classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. Eating healthy during those long night shifts

    Forget "breakfast food" vs "dinner food". Eat what you like any time of day, just in reasonable portions. When I worked nights I liked to take a small (10oz) box of frozen sugar snap peas. By the time...
  2. Need diagnosis help (from student)

    West Nile has an neurological component that has resulted in more than 1000 deaths this year alone in the US. But many virus can affect the neurological system. Could be anything from Jakob-Crutzfeld...
  3. Ethical/moral issue

    agree that planning ahead who will take him home is essential. You cannot withhold pain meds if he is still a patient. In fact, that is a reason for allowing him to stay - pain management. It seems...
  4. SEPSIS QUESTION.....

    she may not be contagious. Cultures, etc will have to determine whether or not she is contagious and THEN you initiate
  5. Do Nurses Earn Big Money? You Decide.

    when I see this type of question or hear a similar comment about nursing salary it makes me think they are really asking is if nurses DESERVE the income they receive. Only a nurse can answer that and...
  6. being spiritual and being religious are different. To answer your question, you do not have to be religious, but you will not be effective as a nurse if you do not respect the spiritual side of...
  7. In the USA each state sets its own standards for what is required to be licensed as a nurse, including minimum education requirements for the nursing schools. Schools have the option to exceed the...
  8. does not correct the situation if you discuss with the patient. Do what is needed for the patient then report the incident. Involve Infection Control if
  9. you are the only one who knows what you are capable of doing. Some people work, go to school and raise kids. The trick is to focus on what you are doing NOW, not what might happen in the future. Give...
  10. Passing meds prepared by someone else

    I assume this is not considered inappropriate in your state or by whichever agency does the credentialing, but it is certainly taboo in hospital settings. You have no way of knowing if the appropriate...
  11. Balance

    good for you. The only thing I worry about is turning to booze to relax you. Eventually it will take a higher and higher "dose" to get the same effect. Just be careful. I am glad you have the insight...
  12. Nursing presentation HELP!

    I heard of a situation and had to do an inservice for OR staff per Admin request. Someone had a chest tube inserted in OR and MD requested wall suction. The nurse hooked up the chest tube to a Nepture...
  13. Overtime

    if it is based on seniority then it would be unionized probably. We do not offer OT except in rare situations and then whoever says yes gets it. Most people do not want to work that many
  14. Where to go next?

    Not sure it will be any different in any other department. Nursing is hard. Talk to HR to see what is available in your own facility as that would be the easiest thing to
  15. Don't know the laws in NY but this is not legal in Texas for NURSES. Don't know about CNA's, but should not be legal either. I can see working half that shift and having the next person come in early...
  16. Torn and don't know what to do!

    you might be asked to work nights in any position in a hospital. You might have to consider going outside the hospital, or see if there is a need in one of the day-only units, like special procedures,...
  17. Consults??

    If you do not know the doctor's voice you do not know to whom you are speaking and this could result in a HIPAA
  18. G-tube vs PEG tube- is there a difference?

    lots of differences. Some of what nurses call PEG tubes actually do not end in the stomach, but end in the duobdenum or even the jejunum. This affects what you can push through the tube, what meds can...
  19. Consults??

    how arrogant of them to assume you know what they want to hear. Also, just because they "say" they are the consulting MD does not mean a thing. You have to be very careful about what you say on the...
  20. Yet another burned-out nurse question...

    Congratulations on being insightful enough to know you need a life-change and being brave enough to pursue it! I think it is a positive move and believe you will learn a lot about yourself and what is...
  21. Why are new nurses treated poorly?

    Some people are mean. Even nurses. You do not have to pattern your behavior from them and you do not have to accept their bad attitude either. Be firm and friendly. I hope this stress will not last...
  22. CPR/First Aid Training

    my facility does not recognize Red Cross certifications. We only recognize American Heart Asso. and we provide the class free to our staff. I doubt that the certification is part of your course, but...
  23. Curious about catheters

    most students are concerned more about where it is rather than what it is. The good news is there is a
  24. How Would You Rate Your Pain????

    but the patient is not having the same experience as you did when you had a 10. When we give the patient the scale we are asking them to relate to their OWN memories, not ours. So if the worst pain...
  25. How Would You Rate Your Pain????

    The 1-10 scale is NOT objective. The nurse would like it to be but there is no way anyone can judge another person's pain. Think of the scale as being entirely relative to what the patient says it is....