All Content by shannonRN
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Post Operative washes???
i haven't heard of this practice. at least they don't do it at my hospital. then again i have only worked med-surg for 1 1/2 years. it might have been a common post op procedure before my time. sorry that i couldn't be of much help. good luck with researching the topic. let us know what you find out!!
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Post Operative washes???
i haven't heard of this practice. at least they don't do it at my hospital. then again i have only worked med-surg for 1 1/2 years. it might have been a common post op procedure before my time. sorry that i couldn't be of much help. good luck with researching the topic. let us know what you find out!!
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Do you wear gloves
yes, yes, and yes...my philosophy...better safe than sorry.
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itching?
i feel your pain...was itching like crazy a little over a month ago...starting with just an itch, then came the hives. the er doc said that most of the time they never find a cause. no chance for scabies or anything like that? i chalked mine up to stress...hope you are feeling better soon!
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Are you afraid to approach minority staff members? WHY?
i don't think the word minority works as a descriptive term....i think it is all relative. where i live whites are the majority...where my mother teachers whites are the minority. you left out the part about beating all of your nurses with that big ole coach purse of yours because they are trying to steal from you!
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Does anyone else work in a haunted facility?
https://allnurses.com/forums/showthread.php?s=&threadid=12142&highlight=ghosts here is one of the threads.
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Does anyone else work in a haunted facility?
now that i have goosebumps:uhoh21: i definately believe in ghosts! there have been a couple of threads on this topic....for those interested, i would suggest doing a search.
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Are you afraid to approach minority staff members? WHY?
awesome topic...you are one brave lady! i do not treat people differently based on sex, religion, race, age...to me a human-being is a human-being and deserves to be treated like one. just the other day there was a family sleeping on the floor of one of our waiting areas. had the pillows and blankets laid out on the floor (you get the picture). well, was walking out with some coworkers, some black and some white. i asked if we should have security talk to them. the one replied no, leave them alone they are black (she was too). i said would you report them if they were white (i am white) and she said yes?! wtf? if it is inappropriate for some then why isn't it inappropriate for all? and i think that is how it should be!
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Is anyones facility so short staffed that they feel guilty calling in sick?
her question was about feeling guilty when calling in sick. and my response is yes. i'm not saying that i don't call off when i am sick....i don't go to work sick. and when i call off i feel bad for my coworkers. i agree, we don't need sick nurses trying to take care of sick patients. well put wendy! you always word things so well.
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Is anyones facility so short staffed that they feel guilty calling in sick?
yes, i feel guilty...even when i am so sick that i should probably be in the hospital. but i am that kind of person. i try to help everyone...for a while i would stay over 2-4 hours to help the oncoming shift because i felt so horrible about how they were staffed. i then realized that i also had to take care of myself and not always put others first. i still stay over, but not nearly as much as before. i don't think that anyone but you can answer your question about what you should do regarding this situation. good luck with whatever you decide!
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Assigning patients to rooms on Med/Surg Floor?
we try to put those who are confused, vented, require more frequent checks...closer to the station. but in this perfect world that doesn't always happen. wait...is this a homework question????
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last minute call in
our hospital policy is that you have to call off 2 hours prior to the start of your shift or it is considered a late call off. heck, they can't even ensure that we are covered when we don't have any call offs.
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charge nurse duties?
i was wondering how different med-surg floors utilized charge nurses. if you could share some of the job descriptions and responsibilities, patient load....please mention which shift you are explaining the duties for. on my floor day charge usually takes no patients or a couple that are to be discharged that day, evening charge can take anywhere from the same number of patients as non charge to 1-2 less, midnight charges usually has a full load. some of our charge nurse responsibilities include placing patients when admitting calls, taping report for the whole shift, rounding with the docs.....our floor also does not have a charge nurse job description. do any of your hospitals? and if so could you share? :)
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Restraining patients
almost forgot..in my facility having all four siderails up is considered a restraint.
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Restraining patients
one of the floors (rehab) in my hospital is restraint free. used to work there...could get tricky. we used a lot of bed alarms and had patients sitting by the nursing station frequently. the rest of the hospital requires a new order q 24hours...must document why when writing the order...RE: pulling out tubes. confusion doesn't cut it. we also have a standard form for patient checks...circulation, urination, h2o...we also must document alternatives such as hiding (camoflaging ) tubing, calling family, and reorienting...i'm off for a couple of days but i can get a copy of our forms and give you examples if needed. i'm pretty sure that everyone here will cover what i forgot! restraints can be a good thing...when they are used for the right reason. we just had an incident where we had a confused, all spanish speaking patient. well, of course she wandered and most of the staff wanted to restrain her. thankfully, she wasn't. if the patient is intubated, vented...i think that is another story.
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Almost zero WBC count
most of our heme-onc docs don't believe in reverse isolation. so it isn't widespread in our hospital.
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Complication with gall bladder surgery...or just slow healing????
hope this helps....The group was the EEOC......equal employment oportunity commision~ and then there is always the state's AFL-CLO. i'm not sure what the second group is, just got it from my friend who had mentioned this when i was on leave. good luck!!!
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Complication with gall bladder surgery...or just slow healing????
glad to hear that you are feeling better! i had the same problem when i had ankle surgery. i was on leave for 3 months, but i wasn't cleared to come back to work...so my boss threatened to fire me. a couple of people i talked to mentioned that there is some type of wrongful termination group that you can talk with...hopefully someone here will know the name. i will try to find out and get back with you. good luck!!!
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cultural diversity
cheerfuldoer, we definately have black families...i knew i wouldn't be able to name all of the people we care for hence the .... but i did say caucasians and not all caucasians are the same...with different cultures come different beliefs and religions one example could be the amish... cultural diversity is a huge area and i didn't mean to leave out or offend anyone. sorry! mollyj, am reading the spirit catches you now....truly fascinating!
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cultural diversity
great question...my hospital sees a wide variety of patients. caucasians, african americans, serbians, croatians, mexican, idian, spanish, pakistan....there is a list of intreperters however they are usually only available on days. we also have a well diversified staff, so they are usually willing to help out when the designated intreperter isn't available. i don't think that we have handouts in any other languages than english. that would be a wonderful program for education to implement....a couple of years ago my hospital did a cultural diversity inservice. it was pretty interesting but haven't seen anything like that since.
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narcotic theft investigation
i honestly don't have an answer for you. i do know that when i count narcotics, i don't investigate every pill in the bag marked demerol po....let us know how it turns out...
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tube feeding dye?
just recently this topic came up during a chat.... i see dye in tube feedings once in a blue moon at my hospital. do you guys use dye? does anyone know of a nursing article on this subject? i checked out my hospital's policy and procedures but couldn't find anything on this topic. i think it would be interesting to take it to our nursing research and get some sort of policy initiated.
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informed consent
that is also what i was taught here in IN.
- What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?
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Protonix IV
my hospital's policy exactly....