Undecided7

Undecided7

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All Content by Undecided7

  1. Can a Platelet Transfusion cause a Stroke ?

    Maybe introducing that many platelets all at once would have caused clotting??? I do know they are VERY expensive, like $1000 a bag in my area, but I've had homeless people get them. Many docs are afraid of lawsuits because these patients need mone...
  2. An ethical question.

    It's common practice for the police to get a BAL, especially after a single MVI. If he didn't do the paperwork for arresting her then- it would have been later. In fact, the doctor would have (at least in some states) been REQUIRED to report her to...
  3. When Did Your Hospital Stop Requiring Caps?

    Why on earth would nursing always be a female dominated profession?? It seems like at least 1/2 of the new grads in our area are male and probably a third of the CNA's. I work with AT LEAST 2 males (either RN or CNA) on my unit every shift. Yes, t...
  4. Silent birth? Anyone see one?

    I think if everything is going "normal" then for the most part a fairly silent birth is okay. As a nurse however, we have to communicate not only with the patient but with other staff (unless it's a home birth I guess). If there is complications th...
  5. I am considering taking a FMLA leave at work for depression and anxiety until I'm stabilized on my medication. I work in a critical care setting and I know my thinking processes and reactions are very much affected and getting worse. My doctor has ...
  6. causes for a non reactive pupil

    You mean she was discharged HOME while still disoriented somewhat and needed help finding her way around? And this was a previously functional women with no hx of dementia? That is certainly malpractice. I don't think it's your fault, but maybe th...
  7. Don't do it. Trust me. Forget all these positive hopeful posts. They are trying to be nice and encourage you. If you want the truth- you will SOOOO regret it!! :smackingf I'm sure there is something out there- just keep looking. How about being...
  8. Anyone finish shift and not return to job?

    I'm right there. I started to have tears well up in my eyes in a patients room and I he was whining about one thing or another and I was trying to tinker with his 3 IV pumps- I had the strong urge to sit on the nasty dirty floor, put my head in my h...
  9. Diluting IV push

    Everything is not always so black and white/right or wrong. Of course, check the policies and drug info if not familiar. Some drugs have to be given diluted, some slowly over a period of time, some don't mix and others do, etc. With most things th...
  10. Gosh- this may sound mean but you have to be just plain STUPID or BLIND to connect a NIBP cuff or SCD to an IV or tube feeding to a CBI and so on. I mean, you would have to be paying NO ATTENTION whatsoever. In that case, maybe these people shouldn...
  11. Background/Credit Check, Bankruptcy

    I had a chapter 7 bankruptcy in when I was in nursing school and I've never had a problem getting a job- despite having to sign all those forms giving permission to check credit, etc. Either it wasn't checked (by 4 different companies) or it didn't ...
  12. violent alzheimer's....

    I work in an acute care hospital, but I have refused to touch patients like this when they are very combative. I will give them IV meds (where I can stand a foot away from the patient and use a distal port) and perform care that does not involve dir...
  13. kids wreak of smoke...ethics question

    In an ideal world, the mother would be interested in learning about the negative health effects of smoking- to herself and her children. Armed with the new knowledge, she would either quit (and have anyone else in the house that smokes quit) or at l...
  14. All the hospitals in my area use "code 99" instead of code blue- but I think everyone knows what that means anyway, like "code Red" or "Dr. Red". "Dr. Rush" is for a security problem. Anytime there is a loud announcement over the PA at 3am and it's...
  15. Do you call your patients by first or last name?

    Maybe I'm the only one, but I use the FIRST name unless asked to do otherwise. As a 30 yr old married women I personally HATE being called by my last name or called Mrs. or maim. It just seems fake, inpersonal, and insincere to me. I also can't st...
  16. getting into psych nursing

    I currently work in acute care/critical care stepdown. I've noticed all the psych RN positions I've looked at require experience in that area. Where do people get their "experience"? I haven't seen any internships like hospitals have for ICU/ER, e...
  17. working with tiny babies

    I would much rather do NICU than adult ICU but I have a stupid concern: my hands get a little shakey at times (maybe a side effect of some meds). It's not like I have noticeable tremors or anything- I think I'm the only one that even notices- but wit...
  18. I Detest My Job--Help!!

    You definately need to get out of there but first you need to find a replacement job. Try to gather all your strengh and energy and "hit the pavement" with any possible time off- try online too! Look into MD offices, school nursing, home health or ...
  19. Patient leaving AMA

    Sometimes I fill out the AMA papers beforehand to have it ready- just in case (especially if they've been threatning to leave). I'll happily answer any questions within my scope but if someone doesn't want the treatment- it's not my job to "talk the...
  20. Is it ever ok to force a resident to change?

    I don't work in LTC, but I think with ALF you can't just send them somewhere without the patient/family approval. It's like he lives alone as a free man but you are there to "assist" him as needed. They aren't really "patients" per se. Since he ha...
  21. ACLS protocol vs Real life

    If the doctor doesn't want to follow ACLS/current accepted standards of care and there is a poor outcome, isn't that kinda asking for a lawsuit? I realize amio is expensive, but if someone needs it- chances are it's not going to be a huge expense co...
  22. Ever caught a visitor playing with an IV pump??

    I'm pretty sure you have a right to remove a visitor if he/she is a threat to pt. safety- ESPECIALLY if you have already told them. Also, we don't have many, but I love it when a patient is being manipulative with narcs and the doctor says, "Okay th...
  23. Pt refused to leave!

    I have had a couple of patients/families who refused to leave after being discharged by the MD. Assuming the patient is medically stable and nothing major has changed; I have called security to escort them out. What they do after that is their busi...
  24. Accessing ports.....can you do it?

    We have to have an MD order- ER or not. Of course, the ER doctor can give the order but some won't- they would rather wait until the pt. was up on the floor with a primary doctor. Also, some tests cannot be done through a port and some meds are not...
  25. Anyone work at SW Wa. Med Ctr?

    I'm considering moving to the Portland/Vancouver area and doing the critical care internship at SW Wa. Med. Ctr. I'm NOT a new grad- just want to do something different. My question is about the working environment and atmosphere. Is management su...