classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. ASN or BSN ????

    got my BSN after years of working as ADN. Automatic $1/hr pay increase, which meant that in just a short time I had "paid" for my degree. Later got MSN to change duties. I learned in every level. But...
  2. I recently had Thoratec come out to train our staff (nursing, RT, lab, anyone who would attend). They have training videos on their website, but they pertain MOSTLY to the staff who work in the...
  3. Grad School Question

    You might contact the CRNA schools you are considering and ask about requirements or other asistance. We would not
  4. Doctor texting order turned into a nightmare

    We are not allowed to text orders or ANYTHING pertaining to a patient. MD can
  5. "Can't be a nurse if you suck as a waitress."

    could be new job anxiety or new bad job work environment. Do not automatically compare the two careers. I will tell you that you will have a period as a new grad when nursing will be overwhelming. We...
  6. sounds like you are focusing on how you feel, not how to change the situation. There are good suggestions here. Are you willing to try any? Consider HIRING a
  7. Safest + convenient method for blood transfusion

    dedicated lines serve another purpose. The American Asso of Blood Banks recommend that tubing be changed every four hours. So if you hang a unit and it infuses in less than four hours the temptation...
  8. hypoglycemia question...

    Think about fire. Carbs burn like matches - hot and fast Protein burns like logs - slower over a longer period of time. So carbs get energy up, but protein keeps it
  9. Looking for chest tube competency

    I recommend contacting the company that makes the brand of drainage systems your facility uses. The rep generally is able to get me those type things. If nothing else, the "how to" directions can be...
  10. Fluids to help a vomiting patient?

    You want an isotonic fluid so NS is generally preferred. The cells are getting dehydrated. Sometimes they add K+ Hypotonic fluids will bring water from the cells to the blood vessel - and dehydrate...
  11. What is considered a large hospital??

    depends on who is asking. We are considered rural by CMS because of the population in our area, but our beds are around 400, which is not tiny by any
  12. Vision Requirements?

    As a professional you should know when you are not able to do your job. If your job description does not require a specific visual acuity I would not be concerned, unless you know that you have...
  13. I work in a medium sized hospital and we do define "essential" by job title. However, we PREFER that everyone who can show will do
  14. Rant: sick of MAs

    I used to work for MD's who thought anyone without their level of education was stupid anyway so they did not expect professional behavior. I agree, it brings down the whole clinic. You may have to...
  15. Rounding on patients at night

    sleep is beneficial to healing. Don't wake me up to ask me about pain. I will let you
  16. Im a male and want to be a nurse

    Good start. I do recommend BSN if you have time and money because you will not regret it. Texas is a pretty big place. but I live in East Texas and we have good opportunities here. I also recommend...
  17. Glucometer to use on multiple patients

    why don't you contact a marketing rep for Bayer or another type of equipment? They will probably give you the meter and maybe even give you strips. At least you save $60 or more on the meter. Lancets...
  18. Where do i go from here?

    I doubt you could safely do patient care if it involves any lifting. Maybe in a clinic where patients are expected to be ambulatory? Sorry you are having these issues. Hope someone has good options to...
  19. Did you revise your care plan?

    pain management is so tricky. For one thing, spiritual and emotional pain can actually HURT, and frequent flyers probably do have pain of some sort. I would create my plan so that the outcome would be...
  20. Patient Right To Refuse Room Change ?

    so many factors to consider - all previously stated. Bottom line, we do what we have to do to accommodate the most people and sometimes that is inconvienent. The hospital is not a hotel. If patient...
  21. Ethical Question About Pacemaker

    OP: You keep referring to the patient as "them". Is this a subconscious referral to the entire family and their
  22. Ethical Question About Pacemaker

    Allowing someone to die is part of nursing (palliative care when ordered). Making someone die is murder. Sounds like the ethics committee needs to be
  23. Your opinion

    why would anyone be that concerned about what the nurse thinks? If this is related to employment or insurance benefits HR and an MD would be responsible for making comments, not the nurse. I feel you...
  24. Hospital professional liability coverage?

    do not plan on the hospital paying premiums for your benefit. You need your own insurance. The hospital's policy is there to protect them, not
  25. New Grad Nervousness, is this normal?

    you are absolutely normal. Once you land a job your anxiety will continue till you gain confidence and accept that you will never be perfect. One day at a