azhiker96 BSN, RN

PACU, ED

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All Content by azhiker96

  1. azhiker96

    Question regarding a HIPAA violation...

    azhiker96 replied to samegirl's topic in General Nursing

    I don't know if the hospital would notify the government. You certainly have the right to do so. That's a right and personal decision that you need to make. I know my company takes confidentiality...
  2. azhiker96

    Automatic B/P machines...should I buy my own?

    azhiker96 replied to prinsessa's topic in Geriatric, LTC

    I have tried two different types of wrist units. Both of them seemed to be random number generators. If you go with one, I'd suggest one that uses a standard arm cuff. I use my own manual cuff and...
  3. azhiker96

    Nurse Vs Daughter! Help Me!!!

    azhiker96 replied to sasha2lady's topic in General Nursing

    I also encourage you to meet with your father and I'd do it without kids. Think of it as a time for you to say you've missed him and to let him know what you've been doing in your life. I would...
  4. azhiker96

    all PACU RNs Wrote up!

    azhiker96 replied to jrgrad1912's topic in PACU

    Our anesthesia records have a preprinted order, "May discharge when meets PACU criteria." This serves as the order from anesthesia for legal/billing purposes. Our criteria includes stable VS,...
  5. azhiker96

    Back-up call policy on weekends

    azhiker96 replied to nursecoffee's topic in PACU

    Whoever is team lead makes the decision about calling in the call person. We decide based on how many patients we might have in PACU at a time so that we will meet ASPAN
  6. azhiker96

    IV hydralazine

    azhiker96 replied to norabow's topic in Emergency

    In PACU I prefer to use Labetalol if their pulse will support it. It seems to act much faster. If they're brady though then you need to use hydralazine. I recheck every 5 minutes until I get
  7. azhiker96

    New Joint Commission Regulations for PACU Medications

    azhiker96 replied to nmred's topic in PACU

    Our orders are very similar to yours except we don't have to give the max dose of one med before moving on to another. I can't tell you how many times I've started with one med which showed no...
  8. azhiker96

    PACU catch phrase

    azhiker96 replied to TennBSN's topic in PACU

    How about: Just
  9. azhiker96

    Hepatitis B Vaccine Safe?

    azhiker96 replied to gkvegan's topic in General Nursing

    I've had the full course and developed a strong positive titer. I've had no ill
  10. azhiker96

    Largest Nurses Strike in US History - Replacement Nurses Arrive - Your opinion

    azhiker96 replied to girlvet's topic in Collective Bargaining, Union

    Hi Mike. No, a strike is not like abandoning patients. If I show up to strike, I will not be taking report which means I have not established the nurse/patient relationship. The off-going shift would...
  11. azhiker96

    Lifting in the PACU

    azhiker96 replied to vikichck's topic in PACU

    For the most part, there is not a lot of lifting on our outpatients. Of course, there are exceptions that can be taxing. Just use good lifting mechanics and friends when
  12. azhiker96

    The best nursing advice you've ever received

    azhiker96 replied to findingmywayRN's topic in General Nursing

    :yeah:A couple of weeks ago my first patient of the day (18mo postop T&A) slimed my shoulder with mucus and blood as I held her waiting for parents to arrive. I had to grab a set of surgical...
  13. azhiker96

    The best nursing advice you've ever received

    azhiker96 replied to findingmywayRN's topic in General Nursing

    Passed to me from a nurse I admire and respect who's been in the profession for more than 3 decades: Our patients survive in spite of what we do to them. Document so that someone reading the chart can...
  14. azhiker96

    Phase II Question

    azhiker96 replied to Phase2Pro's topic in PACU

    I am a PACU nurse and would never try to discharge a patient in that condition. I would call the anesthesiologist or surgeon and get an order for a SVN treatment. Most of our anesthesiologists would...
  15. azhiker96

    ASPAN certification

    azhiker96 replied to JennieO's topic in PACU

    I just passed my CPAN test. I used the core curriculum (Quinn and Schick) a little but found it extremely dry. Most of my study was with the Certification Review for Perianesthesia Nursing (Putrycus...
  16. azhiker96

    How often do your pts thank you?

    azhiker96 replied to cmonkey's topic in General Nursing

    I'm also a PACU nurse and most of my patients/families give me a genuine thank you when I transfer them to the floor or discharge them home. I think their gratitude is less about the meds I've passed...
  17. azhiker96

    Do you keep your license(s) in your wallet?

    azhiker96 replied to phoenixrn's topic in General Nursing

    My RN license, ACLS, and PALS are in my safe at home. I do carry my BLS card but a copy of it is at home as
  18. azhiker96

    Medicare for everyone is a public option

    azhiker96 replied to HM2VikingRN's topic in Activism, Healthcare

    The Major's job had nothing to do with shooting US personnel. His job was counseling personnel and he'd been doing that job for some time. He got a poor performance review. That should have...
  19. azhiker96

    Health coverage 'plan' was no insurance at all

    azhiker96 replied to HM2VikingRN's topic in Activism, Healthcare

    Call United Healthcare and ask them to fax/mail you a letter showing your dates of coverage. Then contact your current company and tell them you're faxing that information to them. If they still...
  20. azhiker96

    Health coverage 'plan' was no insurance at all

    azhiker96 replied to HM2VikingRN's topic in Activism, Healthcare

    Vivalasviejas, once you have a year of creditable coverage then pre-existing conditions can't be used to deny payment. I'd suggest a letter to your state insurance commissioner. The P in HIPAA is...
  21. azhiker96

    Your Policy for S/C Narcotic Discard?

    azhiker96 replied to All4Seasons's topic in PACU

    Maybe her instructor only needs to see that some narcotic is wasted. If she wants me to cosign, I need to see how much is wasted. The only time I haven't shown a collegue an amount was when I...
  22. azhiker96

    e-mar scanning in PACU

    azhiker96 replied to lucyshuman's topic in PACU

    In my hospital we enter the orders in the EMAR and can enter the meds after they are given. If a patient is climbing out of the cart I'll probably push the Ativan prior to entering the order in the...
  23. azhiker96

    e-mar scanning in PACU

    azhiker96 replied to lucyshuman's topic in PACU

    Find out what they plan for emergent situations. For example, pt is admitted from surgery with bp 232/108 and doc says give labetalol 10mg IV now. Do they really expect you to wait until the...
  24. azhiker96

    ER to PACU?

    azhiker96 replied to GOMERNATOR's topic in PACU

    I think you'll do fine. We run a night nurse but always have a nurse on call. When a case goes to the OR, call in the on-call nurse. If the patient comes out before the call nurse gets here the...
  25. azhiker96

    You know that you are dating/married to a nurse

    azhiker96 replied to mydee's topic in Nursing Humor

    LOL, I agree with you. Remind him that horse manure is both "natural" and "organic". That doesn't mean I want any with my toast for breakfast. Other "natural" things are botulism, hemlock,...