Rnandsoccermom

Rnandsoccermom

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All Content by Rnandsoccermom

  1. Who owns Patient's Chart?

    Same where I
  2. I'm very disturbed by this

    I'm glad the guidelines will change. ACLS has stressed for a number of years now that the return of circulation is what saves lives in cardiac arrest. Rescue breaths do virtually nothing in the first...
  3. Why did the doc switch from levo to neo?

    Had a MD teaching ACLS call it "leave em dead". In extended use, it shuts down the peripheral circulation, black fingers and toes-not
  4. Hospitals Hiring only Nurses with BSN Degree

    I find this interesting, there are a few hospital systems where I work requiring this now. One of these systems is going for Magnet status-I have a friend that works at one of their facilities, they...
  5. How nursing has changed over the years...

    LOL, this thread takes me back! How about GI bleeds being treated "conservatively"- no GI lab with endoscopy. They all got a Salem sump to suction and IV fluids for 5 days. It was especially fun to...
  6. Physical Assessments: Do Any Nurses Do Them

    I find it appalling that a nurse would not do an assessment. Patients live and die based on our continuous monitoring. You base your monitoring on a baseline assessment-every shift. I am very afraid...
  7. What's so stressful about working 3, 12hr shifts?

    another thing i 'd like to point out is that it's 12.5 hours-we don't get paid for a lunch/dinner break-whether you take one or not. minimum 12.5 hours period. also, you can't always just "leave" on...
  8. Education vs Experience

    I have been saying this to my peers for years. I got my basic nursing education from a textbook. My advanced practice has come from experience. I have gotten 80% of my knowledge from patients,...
  9. Threatened by Patient Family

    Every facility has a policy regarding patients rights AND responsibilities, this includes the family members. They DO NOT have the right to threaten you in any manner. You have the right as an...
  10. Been in nursing a long time here, and have pretty much been asked every question under the sun. In my experience an "illegal" question would be asking about sexual orientation or something like that....
  11. It doesn't bother me if they have a "notebook" although I have on occasion said "I see that you are writing things down and that's ok. I am going to answer your questions and please write what I say...
  12. Patient assignments during pregnancy

    I have 3 kids and the only room I ever refused to go in was a radioactive implant room. My kids are teenagers now and when I was pregnant with the oldest and youngest I worked on respiratory floors....
  13. Reamed for ordering an ethics consult

    You did the right thing, ethically, legally and morally. The surgeons and the hospital don't want her to die because it affects their statistics for mortality rate. Interestingly, a friend had a...
  14. Anonymous Complaints - Have you ever received one?

    It's interesting, for 23 years I have always had the attitude that people will complain. That being said, I am always nice to people, always have been, it is my general nature to be too nice to...
  15. Why do patients abuse nurses?

    I hate to say this, but go in the room by yourself, close the door and tell him how you feel. Remind him that you don't come to work to hurt people and that you have no reason to lie to him. Remind...
  16. I've worked with respiratory pts for 21 years and my husband is a RT. I've only ever heard the word "size" used ex: size 7, size 8, never "french" etc.... Also, easy thing to remember, when intubating...
  17. Scheduled meeting with manager, HR and union rep

    They can't take away your license for that, it has nothing to do with your clinical practice. Whether they choose to keep you employed by them is another matter entirely. I always tell people to...
  18. Calling out sick

    I went to work Sat. night with a migraine, it got worse around 5 am and I vomitted several times-very acid. By the time I left, I could not swallow. Went straight to the ER where they xrayed my neck...
  19. Warning Signs

    I second all of these. Also would like to add restlessness, SOB and sweating for no apparent
  20. Bringing diseases home to your kids from work?

    I have worked with respiratory patients in hospitals for 21 out of 23 years. I have 3 healthy teenage girls, never caught more than the average cold like everyone else. That being said, using your PPE...
  21. Alcoholism: disease or choice?

    I have always questioned the "disease" aspect-which got me into a lot of trouble in nursing school. Example: Alcohol gives me terrible headaches. I cannot drink wine at all-it triggers a nasty...
  22. Punitive Computer Documentation?

    I hate to remind everyone of this but computers are programmed by people and your friendly nursing informatics person is "telling" the programmers what to program. Where I work, there are no flags in...
  23. What is the pain med of choice?

    I have to admit I have a problem giving Q 2hr Dilaudid. Given that it is a powerful narcotic, to me that means something else is going. If it is physical, then pain is not being properly controlled....
  24. Working with International Medical Grads (IMGs)

    My experience with some foreign MD"s is that they find it difficult to take a suggestion from a female and are quick to argue with you about it, which in turn leads to delaying treatment to the...
  25. Wanna quit because of patients attitude?

    We had a patient who was cursing at a nurse and throwing things at her for not getting his meds quick enough. The supervisor went in the room, told him who she was and then told him that if she had to...