mcleanl

mcleanl

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All Content by mcleanl

  1. Chart Audits....you have to be kidding me!!!!!

    mcleanl posted a topic in General Nursing

    Ok......I just got a call from the night charge nurse. She audits the restraint charting somewhere around 2000hrs. She called to tell me that I didn't check the box (in EPIC) that states I notified...

  2. Chart Audits....you have to be kidding me!!!!!

    mcleanl replied to mcleanl's topic in General Nursing

    Hello All, I have had a day to mull over everything. I still feel that it is completely ridiculous to call someone at home regarding an unchecked box. This in NO way impedes patient care. I also...

  3. Chart Audits....you have to be kidding me!!!!!

    mcleanl replied to mcleanl's topic in General Nursing

    Thanks

  4. Chart Audits....you have to be kidding me!!!!!

    mcleanl replied to mcleanl's topic in General Nursing

    Actually Altra ..............what I am understanding is that we aren't documenting for better patient care but to satisfy TJC. As a nurse......I find that very satisfying (yes, I am being sarcastic)....

  5. Chart Audits....you have to be kidding me!!!!!

    mcleanl replied to mcleanl's topic in General Nursing

    Thanks all, I plan to bring all this up in the next staff meeting. If the documentation is that important......I mean to the point where if one single box is not checked, then someone should come in...

  6. Returning RN..do you explain employment gap in cover letter?

    mcleanl posted a topic in General Nursing

    Hi all, I am about to start applying for some nursing positions after a 2 and a half year break. From everything I have read, I should address this "employment gap" in my cover letter. For the life...

  7. Ortho nurse or transplant nurse?

    mcleanl replied to Abbachri's topic in Nursing Career

    Transplant!!! I agree that the learning experience will be incredible. Just as an aside......ortho floors are very heavy...and the work is physically

  8. Medication Error

    mcleanl replied to jenna84's topic in General Nursing

    I suspect the OP is referring to the "college of nurses." It is a equivalent to the US's

  9. Ketamine for adults while intubated?

    mcleanl replied to JemJ's topic in General Nursing

    I've seen it used for bedside procedures (in adults) along with versed but never in drip form. I was taught to minimize stimulation and talking near the patient while ketamine is in use to prevent...

  10. Vented Patient PEA

    mcleanl replied to whitecat5000's topic in General Nursing

    This is a good question. I actually had a vascular pt, several years ago that occluded his graft and needed to go to the OR stat. He was intubated, SR on the monitor. We packed him up to go the OR,...

  11. Cyclical vomiting syndrome

    mcleanl replied to thelema13's topic in Emergency

    Not sure about the diagnosis, but in my world cyclical vomiting gets an

  12. leaving the community... but where

    mcleanl replied to Trishrpn80's topic in General Nursing

    Trish....hugs to you. Your post did make me giggle when you wrote "Hamilton (not a fan). I grew up there and it was often referred to as "the mistake by the lake." Good luck with your search, TO...

  13. Offensive or not??

    mcleanl replied to peekachoo's topic in Patient, Colleague Relations

    "Manchildren"....................:lol2::lol2::lol2::lol2:.........I never knew there was a name for this, but I know exactly what you are talking

  14. Denial

    mcleanl replied to poopprincess's topic in General Nursing

    Gaylarn4.....I'm not sure this is a "human" trait as much as it is a cultural

  15. Can a stroke cause cardiac arrest?

    mcleanl replied to Lurker011's topic in General Nursing

    There is a direct correlation between the brain and the heart and we see this frequently with neuro patient's with high ICP's........see Cushing's reflex. Large head bleeds can cause brain herniation...

  16. Intubation without RSI meds??

    mcleanl replied to BeachyRNn08's topic in Emergency

    This is crazy.....back in the late 90's I remember a phase anesthesia went through where they were doing "trans tracheal blocks?" Does anyone else remember these? The patients were fully awake a small...

  17. Sell me on your specialty...

    mcleanl replied to rose_marie's topic in General Nursing

    Not to be negative but in this economy it might be the specialty that picks you! That being said......SICU....and always in a teaching hospital!!!!! Pro: teaching hospitals tend to get the juicest...

  18. Implement a RADICAL IDEA! "Medical plan of care."

    mcleanl replied to nurseprnRN's topic in General Nursing

    Hahaha.....this made me laugh. I usually refer to doctors orders as "suggestions".........since some of them really aren't all that wise to

  19. Please explain MAP to me

    mcleanl replied to Florence NightinFAIL's topic in General Nursing

    Most people don't record the MAP....unless you are in the ICU. We tend to look at MAPs in various situations like calculating CPP's and closely watching BP's MAP is particularly helpful with low...

  20. Nurses eating their young

    mcleanl replied to nola1202's topic in General Nursing

    I agree with the power and control theory! Nurses are an odd bunch.....we have very little power/control or autonomy. We are subject to the orders of physicians and the policies and protocols of our...

  21. anyone taken a break from nursing?

    mcleanl replied to nursingisok's topic in General Nursing

    I took 2 breaks...the first one, I was off for 2 years and the second break, I was out for 2 and a half years. I just started back in Feb. The breaks were nice and it was great to be home with the...

  22. Post-Mortem care, PLEASE realize it is a human being.

    mcleanl replied to demylenated's topic in General Nursing

    Hopefully, if you were the nurse manager you would get both sides of the story. One thing I am glad is that the OP discussed her concerns with the RN in question. That to me shows a high level of...

  23. Post-Mortem care, PLEASE realize it is a human being.

    mcleanl replied to demylenated's topic in General Nursing

    I never said it was okay.......I am merely saying, please do what you do and do it well, encourage others to do it well.......but it was another example of one nurse judging another.......and I feel...

  24. Post-Mortem care, PLEASE realize it is a human being.

    mcleanl replied to demylenated's topic in General Nursing

    I too always try and be respectful....but some people deal with situations differently. I have seen really great nurses joke inappropriatly (even done it myself a time or two) during stressful...

  25. 1/3 of my paycheck goes to tax!

    mcleanl replied to pale_pilsen's topic in General Nursing

    income tax myth #2: your tax bracket is the tax rate you pay if you're in the 25% tax bracket, you're entire income is not subject to 25% tax--that's just the highest rate that's applied to your top...