steelydanfan

steelydanfan

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All Content by steelydanfan

  1. range order rationale

    steelydanfan replied to MunoRN's topic in General Nursing

    Actually, most hospital policies do not address this, and what the OP was looking for was experienced nurse's take on a gray area. We gave her that. What a new grad might think is VERY different from...

  2. When are ted hose removed/ted hose care?

    steelydanfan replied to stellaRN1983's topic in General Nursing

    Because one cannot do a proper assessment of circulation and skin conditiopn when TEDS are present. That is why one assessment is done in the evening when TEDS are first removed, and one is done just...

  3. We have to COUNT drugs like lisinopril and Claritin

    steelydanfan replied to glutton4punishment's topic in General Nursing

  4. range order rationale

    steelydanfan replied to MunoRN's topic in General Nursing

    If any nurse I ever worked with considered giving 3 tablets in 4 hours under these circumstances a med error, I would do my best to have them put under remedial

  5. Do you think removing an NG tube is "killing someone"?

    steelydanfan replied to krenee's topic in General Nursing

    \ And there is a huge difference between supporting a living human being and flogging a breathing body. Harsh, yes , but it needs to be said. because we have thousands of pt.s in the ICU who are...

  6. Do you think removing an NG tube is "killing someone"?

    steelydanfan replied to krenee's topic in General Nursing

    Actually, I think that the OP's mother expressed a sentiment that a majority of people feel; which is simply a total ignorance/refusal of death. Americans, somehow; cannot deal with or face the fact...

  7. Should Nurse Managers...

    steelydanfan replied to ThePrincessBride's topic in General Nursing

    When my nurse manager can take my pt load and function fully, when she decides to be an advocate for the state laws she is bound to follow instead of being a mouthpiece for the Corporation and try to...

  8. What's the Best Way to Learn Medications

    steelydanfan replied to athomemom56's topic in General Nursing

    You failed to mention actions, interactions and checking for allergies for such prescribed meds. I would also look for exotic/off-label uses, which may help immenesly when you just can't figure out...

  9. range order rationale

    steelydanfan replied to MunoRN's topic in General Nursing

    I would give the 2nd dose after 1 hour, and then wait the 4 hours before giving 2 again. You already know 1 pill did not do the trick, why make the pt. suffer for another 3 hours when you have a...

  10. Intubation and Sedation

    steelydanfan replied to shannonFNP's topic in Emergency

    No, you were thinking correctly, so kudos to you. One of my early questions after intubation was "What sedation and pain meds do you want to order?" Often forgotten in the rush, but PDI for the...

  11. We have to COUNT drugs like lisinopril and Claritin

    steelydanfan replied to glutton4punishment's topic in General Nursing

    Hospitals now want you to count anything that is expensive. A great use of very expensive nursing time, oui? I may be dumb, but doesn't the PYXIS already monitor

  12. When are ted hose removed/ted hose care?

    steelydanfan replied to stellaRN1983's topic in General Nursing

    9 out of 10 times I will come on shift and learn that the TED stockings have not been taken off since they were placed, and this could mean DAYS. We need to better educate our CNA's about this aspect...

  13. Coming to work after taking a narcotic?!

    steelydanfan replied to cherryblossom88's topic in General Nursing

    I have a question about this statement. Is Vicodin like tylenol because you are a really big person; or is vicodin like tylenol for you because you have taken a lot of pain meds in your time? Or is...

  14. Coming to work after taking a narcotic?!

    steelydanfan replied to cherryblossom88's topic in General Nursing

    She admitted to being under the influence of a narcotic. If you DID NOT call your supervisor immediately, you are at

  15. NG tube and NPO question

    steelydanfan replied to sarahjuly's topic in General Nursing

    speech therapy cannot recommend anything until they have made an evaluation. enough said. the md sounds like a jerk who is covering his bases with a family who wants the pt. to eat; while he knows...

  16. NG tube and NPO question

    steelydanfan replied to sarahjuly's topic in General Nursing

    If the doctor ordered the NG feeding due to aspiration risk, then NO PO feedings are allowed until the pt. passes a swallow study. He can't have it BOTH

  17. Terminated over the phone.

    steelydanfan replied to hellokitty9's topic in General Nursing

    Well, a couple of things happened here. You failed to review the chart, the order, and did not identify the pt. as the CORRECT pt. the orders were writtten for; never mind the other identifiers you...

  18. Seeking advice from current RN's

    steelydanfan replied to jdchisolm68's topic in General Nursing

    Pathophys, if you can get it. Spanish for health care providers would be invaluable. Any course on time management, speaking skills and interpersonal skills would be VERY

  19. Do you stop infusion "for a walk?"

    steelydanfan replied to rkitty198's topic in General Nursing

    I do agree. Pt.s and some transport techs think that we should "just" unhook the IV whenever it is convienient for them. An infusion of whatever is ordered to be "continuous", and NOT interrupted for...

  20. Maybe I'm just old and cynical, but....

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

    I am with you, sister! I have not nor ever will get glory, or make a difference because EVERYTHING I say or recommend gets laughed off, "put under for discussion" (and then somehow disappears into...

  21. Passing gas after surgery...

    steelydanfan replied to MikeyJ's topic in General Nursing

    Oh, come now. Do you REALLY have pt.s who don't know if they have passed

  22. I'm afraid that I'm a bad nurse.

    steelydanfan replied to dankimal's topic in General Nursing

    ICU is NOT MS with only 2 patients. It is everything about your MS pt. amped up by a quotient of 10. Definitly not a relaxing area. If you want more of the emotional hands-on type of nursing, than...

  23. Dealing with frustrating family and supervisor

    steelydanfan replied to SquishyRN's topic in General Nursing

    Why did YOU use the word "confront"? "And there's something else I would be confronting the daughter

  24. Dealing with frustrating family and supervisor

    steelydanfan replied to SquishyRN's topic in General Nursing

    If you signed the tx. book as given, that is ALL you need to do. Legally, you are covered, since you charted it, it was done. End of story. Your manager is a wuss, and ready to throw YOU under the...

  25. Leaving new job for a better offer

    steelydanfan replied to cogath's topic in General Nursing

    Just tell the first situation that as it happens, you cannot accept after all. The "situation has changed" excuse works fine. This happens all the time in business, yours is no