steelydanfan

steelydanfan

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All Content by steelydanfan

  1. Unreasonable female 30 something p'ts

    IMHO,any pt. in hospital for an ELECTIVE procedure, should know what they are in for. Any pt.who tells me that they don't want to get out of bed after a hip replacement "because it hurts", is no...
  2. Drug Seeker Stories

    you are not a frequent flier by your posts, but your post leaves me with
  3. *Easy* things I just hate doing

    The only thing I hate about my job is the question, "When is the doctor coming in"? Oh, I could write missives about the angst ThAT particular problem has
  4. how do we treat each other?

    After moving to a new region, I simply could not BELIEVE the way doctors, nurses and ancillary staff spoke to each other! I have never seen such rudeness in my life! So, I basically talk to no one...
  5. Tracheostomy Care

    In ICU we had protocols for trach care and cannula change q12 hours. On the floor, RT is responsible, but I always do trach care and and change on my shift if it looks gunky and let RT
  6. Use of central line/picc line for routine lab draws

    The idea of having a PICC or Portacath in the first place is because the pt. has NO veins. Abide by your facilities policies, but yes, USE them! Withdraw the appropriate blood before taking the...
  7. But when your Gran was in ICU on a vent, I am sure it was told to your Mom that going home was not going to be possible, probably time and time again. Hope springs eternal, but there are times when...
  8. You know, it just seems to me, that if it is not Christmas, it's someones birthday, or anniversary, or christening or the all too real "I just can't face this right now". As a society we have to face...
  9. Grandparent's medications pose danger to children.

    That was my very first thought as
  10. Punched in face, kicked by resident

    I quote this because nobody else seemed to address the underlying problem. There was lots of posts about problems in lack of psych beds,and while true; NOBODY is addressing the problems of the poor...
  11. I'm thinking about dropping out of nursing school...?

    If you are not in an accredited school of nursing, this discussion is moot. And even if you are, there are VERY few jobs out there for new grads. I don't know what the job situation is like for...
  12. Unreasonable female 30 something p'ts

    We forget; No one comes in to the health care system except for a doctors order or by way of an ER visit. No one ever HAS to be admitted unless they are the victims of trauma. So why should I have to...
  13. Failing to carry out a stat order in timely manner

    No, no and again no! The admitting and the house docs REALLY needed those ABGS to know the trend and scope of this patients disease. If you have a problem with a doctor's orders, you CANNOT just...
  14. How many patients is/are too many?

    And THAT'S why CNA seceded from ANA
  15. How many patients is/are too many?

    Ok, here is my take if I were you as a new RN: 1. Refusing an assignment should be STRICTLY and SOLEY based on documentable facts regarding pt. safety. 2. If you can document that to the State nursing...
  16. Our new hire, new grad charge nurse

    And exactly what do any one of you know about her "experience"? Just because she has not gotten a paycheck yet does not mean she has not gotten a lot of floor experience. You DON'T know her, please...
  17. Bipolar-Should I ask for ADA accomodations?

    OP, you have to understand something. No one has more empathy than I do, towards your illness and the struggles you face. I am NOT being judgemental. However, it is not up to me to rearrange my life...
  18. Write it down!

    This is definitly a lesson for US, as we so often tell our pt.s: Come prepared with a list of questions and a pad of paper (or a scribe). Most doctor visits in office are less than 15 minutes and...
  19. Nursing the old fashioned way

    Oh, do I remember those gastric lavages for GI bleeds. I was a new ICU nurse in 1980, I just about joined my pt. in the bed after THAT
  20. Nursing the old fashioned way

    OMG! New Nurses look at me like I'm crazy when I mention Harris flushes! I can't imagine what Gomco's, med cards, kardexes or mixing your own antibiotics would provoke. Remember sequential...
  21. What should I expect from my preceptorship?

    1. You should expect your preceptor to be receptive, friendly,and attuned to your learning needs and goals. 2. You should present your preceptor with a list of your goals you want to meet during your...
  22. Would any of you do this?

    I would say no. I just see all kinds of problems happening here. If your uncle has been evaluated as having Altzheimers then ALL the family needs to get together and formulate a plan of care....
  23. Was hired but no shifts available

    I agree. I think it's positive to show you were hired and tok the training. The fact that no shifts were available does not reflect badly on you at
  24. If you were hired as an ADN you were deemed compliant with all education requirements. If now the hospital has changed its requirements to BSN status, I believe that is an "mandatory education...
  25. Help. Is my outrage justified?

    The student did not submit the question, the friend did. However, without knowing the EXACT question, there is really no way to judge it (or the answer) on its