctly...
    Nov 20
    Forum: General Nursing Discussion
  4. meds that you can't mix?
    That's what Trissel's is for. Look it up if you're not sure.
    Nov 20
    Forum: Nursing Student Assistance
  5. Are all nurses perpetually exhausted?
    After I learned appropriate delegation and not allowing my nursing priorities to be derailed by those tasks I could delegate, I'm less exhausted. The unit I work on the most has a rep for the worst...
    Nov 20
    Forum: Health / Stress Management 101
  6. Good nursing or learned dependence?
    The common theme here is social support, it seems. When I think of some of our pts that resist discharge, I have to agree. And the ones that do have family at the bedside, the request usually comes...
    Nov 20
    Forum: General Nursing Discussion
  7. Good nursing or learned dependence?
    What is it with patients who don't want to be discharged? My hospital has what seems to be a large number of patients that resist discharge. The discharge day comes, and they get very anxious...
    Nov 19
    Forum: General Nursing Discussion
  8. advice on being written up when I dont think I should have been...
    I was trained in an environment in which RRs were not used very often because the responding docs were *******s. I now work in an environment in which RRs are encouraged. I will never again work in a...
    Nov 19
    Forum: Nursing Issues On Patient Safety
  9. Hospital Wide SCD patient education
    In my hospital, SCD/TED compliance with orders is also an issue. Iíve noticed that many nurses will not order the equipment, regardless of ambulatory status, because the patient is on heparin SQ. ...
    Nov 7
    Forum: Patient Education
  10. EHR "order fatigue" like "alarm fatigue"
    Is there a different way to look at orders so they are not such a mess? Many of colleagues look at orders through one screen, which includes all orders ever put in for a patient during a single...
    Nov 7
    Forum: Nursing Issues On Patient Safety
  11. The Fine Line
    I have always wanted to work with kids, but I never had the opportunity to do so. I'm a little jealous. The story I want to share is one where I did draw emotional boundaries, and it affected my...
    Nov 7
    Forum: Nurse Colleague / Patient Relations
  12. Do I check BSL if MO order dexomethason? if so when?
    Questions in order of importance for critical thinking: Is the patient a diabetic? Does the patient have a history of steroid-induced diabetes? What level of care are you in? What dosage and route is...
    Nov 6
    Forum: Nursing and Patient Medications
  13. Warfarin and Lovenox
    It depends. Did you get a chance to read the doctors’ notes? She could have been diagnosed with a hypercoagulable state or thrombophilia. You don’t mention her age nor her other conditions, but...
    Nov 5
    Forum: Nursing and Patient Medications
  14. Sepsis
    First, my condolences for your loss. Secondly, itís important for nurses to know not only their own protocols, but also the medical protocols so that we can advocate for patients. ...
    Nov 4
    Forum: Nursing Issues On Patient Safety
  15. Sepsis
    Flu and PNA shots are offered at each admission if not contraindicated, so follow your protocol!! Don't skip this part of your admission paperwork! If a patient states, “Oh, I’m going to get it at...
    Nov 4
    Forum: Nursing Issues On Patient Safety
  16. Sepsis
    Your sympathy is much appreciated.
    Nov 4
    Forum: Nursing Issues On Patient Safety
  17. Sepsis
    The fact that she has flu A brings me to another point (reference below). Make sure your loved ones at risk for flu get the shot as early as possible in the season so that they are protected as...
    Nov 4
    Forum: Nursing Issues On Patient Safety
  18. Sepsis
    Thank you, Susie. However, the day I wrote it was Monday morning, and it looked like she would beat it. Unfortunately, the antibiotics were little good, as she continued to have a fever, so they...
    Nov 4
    Forum: Nursing Issues On Patient Safety
  19. Nurses eating their young... a different perspective
    This....and ....are you saying that the nurse was going to infuse the patient's own urine thru the newly-placed PIV? Please tell me that my understanding is wrong. Please.
    Nov 4
    Forum: Nurse Colleague / Patient Relations
  20. Sepsis
    I don't know, but he didn't ask, either.
    Nov 4
    Forum: Nursing Issues On Patient Safety
  21. Sepsis
    It's also important to note that the continuum from sepsis to severe sepsis can happen very quickly. In the absence of fever, the respiratory rate with possible sources of infection will be the first...
    Nov 3
    Forum: Nursing Issues On Patient Safety
  22. Floating non-ICU RN's to ICU!!?
    You were right to refuse. I am often dumbfounded at what house supervisors try to get away with. Only a month off orientation as a new grad, they tried to float me to ICU. They said it was my...
    Nov 3
    Forum: Critical Care Nursing
  23. Sepsis
    The other day, I got a call from the nursing home where my loved one resides. The nurse told me that she was congested, the doc was called, and a z-pack was ordered. I asked the vital signs: ...
    Nov 3
    Forum: Nursing Issues On Patient Safety
  24. Coworker forged my signature...
    Jade, you win the award for the most hilarious colloquialisms, euphemisms, idioms, and analogies in a single post. Booyah! ;)
    Nov 2
    Forum: Nurse Colleague / Patient Relations
  25. Sure to Get Flamed for This
    Did you miss the fact that, statistically speaking, half the world's population does have a below average IQ? You know, the normal distribution curve, median/mode/mean, and all that stuff.
    Nov 2
    Forum: Nurse Colleague / Patient Relations


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