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Search Results Type: Posts; User: Anna Flaxis

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  1. RN never feels guilty when calling out
    Well, we can't give legal advice on this forum, but I will say that because you are in healthcare, OSHA would rather you didn't go to work with a contagious illness like Norovirus, and additionally,...
    1:50 am
    Forum: General Nursing Discussion
  2. RN never feels guilty when calling out
    Don't confuse my feeling empathy for my team mates who will have to work short if I call in with going to work sick. I will not go to work sick- I call in, and you should, too. I simply feel a...
    1:15 am
    Forum: General Nursing Discussion
  3. RN never feels guilty when calling out
    I work per diem, and so if I'm working, it's either because someone is out on vacation or FMLA or called out sick. If I call out sick, there is not likely to be anyone who can cover my shift. I...
    12:37 am
    Forum: General Nursing Discussion
  4. Taking care of DNR patients. The point?
    Because, as has been stated repeatedly, DNR does not equal Do Not Treat, and you can treat rhythm changes. Maybe the person is not actively dying, and would like their rapid A-Fib controlled. If...
    12:33 am
    Forum: General Nursing Discussion
  5. Taking care of DNR patients. The point?
    I work in Emergency, and it is not at all unusual to receive DNR patients. In my state, we have a POLST registry, which allows people to choose different levels of intervention. They can choose to...
    12:06 am
    Forum: General Nursing Discussion
  6. I suck
    I think if you're feeling this way after two years, maybe it wouldn't hurt to try something different. Have you considered PACU? And by the way, I doubt that you suck. :-)
    Apr 25
    Forum: Operating Room Nursing
  7. Correcting low sodium too quickly
    If the person is older and on diuretics or has other comorbidities, it's safe to assume the hyponatremia is chronic and to treat it as such. Sometimes, however, it can be assumed that it is acute,...
    Apr 25
    Forum: Nursing Issues On Patient Safety
  8. Sleep/dreams
    I have occasionally had lucid dreams, but I have never "sleepwalked" to my knowledge. Sometimes I have stress dreams, where I can't get to work on time, or there is a patient in a room that I didn't...
    Apr 25
    Forum: Emergency Nursing
  9. triage and family
    Obviously the first strategy is to let the family know that I need for the patient to answer my questions, as it is part of my assessment. There are times, however, when cultural considerations...
    Apr 25
    Forum: Emergency Nursing
  10. ESI Triage Question
    I would triage the patient in question based on what I first see- with the caveat that I will take into consideration the patient's presentation in the field as well as their risk of deterioration. ...
    Apr 24
    Forum: Emergency Nursing
  11. Haldol IV?
    Yes, you can give Haldol IV- it is an off label use, but it's not uncommon. 2mg over two hours is not a huge dose. It sounds like a possible dystonic reaction, but it's hard to say. I have had...
    Apr 24
    Forum: Nursing and Patient Medications
  12. Patient Safety Question/Nurses Conduct
    I think you are assuming that the comment was made as retaliation for the patient's behavior, but you don't really know what was happening behind that curtain. As others have stated, if the patient...
    Apr 24
    Forum: Nursing Issues On Patient Safety
  13. I made a big mistake
    I'm gonna go with the others and say it wasn't the Xanax- and, you responded appropriately. Now get some rest.
    Apr 24
    Forum: Nursing Issues On Patient Safety
  14. I made a big mistake
    That nurse is an idiot for making a comment like that.
    Apr 24
    Forum: Nursing Issues On Patient Safety
  15. Blue Pigtail on Nasogastric Tube
    Surgeons throw hissy fits from time to time. Don't let it shake your confidence in yourself. The patient was not harmed, and you learned a good lesson to double and triple check next time. Move...
    Apr 24
    Forum: Nursing Issues On Patient Safety
  16. Problems with ER
    Again, it is protocol to transport tele patients on monitor- I'm not advocating otherwise. I'm simply posing a question that nobody has answered, but are only expressing horror. My question is,...
    Apr 24
    Forum: Nursing Issues On Patient Safety
  17. If you were to move from ER...
    Hospice.
    Apr 21
    Forum: Emergency Nursing
  18. IVP vs Drip
    Since I don't deal with regulatory issues, I'm speaking from experience as an infusion RN as well as policy at every facility I have worked at. While there may or may not be actual regulations by...
    Apr 21
    Forum: Emergency Nursing
  19. COPD and O2 sat
    In five years of treating acute COPD exacerbations, I have seen oxygen-induced hypercapnia exactly ONCE.
    Apr 21
    Forum: Emergency Nursing
  20. But you're a nurse, you could've done this....
    Yes, that is true for the vast majority of EMS systems. I realize in my above post I was speaking as an RN, not an EMS provider, and the person I was responding to was speaking as an EMS provider. ...
    Apr 12
    Forum: Nurse Colleague / Patient Relations
  21. Chronic Pain (as an RN)
    Just wanted to add that if the ER you go to has a dedicated Fast Track, or is not very busy at the time you go, you could get in and out pretty quickly. But this would have nothing to do with your...
    Apr 12
    Forum: Emergency Nursing
  22. Chronic Pain (as an RN)
    I don't triage based upon whether you are a nurse or not. I assign acuity based upon chief compliant, VS, presence or absence of high risk situation, etc. As described, your chief complaint would...
    Apr 12
    Forum: Emergency Nursing
  23. 4 Point Restraints in the ER. Is that Abuse?
    Restraints can lawfully be used for either medical or behavioral reasons. If a patient is pulling at their lines or tubes, restraints can be used for the purpose of keeping their lines/tubes...
    Apr 12
    Forum: Emergency Nursing
  24. Constant Negativity from Staff
    Yes, I worked in an ER where the culture was very much like you describe. It's not like that everywhere. Maybe a change of scenery would help. In the meantime, have you spoken up about your own...
    Apr 12
    Forum: Emergency Nursing
  25. help!!
    I wish I could pat you on the hand and tell you it's okay, it happens to all of us, but honestly the worst med error I have made was giving insulin SQ instead of IV (force of habit, floor nurse to ER...
    Apr 12
    Forum: Emergency Nursing


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