auntiedebe

auntiedebe

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About auntiedebe

RN with experience in Mental Health, Critical Care, Dialysis

Latest Activity

  1. Billy, Billy, are you OK? Whew!! OK, now go back to sleep!
  2. CPR LAWS

    Your BLS, AACLS training talks about futility of extending CPR. Use their standards to support stopping when M.D. calls code and pronounces. Your hospital requires certification , so you have that to protect you.
  3. Accepting verbal orders from another nurse?

    No the 5 rights, or 7 or 8depending on which source you use, of med admin need to be followed. This is your standard as a nurse. And verbal orders should only be taken in emergent situations. Stick to your guns girl!
  4. Bending and Breaking the Rules in Nursing

    Oops I have been known to break a few...lets see there was once that pair of really furry slippers being worn by my CCU DNR/DNI patient who wanted to see his dog one last time--of course, dogs are not allowed, thank goodness the slippers didn't bark ...
  5. Do you LOVE to 'write people up'? Tips and timesavers!

    My favorite similar situation was a particular CCU RN who always complained about her assignment, no matter if it was the hardest or easiest. One of the charge nurses started to just give her the worst assignment every shift. I asked him about it, an...
  6. Question about inservices

    As a former nurse educator, I feel horrible when people have to suffer through the monthly inservices. We wouldn't teach our residents in a long boring drawn out manner, why would we teach our peers in this way. Learning can be fun!
  7. Nurses who always show up late to work

    I ask them (via email) to please be on time twice, if they are not, they I tell them I am letting our supervisor know. If they are late, I kindly point out to my supervisor, that they are paying me overtime every week because a peer is late. After t...
  8. March 2013 Caption Contest: Win $100!

    And then the doctor said...
  9. Thanks to everyone for your helpful words! I guess to a former CCU/ER RN things are certainly handled differently in LTC. I am glad that orders received but not completed are flagged. I will start there in trying to set up a procedure for handling or...
  10. Our Resident Care Manager frequently "receives" orders, and then we are not sure what has been completed and what has not off the order sheet. In a situation like this, I was taught to note what had been done with the order, so it was clear to all th...
  11. Hi, I am having difficulty adjusting to LTC and MD orders. I have 20 plus years experience in INPT, ICU, and ER; but am having difficulty understanding roles here. Is it different in LTC when you get a MD order? I was taught that you could receive an...
  12. RN to BSN or RN to MSN

    The facility I used to work at (part of the Mayo System) and the hospitals in Anchorage are only hiring BSN's or higher. If you can relocate, try IHS facilities. Sometimes you do not even need to change your state license because of IHS. You can also...
  13. HD access security

    What types of tape and taping techniques does everyone use. We have noticed and increased incident of needle displacements during Rx and when discontinuing the other needle--due to tape residue sticking to gloves. Thanks for your help! HD RN in WI
  14. Button Hole fistula

  15. Normal saline rinses: yes or no

    we routinely flush with 100ml NS every 30 min. In my 10 years experience, I have found that giving the NS prime-which most places now do, and getting BFR up to 350-400 is what works best for keeping systems open. Depending on patient stability, I ...