PsychNurseWannaBe

PsychNurseWannaBe BSN, RN

LTC, Nursing Management, WCC

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All Content by PsychNurseWannaBe

  1. Phasing out alarms?!?

    I got rid of a lot of alarms on my units. When an alarm sounds and the resident sits back down or a staff members says, Mrs. Johnson you need to sit back down.... you just restrained them. As stupid...
  2. Shocked...Confused...& Terminated=SAD "(

    If you have a witness the first thing you should do is file a police report. You may need it. JMHO. I am sorry this jerk did this to you, but I really think you should advocate for yourself and for...
  3. Creating an MDS Assessment

    I open, keep the team on track. I audit, rug and close. If sig change, I change assessment. Other disciplines do not have the ability to "start" or to "submit" an MDS. They can only continue or...
  4. does your facility have a defibrillator?

    My campus is not huge... 120 beds. We are not allowed to put bracelets on... dignity
  5. Horizontal Violence

    Is this the same as lateral violence? Never heard of horizontal
  6. Additionally: Foam dressing are the warmest dressing. Helps with a nice warm moist environment. Hydrocolloids: Should never be put on diabetic feet. And for someone who made a butt comment. There...
  7. Santyl does not debride healthy tissue. It can macerate healthy tissue but Santyl ezymatically debrides collegen. Also, for the most part, you should skin prep the periwound which will protect it...
  8. does your facility have a defibrillator?

    We put a heart on the door jam and a heart on the spine of the chart. The CNA cue cards also state the code status. The resident also signs an emergency sheet that states their wishes which is in...
  9. Case Study: Coronary Artery Disease

    I figured it out... it's still wicked cool and made me
  10. Case Study: Coronary Artery Disease

    OMG how did you do that??? That was wicked
  11. Where I work... nurse managers are for the day to day running of units and nursing staff. The nurse supervisors are on PM and NOC shifts and all shifts on weekends. There is one designated on those...
  12. Code Blue Drills

    We don't have drills. We did have a code blue last summer. Everything went
  13. Are medical supplies tax deductible?

    I don't believe this is going to go under business expenses unless you are part of a business. If you are a student, things can get deducted but you have to be very careful. See a tax adviser and...
  14. Code Blue Drills

    I see the smiles button but when the window opens, I can't see all the smiles. It takes up the whole window but not able to scroll up or down to select the ones on the
  15. IVP vs IVPB

    But a nurse just can't hang a bag because they want to. If it is stating either, but the MD hasn't specified to hang it with NS, you just can't do it. For example: Most nurses knows when giving...
  16. Crackles/Rales

    http://www.easyauscultation.com/
  17. Quit or be fired

    Even if you are in at "at will" state, yes you can be fired for any reason; however depending on the situation, you could sue for wrongful termination. For example, fire me because I accumulated 6...
  18. I would think if you are punched in and doing it, you will be covered by the facility insurance. With that being said, never trust them. Get your own insurance. But I agree with OPs... there should...
  19. Why do nurses chart in 3rd person?

    My only comment is our charting is signed either electronically or with a signature and credentials. That will tell you who, "this nurse" or who "writer" is. The main thing is to chart smart and...
  20. IVP vs IVPB

    Wouldn't you need a MD order if you wanted to PB?? I mean, what you can just pick up a bag of NS, mix and give?? I wouldn't do that. IV is IV, not a PB. Just push slow and monitor, unless it is...
  21. MDS ARD dates

    So when you opened the MDS on the 8th you couldn't put the 10th in as the ARD? If you are able I would do that versus trying to change the ARD after the fact. I don't know why you can't change it....
  22. Why do nurses chart in 3rd person?

    I guess people chart differently. I stay away from "found" I was taught to. Instead the word I used is
  23. Why do nurses chart in 3rd person?

    I refer to myself as "writer" when I chart... not the "nurse". If that
  24. Washing patient's hair!!!

    I do this too... I grab a bed pan, never thought about using a clean bedpan though. I'm totally joking. I couldn't
  25. Lasix use in CHF?

    hospice write orders for the patient in our SNF. For example, Ativan, Roxinol, Scopolamine, etc. So I don't understand what you are saying. I'm kinda