dumbnurse

dumbnurse ASN, BSN, MSN, LPN

About to retire

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All Content by dumbnurse

  1. Failed for Clinical-but no proof

    I think Ruby is right as well. As a nursing instructor I know that we must try and cover all the possible scenarios that students present to us. Documenting from day one is essential. Clear and...
  2. That SOB needs be be jailed immediately if not sooner. Over the years I have watched these a..hole physicians routinely disregard rules and regulations from the simple to more important, without any...
  3. I tell students all the time that when they start their orientation to a facility, make sure that your preceptor is a good fit. If it's not get another, until they and you can see eye to eye. Life is...
  4. Transition to concept based curriculum

    Sounds as if they are responding to NCLEX's plan to change the exam in April 19 to a more concept/case study type of exam. I wish oh how I wish nursing would have been taught to me in this way! Yes, I...
  5. Critical Thinking in Acute Care

    When my students are unable to chart on the computer (most quarters), they document their routine assessments and then are required to take those abnormals and narratively document how they would use...
  6. advice on staying stable in nursing school

    Yoga, yoga, yoga, yoga...ohhmm. ohmm, ohmmm, ohmm, ohmmm Works for me and millions
  7. How did you know when your specialty was THE one

    I loved what I did immediately because it was new and I felt that I was making a difference. And about 3 years in someone said, "Hey, why don't you apply for a job in the ICU, they are hiring LPN's"?...
  8. I accepted the fact nursing isn't for me, what do I do?

    "What were you feeling before the patient fell", the psych nurse in me asks? Maybe that incident is the straw that broke the camel's back and now you are unloading all this pent up fear? Take a long...
  9. I made a medication error. What will happen to me?

    You reported it, monitored your patient and completed all the necessary paperwork. That is all they can ask for. Transparency is where they are all trying to get to. And like the other poster said,...
  10. Catheter Came out. Should I reinsert it?

    Obviously you were not at the bedside when it happened so time is an issue. If you were in the hospital most places that I've worked would expect you to remove the one and insert another. Being in a...
  11. Lost on where to nurse next

    so you are physically compromised now, psych is completely out of the question and you want to care for people that respect you, have no issues with alcohol or drugs, hmmmm. Gonna be tough finding...
  12. HIPPAA violation

    More info
  13. Very concerned

    Always recheck bg levels till they are stable. After the initial rise due to the d50 a small snack or meal should have been given. And please never, ever give any kind of insulin until after speaking...
  14. CCRN exam and Laura Gasparis lecture

    Wow! Laura Gasparis is still doing these things? 15 years ago I swore by her seminars! I'd say go for it unless the old gal has gone senile! Luv ya
  15. What do you hate about nursing and why?

    That incompetence is
  16. Med Error Advice...

    This is the right answer here...end of story...sort of. Med errors happen for many reasons and most often it's not always so black and white. Now that pharmacists are on individual floors, consulting...
  17. I'm a clinical instructor who is often on the outside looking in when it comes to the latest test taking info about NCLEX, but I recently heard something interesting as well. NCLEX is going to use...
  18. Well let me be the one to lay it on the line for you sir! First off as a dear male nurse friend of mine told me long ago, "We work for women!" Yes there are instances where men work for men but by in...
  19. Critical Thinking in Acute Care

    Here's what I think and it may be a little harsh...students need to be challenged early and frequently on how to give report and present a patient to others. They need to be asked specific questions...
  20. I had been an ICU nurse for 15 years when I applied for a clinical teaching position. As an expert in ICU I felt comfortable passing on my knowledge to others but knew there would be a steep learning...
  21. That gray timing, what to do to please everybody.

    As someone else said, "we cannot please everyone", but when HIPPA is violated and the patient's safety is at risk, everyone involved here is at fault. Too bad we didn't get the facility name so we can...
  22. Clinical Paperwork

    How familiar are you with the Socratic dialogues and asking revealing questions of your students? Once their assessments are complete and they've begun their assessment documentation, ask them point...
  23. Submit a request to the local ombudsman. These people are on the lookout for negligence, cover ups and general malaise in the
  24. Take the orientation, it's the only one you will get! Sooner than later things will get tight and you will be thankful for that time where you knew that someone was there, you could talk to and...
  25. Yes report it and even go to the local ombudsman in your area to let them know that this is the substandard care they are