delrionurse

Latest Activity

1. Patient Death After Shift

   delrionurse replied to Dani_Mila's topic in General Specialties

   It seemed there was a lot going on with the patient. Since you did not give the IVP, but gave the Metoprolol 25mg PO, I highly doubt it was the Metoprolol. It seemed to be indicated. So this ICU PA says the severe hypotension was due to the Metoprol...

2. I am really thinking this is not the right job for me - Am I Crazy?

   delrionurse replied to Birdsofprey's topic in Emergency

   Are you sure you trust this hospital to do trauma? If the patient ratio with a level 1 trauma is 1:1 or 1:2, I would say go for it. But if they give you level 1 traumas along with 4-5 other patients, I would say run. No way you could give good care t...

3. So scared - Turning me into the BON for "failure to report the act"?

   delrionurse replied to RnAmy2000's topic in General Nursing

   Honestly you didn't do anything so horribly wrong. This was a staff member. Staff members do patient care everyday. It may not have been their job duty, but SNF's should take staff where they come, some can draw blood, some can transfer patients, som...

4. So scared - Turning me into the BON for "failure to report the act"?

   delrionurse replied to RnAmy2000's topic in General Nursing

   Was the patient harmed? I don't see what you should have reported if there was no patient harm. It just sounds like coworkers and the family were being vindictive, or making a big deal out of nothing. You maybe should have done it, but you didn't ask...

5. Medication Order

   delrionurse replied to Nurse1282's topic in General Nursing

   I take this as the patient can have this mg every 3-4 hours, no dosing in between. Usually there is either a mild, moderate or severe pain scale and the doses are given accordingly. The emar may have a pop up that states it's too early to give if yo...

6. Unsafe situation LTC

   delrionurse replied to Nik6lpn's topic in LPN/LVN

   The resident either needs a sitter or be transferred to an appropriate facility. Admin aren't the ones taking care of her so your concerns won't speed up the process. Maybe ask for an extra CNA to be her sitter until she is transferred or request ano...

7. Tricks to getting an Spo2 reading on a difficult patient

   delrionurse replied to mmc51264's topic in General Nursing

   Even if the patient is a DNR and 92 y/o, no distress, if the patient meets the criteria for a rapid, and you did all interventions, then there is nothing wrong with calling a rapid. Maybe in this case I would have spoke with the charge nurse before c...

8. RN Sup pay rate?

   delrionurse replied to crazin01's topic in LTC Directors

   If you are in a rural area, $40 is pretty good for an RN sup (and not a DON). If the cost of living is lower. But you should not be doing two different jobs. I can see helping out but not two different job descriptions.

9. Nurse Lunch Break Survey

   delrionurse replied to esrun2015's topic in General Nursing

   This is the single most reason why nurses don't get breaks. The policies are there, they are just not enforced. It is the administration and managers responsibility to ensure nurses get breaks, they just pass it on to the nurses to make them responsi...

10. Registry vs Agency

    delrionurse posted a topic in General Nursing

    In some states they use the term 'registry' for a nurse that works shifts that is not employed by the hospital. Is there a difference between agency nurse and registry nurse? Is there a difference with their pay between agency nurse and registry? ...

11. EKG order

    delrionurse replied to cepr4's topic in General Nursing

    Aren't they all orders per protocol and not self-initiated? In many places providers are aware of orders per protocol and the nurse enters them in.

12. EKG order

    delrionurse replied to cepr4's topic in General Nursing

    I doubt you would lose your license, or even lose your job. An EKG is non invasive, just like a bladder scan, or pressure bag for low blood pressure. It sounds ridiculous.

13. Failed Orientation

    delrionurse replied to Sapa22's topic in General Nursing

    Who are you replying to?

14. What is the toughest part of nursing?

    delrionurse replied to MoLo's topic in General Nursing

    I usually don't say anything, these types usually are loud and will be confrontational. It's not my style. Calling them out on it will make it worse.

15. Failed Orientation

    delrionurse replied to Sapa22's topic in General Nursing

    It's also none of the employers business why you legally quit a job if they use that as an opportunity to scrutinize and meddle in your business. If they were terminated for diversion or something like that, then yes I can see that as misleading. No ...