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Search Results Type: Posts; User: nu rn

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  1. Shared rooms and confused patients
    As the child of a dementia sufferer, I also want to thank you for putting a stop to pt 2's mouth. Had I been in the room as pt 1's family, you probably would have had to hold me back from slapping...
    Nov 18
    Forum: HIPAA and Nursing Challenges
  2. Newly paced ileostomy with wound dehiscence
    Is the surgeon aware of the complication? He/she needs to be involved & should be dictating this pt's care.
    Nov 17
    Forum: Wound / Ostomy / Continence Nursing
  3. how to document amount of uterine bleeding
    Document pad count (3 pads in 4 hrs, or 2 pad/hr, etc); how heavily saturated might be included as well.
    Nov 17
    Forum: Nursing Student Assistance
  4. pt received the wrong blood
    What about the first check off with lab? Did that employee also lose their job? I wonder about the labeling as well; seems hard to wrap my head around all these people missing the incompatibility.
    Nov 16
    Forum: Nursing Issues On Patient Safety
  5. Morphine & air hunger
    Prepared to be amazed. Pt came back to the floor post-op & did very well taking everything into consideration. I was not her nurse, but started an IV for her on eve shift & her breathing was like...
    Nov 16
    Forum: Nursing and Patient Medications
  6. Morphine & air hunger
    Thanks again for everybody's response. No, I wasn't thinking about pain although this was a hip fx & no doubt caused significant pain. Just sort of always stuck in my head from school that morphine...
    Nov 15
    Forum: Nursing and Patient Medications
  7. Morphine & air hunger
    Thank you! I wish I had more gumption to argue with her, but it wasn't my pt & frankly I was just dumbfounded at her reaction. Turns out the pt didn't have a morphine order anyway. Well, we shall...
    Nov 15
    Forum: Nursing and Patient Medications
  8. Morphine & air hunger
    Just looking for validation.... Pt with severe COPD scheduled for surgery to repair a fracture was on the floor. Sats all over the place; mostly 90's with venti but pt wouldn't leave it on & drop...
    Nov 15
    Forum: Nursing and Patient Medications
  9. discharge/admit nurse
    We just added Adm/DC nurses this past year who usually cover from 0700 to 2100 during the week, until noon on weekends. I've heard nothing but good about the process although I work nights. They...
    Nov 10
    Forum: General Nursing Discussion
  10. NPs working with chiropractors
    Cfinesse, please don't believe all chiros are like the office you hired into. And some states like mine give DCs a very large scope of practice: only 2 restrictions - no surgery & no Rx privilege. ...
    Nov 8
    Forum: Nurse Practitioners (NP)
  11. How to prevent falls
    We use two assist initially & with anyone that still has significant numbness after a block. Otherwise, it's a judgment call. We don't use immobilizers at all for routine TKR. Often a fall...
    Nov 8
    Forum: Orthopaedic Nursing
  12. How to prevent falls
    Hmmm, we don't have too many falls when staff is assisting; falls are mostly when pts get up on their own. Are these pts being ambulated too far of a distance, causing some fatigue in the joint &...
    Nov 8
    Forum: Orthopaedic Nursing
  13. How do I Handle Trifling Calls?
    Had a similar pt a couple weeks ago on the floor. Each time I asked if there was anything else she needed before I left. After the 3rd light in 30 minutes at the beginning of the shift & spending...
    Nov 8
    Forum: CNA/MA - Nursing / Medical Assistant
  14. To lock or not to lock the rooms
    If it were me, locking my door to coerce me to do something would probably have the opposite effect. When told I CAN'T do this or that I WILL do that, it just brings out my stubborn streak! At...
    Nov 7
    Forum: Psychiatric Nursing
  15. Which unit would be good for a RN with ADHD-inattentive to work on?
    I think it's the word "inattentive" in the title that sticks out, and when joined with your question, gives the impression that you might be looking for a unit where attention to detail is less...
    Nov 3
    Forum: Nursing Career Advice
  16. Helpful Hints: Female Patient Urinary Catheter Insertion
    Our kits have swabs rather than cotton balls, but I started doing the same thing a while back, leaving the last one to block vaginal entrance. I have never missed when using this method, even on...
    Nov 2
    Forum: General Nursing Discussion
  17. stinky patient pet peeve
    Yep, you missed it. The very first post mentioned the possibility of the pt refusing a bath or that baths might be given at different times of the day, not necessarily in the morning.
    Oct 29
    Forum: General Nursing Student
  18. stinky patient pet peeve
    Holy cow... OP, if you have plans to work on an acute care floor, you WILL find yourself having to do bed baths, pericare, oral care, etc. on occasion. CNAs are pulled to other depts all the time,...
    Oct 29
    Forum: General Nursing Student
  19. I want to quit 4 months in
    I feel for you! I started out with 8s on nights & by the 4th night in a row, I would be a mess. Thank God I finally got my 12s. It can still be tough, but soooo much better!! Hang in there!
    Oct 29
    Forum: First Year After Nursing Licensure
  20. No briefs?! Is this an ICU thing?
    I don't care for briefs at all unless the pt is ambulatory. At my hospital, we mostly keep incontinent pts open to air. Briefs just tend to hold the moisture against the skin.
    Oct 29
    Forum: Critical Care Nursing
  21. Esme Needs Your Prayers and Well Wishes
    Esme, hugs & healing prayers your way! Hope to hear of a speedy recovery for you soon!
    Oct 23
    Forum: General Nursing Discussion
  22. Newbies Who Want to Pay ZERO Dues Schedule-Wise
    That was how we USED to do it. Too much work for the new manager apparently. Now you work your regular schedule right through the holidays & hope you get at least some of them off or that someone...
    Oct 17
    Forum: Nurse Colleague / Patient Relations
  23. COBs...what do you think about the handling of the Ebola outbreak
    Even after recovery, the virus can still be present in semen for several weeks after & the pt has to abstain or risk infecting his partner.
    Oct 17
    Forum: Disasters: Preparing & Responding
  24. What policy do you have for ebola patients at your hospital?
    We were told that we would admit/treat ebola pts at our smallish midwest rural hospital, only transferring out if we were unable to provide a high enough level of care, ie acute dialysis. Re PPE,...
    Oct 15
    Forum: Disasters: Preparing & Responding
  25. Suicide by antibotics ?
    When glucosamine first became so popular, the doc I used to work for would recommend buying it from the vet or feed store. Pharmaceutical grade powder in 1-5 gallon buckets for the price of a...
    Oct 13
    Forum: Nurse Colleague / Patient Relations


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