classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. I still don't understand why a hospital would hire cna's, or techs but not lpn's

    classicdame replied to Destiny'skid's topic in Patient, Colleague Relations

    THe CNA's do not have a scope of practice in my state. Their work is delegated and supervised by a nurse. The LVN does have a scope of practice, but it does not fit the requirements for our acutely...

  2. Early prandial administration to hyperglycemic patient?

    classicdame replied to NurseCollins799's topic in General Nursing

    You ohave two DIFFERENT orders. One is how often you check glucose levels. The other is what medication do you give. WHEN you give the medicine really does not have much to do with WHEN you check the...

  3. Blackout curtains

    classicdame replied to puroticorico's topic in General Nursing

    This solution is easy and cheap! Measure the window (not including the frame, just the window). Buy black upholstery fabric. I found mine in a fabric store with fleece on one side and vinyl on the...

  4. Changing medication Forms

    classicdame replied to cfaith's topic in Patient Medications

    I think the person to ask is your risk manager or Educator, if you are in a facility. If this is homework, I would lean towards ALWAYS following orders to the letter. You can learn in practice what...

  5. ENPC

    classicdame replied to ABM1227's topic in General Nursing

    Thanks, CodeTeamB. I also believe that any knowledge is never

  6. ENPC

    classicdame replied to ABM1227's topic in General Nursing

    ENPC is just what it says - Emergency nurse pediatrics is the focus. I do not think you will use much of it in your area. Same with TNCC. It is for nurses treating trauma cases and focuses on the...

  7. Core Measure Responsibility

    classicdame replied to singwithme123's topic in General Nursing

    depends on what you mean by "responsible". The case manager/Quality nurse is not in a position to actually perform most of the measures. About all they can do is create tools to make it easier for...

  8. Changing medication Forms

    classicdame replied to cfaith's topic in Patient Medications

    what do you mean by "form"? If you mean route, then yes, you need an MD order to change the route If you mean paperwork, then no, as long as the route is the

  9. Background checks- what we all need to know:

    classicdame replied to DavidKarl's topic in General Nursing

    how far back depends on the type of discretion that is important to the person doing the search. May also depend on how much time and money they are willing to spend to get the data. Remember the...

  10. Stuck myself with a needle

    classicdame replied to Nurse03499's topic in General Nursing

    Contact the HR person at your workplace for guidance. Your health insurance plan, or a plan thru HR, may also offer counseling in the form of employee assistance program. I wish you luck and good...

  11. Teaching, in nursing process

    classicdame replied to Kimynurse's topic in Nursing Student Assistance

    Teaching is an intervention. Once you assess the learner you decide on knowledge gaps (diagnosis). Then you plan how to fill those gaps. You intervene with teaching and then re-evaluate to see if the...

  12. Certified Nurses Day excluding people

    classicdame replied to RN34TX's topic in Patient, Colleague Relations

    Blows me away that people would feel slighted for not getting a reward even though they did not, by choice, fulfill the parameters for being rewarded. Sounds petty to me. Be proud of those co-workers...

  13. Clinical issues

    classicdame replied to NOLAgirl2's topic in Nursing Student Assistance

    go to the joint commission webpage and find the national patient safety goals. Might be able to google the goals :) there are plenty of ideas

  14. Certified Nurses Day excluding people

    classicdame replied to RN34TX's topic in Patient, Colleague Relations

    The purpose of the day is to acknowledge people who have gone above and beyond, not those who are doing what they are paid to

  15. ABG help

    classicdame replied to ckirkpa's topic in Nursing Student Assistance

    Per the ABGStat app on my phone it is mixed resp. and Met Alkalosis The pH is normal. The CO2 and bicarb are only slightly elevated, so one system is not working harder than the other (resp vs....

  16. This question has been bugging my class...

    classicdame replied to mr cooper's topic in Nursing Student Assistance

    there are lots of signs that a patient may present. Pedal pulse is one. But the VITAL SIGNS are the ones that are most important (hence the name!). The limb ischemia is being caused by poor...

  17. Meds study tips?

    classicdame replied to dayanara's topic in General Students

    Just PO or IV too? If PO I recommend you divide into categories like biguanide, sulonylureas, etc. Then list the ones in each category and the MAJOR side effect, how soon they work, and what is main...

  18. Noise level at night

    classicdame replied to NoonsRN's topic in General Nursing

    getting squeaky equipment repaired helps. We put up "yakker trackers" in nurses' stations occassionally to remind them not to be loud. We have some lights out at quiet times to remind people, and that...

  19. Hourly Rounding

    classicdame replied to arbldj1234's topic in General Nursing

    we found that charting hourly rounding electronically did not get done on time so hourly rounding is done on a sheet attached to a clipboard in the patient's room. The charge nurse has to make rounds...

  20. Is it safe?

    classicdame replied to missladyrn's topic in General Nursing

    Nurses can be pregnant without knowing it. That is why universal precautions are so

  21. Need some encouragement please!!!

    classicdame replied to popcrnlvr's topic in General Students

    nursing is stressful, even after you graduate. Perhaps you need to talk to a professional about your anxiety level and whether or not you need help in coping with stress in general. Good

  22. ATI vs Kaplan vs Saunders -which one's the best?

    classicdame replied to shay&lynn's topic in General Students

    The difference with Kaplan is they teach you how to take the test. The rest are basically reviews of nursing

  23. LVN or RN?

    classicdame replied to britthohenbrink's topic in General Students

    depends on personal preference as to future jobs. I work in a hospital and we no longer hire

  24. are you happy in the state your in?

    classicdame replied to jescalynn's topic in General Nursing

    I can tell you that Texas is growing and needs nurses in many areas. The cost of living is cheaper here than in most of CA. We have a law regarding staffing in which each hospital is required to have...

  25. "bad" evaluations given by students of faculty

    classicdame replied to goingback's topic in Nursing Educators, Faculty

    It might be beneficial for all the nursing staff to have a round table discussion regarding evaluations. Perhaps co-workers can help identify any deficits or suggest strategies to overcome the...