clemmm78 RN

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All Content by clemmm78

  1. clemmm78

    Caught a major med error today!

    Always go with your gut - there's a reason we feel not-right about things sometimes. Kudos. Nice to hear stories like this rather than "patient dies from med
  2. clemmm78

    Medication Errors: Do you tell the patient?

    Where I am, we are required by law to inform the patient or if applicable, legal guardian or
  3. clemmm78

    RN ethical dilemma

    Hi, Maybe you could share why you think this may be unethical. I ask, because I'm not sure why someone may think it, so wonder if there is something I'm not considering. As far as I'm concerned,...
  4. Thank you for your input, it's a big help. crystalchen, the antibx are needed even more quickly. Every hour the patient waits increases his risk of mortality significantly. One of the issues is how to...
  5. Hi, I do know about that site. We're not reinventing the wheel. The problem is despite the presence, the *awareness* still isn't there. The goal of the Sepsis Alliance is world-wide awareness of the...
  6. clemmm78

    Lost my first patient - could I be in trouble?

    If I may add something for the future. I do agree that it all points to a PE and there was nothing that likely you could have done. However, and this isn't a criticism but just an observation of what...
  7. clemmm78

    Do you write up med errors?

    the purpose of writing up incidents is so superiors can see if there are patterns. The patterns could have more to do with something other than nursing care itself, or it could be the nurse. Whatever...
  8. clemmm78

    I forgot to chart something.

    The times when it hit me that I'd forgotten to chart something, I called right away to let them know. If it was important, such as an IV start, they would chart it as reported by me. If it wasn't as...
  9. clemmm78

    My First Loss

    Losing a patient does become easier, but it doesn't mean it doesn't affect you in ways you don't expect. By the time I was working in palliative care and after having worked in areas from rehab to...
  10. clemmm78

    Not The Best Way To Improve Nursing's Rep!

    I don't think this has anything with the reputation of nursing. The "mother" happens to be a nurse. That's
  11. I've never worked at a facility that would tolerate mattresses on the
  12. Have you asked your instructor *why* you shouldn't be asking for help? That would have been my first question the first time I was told
  13. clemmm78

    Med error...scared to death now...

    Do you have a system where you can write down where the patch is? I can't get over some of the odd places I've found patches. Sometimes I wonder what the heck the nurse was thinking when he or she...
  14. clemmm78

    Head Lice

    Usually it's Crisco or something like that that people use. The idea behind the mayo and similar substances is the product covers the critters and seals off their breathing ability. What many people...
  15. clemmm78

    How can I be in two places at the same time?

    What is the policy in your facility? I agree with passing the meds a bit early if you have notice. Obviously, if you have five people who all have 9 pm meds, not all can get them at exactly 9 pm. You...
  16. Wow. It never occurred to me to tell my patients this - and I've given heparin to countless Jewish patients and many Muslim ones. It really never occurred to me. As well, I used to work at a Jewish...
  17. clemmm78

    Loving my job!!!

    You will never tire of it or let it grow old if you don't allow it to. When you get to a level where you don't feel you're learning much any more, then it's up to you to search out more to learn;...
  18. It would never have occurred to me to identify myself as an RN when booking a flight. I don't hide the fact I'm a nurse, but I don't have the need to put anything behind my name either, unless it is...
  19. clemmm78

    charting resting with eyes closed vs "asleep"

    I would never write that a patient was asleep based on my visual observation. I may state that someone had been asleep when I witnessed them waking, but otherwise, always "appears to be
  20. clemmm78

    NCLEX between States

    Hi folks, please forgive what may be a basic question, but I'm Canadian and although I've searched, I can't find the answer to this question. in the U.S., if you received your nursing education in...
  21. clemmm78

    Caught a bad insulin error today

    How frightening! And people think being a school nurse is easy. Good on you for following up. that was a serious, serious
  22. clemmm78

    Did I use alcohol swab?

    Honestly, at this point, you can't remember if you did or didn't and even if you did, it wouldn't change the situation. Just chalk this one up to experience and know you'll be careful to be sure you...
  23. clemmm78

    NCLEX between States

    You're not going to believe this. Just as my friend asked me to get this information, I found an email had been sent to me by one of my clients, asking me to answer some nursing questions - and this...
  24. clemmm78

    NCLEX between States

    thanks katkonk. Great
  25. clemmm78

    NCLEX between States

    thanks so much, I'll pass this on to my friend who was