Sunflowerinsc

Sunflowerinsc ADN, RN

Med/Surg

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All Content by Sunflowerinsc

  1. Illeostomy pt and Enema????

    Sunflowerinsc replied to skittlebear's topic in General Nursing

    Be sure you know what kind of ostomy the pt. has. Can you read the original surgical report? A ileostomy is the end of ileum pulled through the right lower side of abdomen after disconnected from the...

  2. is it ok to call a dr even if not your patient

    Sunflowerinsc replied to mary78910's topic in General Nursing

    Is this a hospital setting ? Do you not have a rapid response team? How do you generally contact the Dr's? Someone has to be on call ,right? Don't they have beepers or cell phones? And the more...

  3. is it ok to call a dr even if not your patient

    Sunflowerinsc replied to mary78910's topic in General Nursing

    Any one call call a code for the rapid response team,including the pt (if able) or a family member who can see a decline in their family member. Of course I would go to nurse and ask if she needed...

  4. promoting use of computer system

    Sunflowerinsc replied to stumpy1's topic in General Nursing

    I am one of those old experienced nurses who may not like every change that comes down the pike but I would never want to go back to pen and paper to chart,NEVER!! We have had computer charting for...

  5. First day back at work... and I find used narcotics in my mailbox!

    Sunflowerinsc replied to MIcrunchyRN's topic in General Nursing

    This is really bad, but going to the MAR's and finding which pt's have been receiving these medications and who wittiness the waste seems like a place to start. That and everyone gets to go to lab...

  6. random drug tests?

    Sunflowerinsc replied to carrienurse's topic in General Nursing

    Well, taking a medication that is not prescribed for you IS against the law, any medication. That being said, my hospital does drug testing on all new hires and random ones also. The computer pulls...

  7. novolog 70/30 as coverage?

    Sunflowerinsc replied to Ms.RN's topic in General Nursing

    novolog 70/30 is a mix of slow (nph 70%) and 30% faster acting (30% regular.) we don't use much mixed insulin anymore or regular. regular is fast acting compared to nph but still takes 30 or more min...

  8. Approximate Narc. count?

    Sunflowerinsc replied to garciadiego's topic in General Nursing

    Maybe not JC but to other inspectors. State,DEHC . And approximate nar count won't

  9. new nurse facility missing a narc

    Sunflowerinsc replied to sparkles_2221's topic in Geriatric, LTC

    Every place I have worked for the past 40 plus years, the count was done between off going and on coming RN or LPN. And it HAD to be right before anyone left. But now thank goodness for the accudose!...

  10. Do you need to carry your personal cell phone while at work?

    Sunflowerinsc replied to UM Review RN's topic in General Nursing

    I am so glad to read this about cell phones, that so many use theirs responsibly and discreetly. Just at lunch or off the unit. No not answering call light,not leaving pt care when you get a call. Not...

  11. Do you need to carry your personal cell phone while at work?

    Sunflowerinsc replied to UM Review RN's topic in General Nursing

    I have another comment that I am sure is a unpopular attitude but that taking time to "just check" messages ,even tho it is against the rules, takes time from your work ,while you are just checking...

  12. Do you need to carry your personal cell phone while at work?

    Sunflowerinsc replied to UM Review RN's topic in General Nursing

    This is another problem with cell phones and texting "U" do not learn to write and spell. (Sorry, I just had to say it,just another pet

  13. Do you need to carry your personal cell phone while at work?

    Sunflowerinsc replied to UM Review RN's topic in General Nursing

    Thank you. I have and still work as a RN for 45 years. Yes ,I have a cell phone now. When I am at work, its TURNED OFF (I know, a unheard of idea) and in my locker. I worked for years and years...

  14. "I'm woke."

    Sunflowerinsc replied to Vito Andolini's topic in General Nursing

    I think that is right, the person (RN) with the license is the one all mistakes,complaints and care of the patient end up coming to. And administration is liable also. I haven't worked ANYWHERE where...

  15. I went off on a family member...and I don't feel bad about it.

    Sunflowerinsc replied to RN1982's topic in General Nursing

    :chuckle:) I think you said the right thing. But if family didn't have the code, who ever answered the phone didn't even need to call you to the phone. When we first started using a code I told a man...

  16. which is important attribute of an effective nurse?

    Sunflowerinsc replied to jinyi's topic in General Nursing

    "The secret of the care of the patient is in caring for the patient" Of course you must have knowledge and skills. But those are Learned attributes. But if you do not CARE for patients,all people in...

  17. I charted that he died!

    Sunflowerinsc replied to mgababyko's topic in General Nursing

    You know that the chart is a legal record and it can be pulled out of that "deep dungeon of medical records" in a flash! And a lawyer will pull out every word you have written ,word for word and you...

  18. What would ja do?

    Sunflowerinsc replied to JRD2002's topic in General Nursing

    What was the pt's b/p, FSBS, lung sounds ? You would at lest want to have a IV access ready. A diabetic who has been NPO since midnight might need fluid so blood sugar would not drop. I would check...

  19. Needing a Tubex!

    Sunflowerinsc replied to ilovenursing2009's topic in General Nursing

    We have the plastic ones on our supply cart and altho most nurses don't like using them, we are encouraged to do so. That was one of the safety goals, not to use a syringe without the medication's...

  20. Retirement

    Sunflowerinsc replied to BiologyNerd's topic in General Nursing

    The not-for-profit hospital I worked at for the past 22 years has a retirement for nurses. Also 403 which they do not match since it is a not for profit. The sooner you start using the 403 (and NEVER)...

  21. STUPID interview questions, add yours here

    Sunflowerinsc replied to hoolahan's topic in General Nursing

    My, things have sure changed since the "olden days". About all I was asked was " When can you start,

  22. "I want him extubated NOW...I dont care if he's not ready"

    Sunflowerinsc replied to jbp0529's topic in General Nursing

    Just wondering, did this POA really know what was wrong with pt, the treatments needed? Maybe have a conference with her and caregivers going over the care plan ,the interventions and goals. This...

  23. I See JCAHO People.....

    Sunflowerinsc replied to CareBayer's topic in General Nursing

    LOVE THAT 'just going to get their teeth" !!!!!!!!! Somehow things like that are not factored in by the JACHO people (or management that schedules

  24. Kardex ?

    Sunflowerinsc replied to nursecompassion's topic in General Nursing

    I have not seen a Kardex for years and years. We use our pt care worksheets that are computer generated from the information entered on each pt per care plan, Dr. orders. They have all the...

  25. "I have kids! I need to come in late, need more sick time, etc."

    Sunflowerinsc replied to Plagueis's topic in General Nursing

    I think it is a little strange that people on this thread are mainly saying that they are late or call in because of kids sick, daycare ect. What is the patient doing for that 10-15 minuets you aren't...