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Search Results Type: Posts; User: PatricksRNMommy

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  1. Fair Patient assignments
    I am a charge nurse and when I make assignments for the next shift I look at several factors: 1) Patient acuity - I try to split up "total care" patients as much as possible, as well as isolation...
    Dec 2, '11
    Forum: General Nursing Discussion
  2. Your body did what?!?
    I had a patient when I was a fairly new nurse who had gone into SVT. While we were waiting for another nurse to bring in the adenosine, the charge nurse asked the patient to bear down like she was...
    Nov 11, '11
    Forum: General Nursing Discussion
  3. Does anyone know...
    The MRSA patients are on isolation for a reason, to protect caregivers and visitors who go into the room. As long as you are following proper contact precautions (gown and gloves) and thouroughly...
    Nov 15, '10
    Forum: General Nursing Discussion
  4. DNR does not mean do not treat, people!
    I can't stand that! There are quite a few doctors at my facility who get the attitude of "Why are you calling me, they are a DNR" if we call with concerns about a patient. And if you try transferring...
    Oct 31, '10
    Forum: Geriatric Nurses / LTC Nursing
  5. Errors that you caught...
    I came in one morning and got report from the night shift nurse that my patient had come in in rapid afib and was on a heparin drip and a cardizem drip. The heparin drip had started at 900 units/hr...
    Oct 24, '10
    Forum: Nursing and Patient Medications
  6. Is bedside report a HIPAA violation with 2-4 patients sharing a room?
    Just being devil's advocate here, but then wouldn't almost any contact with that patient be a HIPPA violation if you are discussing with them their plan of care, ordered med/treatments, diagnosis,...
    Oct 24, '10
    Forum: HIPAA and Nursing Challenges
  7. Just wondering...
    They absolutely can and they should, IMHO. At my facility the PharmD calls the doctor for order clarifications UNLESS the original order was a telephone order written by the nurse, in which case it...
    Oct 22, '10
    Forum: General Nursing Discussion
  8. Chief Complaints
    I always find it funny when someone presents to the ER at 2 am on a Saturday with "headache x 6 months" or "foot pain x 2 years"....
    Oct 20, '10
    Forum: Nursing Humor / Share Jokes
  9. Funniest real orders you have seen in a chart?
    "Help the patient to poop" (yes he really wrote POOP in the chart lol) And this was not an order, but something written in the MD progress notes in the chart of a patient who had been having very...
    Oct 20, '10
    Forum: Nursing Humor / Share Jokes
  10. Pulse oximeter
    The end-tidal co2/pulse ox machines have an adapter that we plug into the call light system and then we set the alarms for whatever parameters we want to be notified of. It's very helpful, except...
    Oct 19, '10
    Forum: General Nursing Discussion
  11. Pulse oximeter
    On our post-ops, we wire the O2 sat and end tidal co2 monitor to the call light system and if the numbers drop too low the call light alerts us.
    Oct 18, '10
    Forum: General Nursing Discussion
  12. scared about to quit ...
    Talk to your manager, be honest, tell her your concerns and issues, and see what your options are.... Sometimes when you talk things out, a solution will present itself. Bottom line is that you have...
    Oct 13, '10
    Forum: General Nursing Discussion
  13. ER handoff report to floor
    Agreed, both are very different... Busy in their own ways, though. We have had ER nurses float to the floor and could not stand it d/t all the charting, the constant phone calls from family, doctors,...
    Oct 8, '10
    Forum: Emergency Nursing
  14. ER handoff report to floor
    There are some fabulous ER nurses out there that I know do their best to make sure the patient is taken care of and that important information is passed on to the floor nurse, and I appreciate those...
    Oct 8, '10
    Forum: Emergency Nursing
  15. How much IV fluid to give?
    Shouldn't this be based on a doctor's order or a writtin policy or protocol? What if the patient had an adverse reaction from being overhydrated that was unexpected and you were not covered by a...
    Oct 5, '10
    Forum: General Nursing Discussion
  16. Things you'd LOVE to be able to tell patients, and get away with it.
    To the PIA VIP patients: "I don't care if you know the CEO, the President, or the Pope, I care for all my patients the same, so you need to sit down, shut up, and I will get you a newspaper when I am...
    Oct 5, '10
    Forum: Nurse Colleague / Patient Relations
  17. maybe I wasn't being nice.....
    We all have our areas of expertise... I work on PCU/Tele/Stroke floor so if a patient on med/surg is on a cardiac med or has a cardiac history that they are not knowledgable about or they think a...
    Oct 5, '10
    Forum: General Nursing Discussion
  18. ER handoff report to floor
    After reading some of these posts, I really want to make it clear that I was not bashing ER nurses. I know you are very busy in the ER and I do everything as I can as a charge nurse to get patients...
    Oct 5, '10
    Forum: Emergency Nursing
  19. ER handoff report to floor
    I didn't say that it was, all I was trying to say was that what is happening now is not working.... for the patients, for the nurses, and for relationships between the ER and the floor... I just want...
    Oct 4, '10
    Forum: Emergency Nursing
  20. ER handoff report to floor
    I just feel like patient care should be the priority, and bringing a patient up to a dirty room to a nurse who can't give them the care that they deserve just isn't fair to anyone. :)
    Oct 4, '10
    Forum: Emergency Nursing
  21. ER handoff report to floor
    In the past when receiving patients from the ER, they printed a report to the floor and then called to give a verbal report. Now the process has changed to improve pt flow. Now, the report is printed...
    Oct 2, '10
    Forum: Emergency Nursing
  22. maybe I wasn't being nice.....
    Instead of criticizing and joking about the med/surg nurses, maybe you could have given them some helpful tips on how to best handle a situation like this in the future. Not all med/surg nurses are...
    Oct 2, '10
    Forum: General Nursing Discussion
  23. What does "charge nurse" mean to you?
    I am a full-time mid-shift (2-10) charge nurse on a PCU/Tele floor and usually do not take patients unless someone calls out/goes home sick or all the nurses have a very high acuity patients and are...
    Oct 1, '10
    Forum: General Nursing Discussion
  24. Is this too much or am I crazy...what are your units like?
    It has been my experience that they will give you whatever you will take... If the charge nurse accepts that a transfer is coming out of the unit on sn insulin gtt or a dobutamine gtt running higher...
    Sep 6, '10
    Forum: Cardiac Nursing
  25. PCCN exam
    I passed about a week ago and used a program from med-ed Med-Ed > Online Education > Login Portal.... There are lectures from Cammy House-Fancher that you can stream and outlines and practice tests....
    Sep 6, '10
    Forum: Cardiac Nursing


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