steelydanfan

steelydanfan

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All Content by steelydanfan

  1. Time for some introspective criticism perhaps?

    steelydanfan replied to eriksoln's topic in General Nursing

    You know, your posts are kinda all over the board. First it was lack of team work and not "taking one for the team", now your anger seems to be about taking overtime and being given a crap assignment...

  2. Time for some introspective criticism perhaps?

    steelydanfan replied to eriksoln's topic in General Nursing

    You cannot legally replace a salaried worker with a traveler unless the worker is on susopension for something or a strike has been called, so this is a red herring. As to saving in benefits, it costs...

  3. Time for some introspective criticism perhaps?

    steelydanfan replied to eriksoln's topic in General Nursing

    Funny, I look at it as "You'll attract flies in swarms when you put honey out". And those flies are out for you. People on my unit already talk about holidays and fair swaps among themselves. We TELL...

  4. student assigned pt with respiratory MRSA

    steelydanfan replied to jane850's topic in General Nursing

    Wow, this IS news; I would have expected the numbers to be MUCH higher, dealing with it as we did for so many years before tighter controls were mandated. I guess we all just have fabulous immune...

  5. Hateful, mean nurses

    steelydanfan replied to CupCakeRN's topic in Patient, Colleague Relations

    Well, why did you not accept the sit down and talk session? It would have allowed you to air your grievances in a controlled, professional

  6. Things you'd LOVE to be able to tell patients, and get away with it.

    steelydanfan replied to AngelfireRN's topic in Patient, Colleague Relations

    Somebody doesn't know what to do, cannot take care of himself, and doesn't want to learn how to. It's easier to put it all on you. We are a nation of babies. NOBODY wants to be an adult

  7. student assigned pt with respiratory MRSA

    steelydanfan replied to jane850's topic in General Nursing

    And probably ALL the nurses you work with! If they ever decided to culture nurses to find the path of infection, we would ALL be out of a

  8. How long to stay at a job you don't like?

    steelydanfan replied to PAERRN20's topic in General Nursing

    I would say that the length of stay is TOTALLY predicated on whether or not you feel you are effective at your job. The day that question answers "no"; put in your 2 weeks notice. At that point, you...

  9. What you wished you'd studied before becoming an ED RN

    steelydanfan replied to Schweet's topic in Emergency

    Abnormal

  10. Caring for the Chart or the Patient?

    steelydanfan replied to Brian's topic in General Nursing

    Absolutely, you have to be choosy about what you chart, and this like all other nursing skills is learnt by experience. 2 hours OT for charting should have meant that the nurse in question had a...

  11. Caring for the Chart or the Patient?

    steelydanfan replied to Brian's topic in General Nursing

    You are right in theory, but wrong in reality. Every hospital has policies about pt.s transferring from ICU to tele, right. One gives a thorough telephone report, and the pt. goes upstairs on monitor,...

  12. NGT and PEG placement verification

    steelydanfan replied to steelersRN's topic in General Nursing

    Salem sumps don't have stylets for placement. That is why I got confused. Keofeeds and Dobhoffs are the same thing, I think Dobhoff was the DR. that invented them. Keofeed is simply a brand name. But...

  13. NGT and PEG placement verification

    steelydanfan replied to steelersRN's topic in General Nursing

    You are talking about Keofeed tubes here, not NG tubes. All Keofeeds require an xray to confirm placement before feedings can

  14. Patient's and Advance Directives

    steelydanfan replied to almostthere2's topic in General Nursing

    Once you have brought the matter up to the EC, they will review the chart and give you guidelines, usually it is to follow orders with the caveat that they have been notified. Document as

  15. Patient's and Advance Directives

    steelydanfan replied to almostthere2's topic in General Nursing

    You have a duty to bring ANY attempts to negate a DPOA immediately to the Ethics committee. It says so in your states practice act, that you will be at all times an advocate for the PATIENT. The...

  16. What to do when co-workers can't keep up any more?

    steelydanfan replied to pawsomepooch47's topic in General Nursing

    "Nurses eat thier young"? This is a prime example of the

  17. What to do when co-workers can't keep up any more?

    steelydanfan replied to pawsomepooch47's topic in General Nursing

    i for one, don't have the time or the wherewithall to look at what my coworkers are or are not doing . "exceedingly slow and vague" and "huge mistakes "are all behaviours that would show themselves...

  18. Verbal assault by a pt.

    steelydanfan replied to imintrouble's topic in General Nursing

    Pt.s are going to lose it. Families are going to lose it .Doctors are going to lose it. Don't get sucked into thier drama! A very succinct, "I'll come back and continue this discussion when you have...

  19. Caring for the Chart or the Patient?

    steelydanfan replied to Brian's topic in General Nursing

    Not quite sure I understand your point, but I am aware that "If it was not charted, it was not done" is the legal standard for nursing conduct in most if not all the 50 states. No interpretation...

  20. Caring for the Chart or the Patient?

    steelydanfan replied to Brian's topic in General Nursing

    That does'nt mean it won't take her 2 hours of overtime after a hellacious shift. What's "redundant" is not important to CNO's and managers, never mind JCAHO who just want to see boxes checked off....

  21. NGT and PEG placement verification

    steelydanfan replied to steelersRN's topic in General Nursing

    Well, as someone who has been doing this for 30 years, I CAN tell you that the "whoosh" of air sounds NOTHING like bowel sounds, it's pretty darn specific. However, most hospitals require an x-ray,...

  22. Noting orders VERY late...legally, what happens?

    steelydanfan replied to nervousnurse's topic in General Nursing

    Just my take and suggestions: Every chart in the US has tags for orders, stat orders, and orders that need to be noted. Rule 1. NO ancillary personal can leave with a flagged chart without checking...

  23. Time for some introspective criticism perhaps?

    steelydanfan replied to eriksoln's topic in General Nursing

    Actually, nursing does offer a steady schedule, the one you get every month. I personally refuse to work OT, and I am adamant that THAT IS IT. If you want to do OT for yourself, or some altruistic...

  24. Do we really need a MD's order for this?

    steelydanfan replied to Plagueis's topic in Geriatric, LTC

    I agree. The doc just got tired of listening to food complaints. But, hey, if that's all your resident is complaining about, things are

  25. Makes you sick?

    steelydanfan replied to iNurseUK's topic in General Nursing

    He's angry, FEELS like he has no control, and wants to blame everyone. Remember, anyone can sue anyone for anything, but they usually don't win. Relax, and continue your great