jdub6

Latest Activity

1. 

   New ICU nurse wants some kind words

   jdub6 replied to LiveFit99's topic in MICU

   For me personally, i can attend teaching sessions, read policies and manuals and talk through use of equipment and certain procedures, but the only way i actually get comfortable is to actually do it in real life. If there are certain procedures or ...
2. 

   How things change

   jdub6 posted a topic in Relations

   Was browsing AN and came across this in a post by Stargazer Feb 2001: "This reminds me of an article on another nursing website (sorry, don't remember which one)about a year ago on how one ER had decided to have all patients fill out a "satisfaction ...
3. 

   Feeling guilty ALL the time

   jdub6 replied to detrelibre's topic in Emergency

   You cannot do everything all at once. You did what you could. WRT to septic patient, you noticed the AMS and reported it to all concerned parties. The patient was sick, that's why they were hospitalized (if they just needed fluids/abx they could g...
4. 

   Verbal order-Denied by resident

   jdub6 replied to Traumamama02's topic in Emergency

   This may be petty but propofol is not a "narc." It is not on a DEA schedule. It is a legend drug. I have never worked in a facility where "every drop must be accounted for" i.e. I've never had to waste with a witness and actually have never gotten...
5. 

   Forcibly removing piercings in psych patients

   jdub6 replied to KathyDay's topic in Emergency

   I agree that the danger of a physical conflict may be worse than some jewelry. But, then don't make the rule at all. Patient A's earrings are very sentimental to her, but she understands and appreciates safety efforts and turns them in. Patient B do...
6. 

   Forcibly removing piercings in psych patients

   jdub6 replied to KathyDay's topic in Emergency

   If a stud there is a sharp-ish end, a hoop could be broken to create one, and either could be used to cut oneself or if swallowed has potential to cause damage much like a swallowed soda can tab. It's certainly possible, maybe even likely that they ...
7. 

   Do you have an ED "greeter"?

   jdub6 replied to ItsThatJenGirl's topic in Emergency

   You probably already know that spitting into the eye or mouth areas is also a body fluid exposure and should be reported immediately. And at the same time security should be called. Perhaps they can give you a panic button if you're going to be dea...
8. 

   Children in ED when parent is patient

   jdub6 replied to jdub6's topic in Emergency

   Thats what it is-frustrating. Recently had a parent come in with dizziness and feeling confused (normal Neuro exam) freely admitted having been on a 3 day crack and MDMA binge. 4yo daughter in tow. Parent couldn't/wouldn't find child care, we prov...
9. 

   Children in ED when parent is patient

   jdub6 replied to jdub6's topic in Emergency

   First off thanks to all who replied. I know the med surg floor had a problem like this one-elderly patients spouse brought the dog to spend the night. The patient was being made comfort measures and they do allow pet visits for dying patients but th...
10. 

    Horrible day! Need reassuring!

    jdub6 replied to scuba nurse's topic in School

    Glad things worked out for you. I'm sure you know this already but even if you HAD given Tylenol, liked everyone else said it wouldn't have prevented the seizure most likely. While it might have looked better to the principal if you could say you'd...
11. 

    Suicide

    jdub6 replied to jdub6's topic in Psychiatric

    A similar question with that would be the personality disordered individuals who come neck time and again with either non-lethal attempts or those who have many moderately lethal attempts? When all meds and therapies have been tried and they still h...
12. 

    Suicide

    jdub6 replied to jdub6's topic in Psychiatric

    I guess that's part of my issue-that guy was honest with us, i think because he felt he had nothing to lose or didn't care. But if he had summoned the energy to try to get out i feel he would have just lied his way out so he could kill himself. In ...
13. 

    Nursing Director removed my pts restraints

    jdub6 replied to remotefuse's topic in General Nursing

    In my state death in restraints is reportable with the exception of ICU patients who die in 2 point soft wrist restraints. (There may be an exception for comfort measures also but I'm not sure.) Regardless its definitely reportable if they fall and ...
14. 

    New Grad RN wanting to leave after 3 months

    jdub6 replied to RNAnony's topic in MICU

    16 weeks is shorter than some new grad ICU programs but the thing is youre 14 weeks in. Finding another job if you leave now will be tough and you may not be given new grad orientation at this point. Try really hard to make the best of where you ar...
15. 

    Big Trouble

    jdub6 replied to Bentlysnurse's topic in MICU

    Actually this is starting to sound more plausible now. Some EMRs have different defaults for different meds which could explain why its just this med. Honestly I kind of want to believe OP even though diversion is the most logical explanation becaus...