steelydanfan

steelydanfan

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All Content by steelydanfan

  1. What was the MOST ridiculous thing a patient came to the ER for?

    steelydanfan replied to JUSTYSMOM's topic in Emergency

    OMG! And people (Do I really mean nursing students?), wonder why we tend to be just a BIT

  2. Nursing Priority vs First nursing action

    steelydanfan replied to NurseLoveJoy88's topic in General Nursing

    I give

  3. Nursing Priority vs First nursing action

    steelydanfan replied to NurseLoveJoy88's topic in General Nursing

    I am STILL completely flummoxed that there seems to be a difference between "what to do first" vs a "priority". Apparently, the English language has undergone a sea change while I was not

  4. Floor nurses that make clinicals a bad experience

    steelydanfan replied to NurseLoveJoy88's topic in Patient, Colleague Relations

    This is EXACTLY the kind of snippy attitude that poisons seasoned nurses towards

  5. Terminated over the phone at night

    steelydanfan replied to sweetnurse63's topic in General Nursing

    You ARE joking: no it is NOT okay; and yes, the OP has certain rights under employment law in ANY state, and she needs to investigate them as to rights for unemployment

  6. Nursing Priority vs First nursing action

    steelydanfan replied to NurseLoveJoy88's topic in General Nursing

    No there is not. Your thinking is a bit skewed in a way that I do not understand from your post. Priority IS what to do first. 1. Priority: The pt. has to breathe. Applied oxygen is the fastest,...

  7. How to tell a dark-skinned pt is pale?

    steelydanfan replied to nursing.mypassion's topic in General Nursing

    I can only descibe it as a "vibrancy" missing from the skin tone, be it white, Asian, African or

  8. Floor nurses that make clinicals a bad experience

    steelydanfan replied to NurseLoveJoy88's topic in Patient, Colleague Relations

    I for one will never forget the staff nurse from hell who would refuse to TALK to me when she was given the task of allowing me to shadow her for my clinical team leading. I could DO nothing, but when...

  9. Policy on WOWs

    steelydanfan replied to UnionRN2's topic in General Nursing

  10. Ativan IVP given undiluted into central line.

    steelydanfan replied to Septic Boy's topic in MICU, SICU

    If you work in ICU and trauma, then I would think that you would have a dedicated line with fluid that you can piggypack antibiotics, pain meds bood, etc into without disturbing your pressors, ntg,...

  11. Ativan IVP given undiluted into central line.

    steelydanfan replied to Septic Boy's topic in MICU, SICU

    I cannot imagine a situation that you need to give Ativan that also would not require running

  12. Sedation..Your thoughts?

    steelydanfan replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    The pt. was comfortable, and if she was able to sleep. she was fine. I really would not try dialing the sedation down on the night shift, let the oncoming nurse know your findings, and they can...

  13. I'm so sorry....your spouse just died.

    steelydanfan replied to APRN.'s topic in MICU, SICU

    I have had to do this over the phone several times, and I will say that usually it is not unexpected news. If a pt. has died unexpectedly, I still would break the news over the phone, instead of...

  14. CBI

    steelydanfan replied to Nrsstudent09's topic in Emergency

    Great idea, I have NEVER seen one,

  15. Fibromyalgia

    steelydanfan replied to veetach's topic in Emergency

    Hey, when leg twitches are now diagnosed as "restless leg syndrome",and drugs are advertised all over TV for it, anything goes! Let's ALL go on disability and stay stoned! Really, I'm just getting...

  16. Fibromyalgia

    steelydanfan replied to veetach's topic in Emergency

    If I had a pt. come to the ER with complaints of fibromyalgic pain I would be sorely tempted to explain to them what an ER is

  17. Help me understand

    steelydanfan replied to BrnEyedGirl's topic in Emergency

    You stated that "sx. significantly improved", but at 1015, he seemed to have the same symptoms he came in with. I guess there was no INL that could have done localized

  18. (Just for grins) Pet Peeve of the Week: chart hoarding

    steelydanfan replied to ByTheLake's topic in Emergency

    Oh, just pull those charts out from under, hit 'em over the head with them, and explain why the chart belongs to YOU!

  19. okay, where's the body?

    steelydanfan replied to JBudd's topic in Emergency

    IF and ONLY if he had a family. Otherwise, it COULD happen, if somebody just forgot the chart. In Bellevue, COULD

  20. Policy on WOWs

    steelydanfan replied to UnionRN2's topic in General Nursing

    If the wand cord is long enough, you can leave the unit at the door and just have to clean the wand afterwards. HOWEVER, the geniuses that build these things never seem to take this into account; just...

  21. Nurses and Lawsuits: How often does it happen?

    steelydanfan replied to coogabooga's topic in General Nursing

    It happens. Get malpractice insurance, take a course in legal repercussions of nursing and DOCUMENT. In a court of law, if you don't document, it was NOT done. And I don't mean the important stuff, I...

  22. Differences in pain medication

    steelydanfan replied to heaverboo's topic in General Nursing

    Your pharmacy should have an equagesic(?) dosage chart that you can refer to, or just call and ask. Your hospital pharmacist is an invaluable resource, and unless they are swamped, will be happy to...

  23. range order rationale

    steelydanfan replied to MunoRN's topic in General Nursing

    I don't know how to begin to reply to this

  24. range order rationale

    steelydanfan replied to MunoRN's topic in General Nursing

    In your original post, you gave 2 sets of orders for pain meds. This often happens, and nurses feel free to honor one or both as the pt.s condition warrants. It's perfectly legal, and I have no...

  25. range order rationale

    steelydanfan replied to MunoRN's topic in General Nursing

    No, I was NOT joking. Read my original post as to my rationale. The pt. would have recieved 2 tablets within 4 hours, and 2 tablets within 4 hours of the first dose. The NEXT dose would have been 4...