steelydanfan

steelydanfan

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All Content by steelydanfan

  1. Has anyone had a pt's family member take pictures of you during care?

    steelydanfan replied to TonyaM73's topic in Patient, Colleague Relations

    I am at work, and not in public. Therefore, I am shielded by privacy laws. Anyone who thinks otherwise is in for a big fat

  2. Has anyone had a pt's family member take pictures of you during care?

    steelydanfan replied to TonyaM73's topic in Patient, Colleague Relations

    I was given to believe that HIPAA violations extend to the pt.s themselves, so that a family member could not take photos of their dying, intubated mother without her express

  3. vancomycin in end of life?

    steelydanfan replied to rainbowsandsunshine's topic in Geriatric, LTC

    The dose rate was set by pharm, it was completely within parameters, why the heck would you change therapy to appease a family member? Your pt. is who you are treating. EXPLAIN to family, explain...

  4. Nurse Manager Write-Up

    steelydanfan replied to Girlygirl69's topic in General Nursing

    With 2 MD opinions, one a neuro consult, I see no reason to object on medical grounds, especialy if there is no hospital policy refuting the order. I can only fathom an objection based on the fact...

  5. Hello, need to do a quick online interview of a RN...

    steelydanfan replied to aaengel's topic in General Nursing

    I'm amazed that your school gave you exactly 1 week to do an in-depth interview with a nurse that you had to find. This kind of topic requires not only collation, but inciteful analysis as

  6. Moist Gauze dressings?

    steelydanfan replied to CharmedJ7's topic in General Nursing

    An order for "moist gauze dressings" means exactly nothing. It is completely non-specific so therefore,

  7. Stressed and Overwhelmed

    steelydanfan replied to anotherone's topic in General Nursing

    my dear, i have been at this for 30 years, and if the scenario you presented had happened to me, i would have immediatley gone ballistic in the report room; then called my charge nurse in to split the...

  8. Vertical Violence on the floor

    steelydanfan replied to lobianm's topic in General Nursing

  9. Thoughts on patients and pain?

    steelydanfan replied to TheOracle's topic in General Nursing

    The pt. was a diabetic, which would immediately made me suspicious for vascular pain/occlusion. Give the pt. meds, and get him admittted immmediately for an US

  10. Do Nurses have to give Bad News and How?

    steelydanfan replied to lenoxat325's topic in General Nursing

    Bad news, yes every day, bad labs, yes he is NOT responding to treatment, no your mother has not woken up from her hepatic coma. We do not make prognosises, but we do PREPARE people every day. Such is...

  11. Ratio on step-down unit

    steelydanfan replied to cp24001's topic in General Nursing

    It ideally should be 4:1 max, again seek out the NNU site for

  12. can going to the hospital make you sicker??

    steelydanfan replied to lovescapeRN's topic in General Nursing

    We had the same discussion on another thread about obese pt.s. They are at SUCH high risk when something fairly benign occurs, such as shoulder surgery. The lack of or unwillingness to achieve...

  13. let go 6 wks into 10 wks orientation...is it fair?

    steelydanfan replied to maman2zoe's topic in General Nursing

    You obviously were hired onto a floor with an inexperienced manager who could not even set up a workable schedule for a new preceptees orientation; and then blamed you when her inadequate plan...

  14. Protecting your license

    steelydanfan replied to Drysolong's topic in General Nursing

    My best advice is to read and commit your states Practice Act to heart. I cannot BELIEVE the nonsense some nurses were told by management to be law and were subsequently followed. If a pt. had been...

  15. Private Duty Workers In Hospital

    steelydanfan replied to Nurse0621's topic in General Nursing

    A private duty nurse is either a sitter or a CNA who will only do basic care and/or monitor the pt.s safety needs. Have a meeting at start of shift to delineate responsibilities, according with your...

  16. 100 year old stroke patient

    steelydanfan replied to NurseStephRN's topic in General Nursing

    I agree about what needs to happen as far as a meeting, but why the heck should it be even necessary? For heavens sake, how blind, deaf and dumb can some families be? But again, why did some doctor...

  17. Change of shift admissions

    steelydanfan replied to kittymom's topic in General Nursing

    Ed admits, transfers, it's always the same . We get notification of an ER admit or a floor transfer at 4 pm, they almost always call with report at 1815. Go figure, I

  18. I don't trust/talk to my supervisor at all

    steelydanfan replied to hardware syndrome's topic in General Nursing

    He probably is not wrong in his suspicions. I have a newbie supe that is so paranoid about "doing the right thing" that he has hauled 5 people into HR for trivial stuff that should have started and...

  19. Nurses with a few years under the belt

    steelydanfan replied to MJB2010's topic in General Nursing

    You become a nurse with time and experience. So don't feel like you should be fully on top of your game right away. It takes a while. Beautifully said, and the truth is that that shaky feeling never...

  20. having a boyfriend vs. nursing studies

    steelydanfan replied to TamTam23's topic in General Nursing

    Ok, this is really not about nursing at all. It is about your inability to decide between continuing to be a "kid" , or growing up and and how you see yourself in that role. Not a topic for this...

  21. RN assigned as a CNA

    steelydanfan replied to myree72's topic in General Nursing

    I do beg your

  22. can going to the hospital make you sicker??

    steelydanfan replied to lovescapeRN's topic in General Nursing

    The underlying conditions for admission are still not clear. One does not usually get admitted to hospital for 'shoulder pain after fall", if as you said, xrays were clear. Thus said, the...

  23. Paying for Meds that you dropped or vial broke??

    steelydanfan replied to asicit's topic in General Nursing

    Oh, how could you even go there? For

  24. A pt diagonsed with acute renal failure

    steelydanfan replied to kubebe's topic in General Nursing

    Really?

  25. Overtime pay versus holiday pay

    steelydanfan replied to Noimanurse's topic in General Nursing

    There was something in the original post which talked about the holiday being the last day of the pay period,...which is usualy not an issue. The contract issue usually comes in when a nurse comes in...