meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Do you check for contacts?

    Ive had to go after a contact that got left in someone's eye during surgery and it slipped off the iris and up onto the top of the eye. One of the other girls had come and got me because she didnt...
  2. Whoa! Crazy ProTime/INR

    A pt/inr that high meets ICU criteria in my book. And i can understand about your day.. I got 3 surgicals and admit within an hour during a 4 hour period of my day. Spent the rest of my shift...
  3. I think that may be what your instructor is meaning. She doesnt want to deal with how many ml's per hour one patient puts out but she prefers to see urine output being calculated based on ml/kg of...
  4. Patients die when turned on left side??

    I dont really know how "true" it is, but if you think about your cardiac physiology and lung function (consider the left lung has 3 lobes) and is less likely to expand fully when lying on the side it...
  5. Privacy question

    Uhmm, this is exactly what HIPPA was designed for. This exact type of incident is what the FINES are passed out for. Ive seen it happen. If it is a real concern for your husband and his family have...
  6. Med Error Question

    Med errors are serious, but i agree their reaction was a bit over the top. Just learn from your error and go on. If they jump to disiplinary action because of a no harm error i guess they arent...
  7. Sometimes the pain prior to surgery outweighs the sensations after surgery. I see it all the time in ortho. People are in so much pain prior to their arthoplasties that they really require very...
  8. LPN's Are Lower Class People?????

    My guess is the person that said that, even though maybe in an RN program probly havent passed their Endocrine, Cardiac, CNS or fluid and electrolyte chapters yet. They still yet could be singing a...
  9. The Top 100 Hospitals- Really??????

    Fact is,, if they have say 800 hospitals in their surveys,, and there are 6 model criteria they catagorize then it doesnt take much to be in their top 100 of something (one category or
  10. Blood Pressure Question

    We find these machines arent necissarily the most accurate. If we get one that seems high we retake it manually and it usually is more accurate. I dont know that not having the artery line in place...
  11. Spontaneous Pneumo in Teen

    I can understand the no sedation. Sedation would depress the respiration and probly keep the procedure from being effective. They needed him at full wakefullness to have him deep breath and move (or...
  12. Liability Insurance

    Buy it and keep the information to your self. If people dont know you have it you will be less likely to have to use it. No reason for anyone other than you to know you carry
  13. Lying to your patient???

    I agree with the others. Make sure the doctor and social services know the situation. I am guessing though that this patient actually knows the truth but is looking for compassion and verification...
  14. HELP- How bad is it to leave job after < 1 year?

    If they understand you have personal issues right now but would like to return at a later date i wouldnt think it would make you not rehirable. They probly wouldnt be able to give you enough time for...
  15. please give advice/Orientation from hell

    Fist off, that 2 hours wait?? NO WAY,, i dont wait to see doctors for 2 hours, i sure wouldnt wait to have a SCHEDULED interview 2 hours. So, you did,, and then you had to wait an hour the second...
  16. nurses and fake nails

    My facility is starting to talk about finally enforcing policy that has been in place for years. Thats the problem,, policy has been there,, its just never been
  17. I agree with Tazzi,, they just dont want you to be put in a position of not being able to confidently perform in the presence or under questioning by a surveyor. It isnt a reflection on you at all....
  18. EWWWW, something doesn't seem right to me here!!

    However, friction can be applied to the inner and outer aspect of the blades,, where with something like a yankar,, you dont have the ability to apply friction to the inside of the tube during the...
  19. EWWWW, something doesn't seem right to me here!!

    Well,, it doesnt sound to far off to me. First, does your local restaurant actually "sterilize" your drinking glasses? No they do run them through a hot dishwasher maybe, but a lot of restaurants...
  20. I think it depends on the individual. If you are sure you wont ever want to work anywhere else but a certain specialty then id say go ahead and try to get in the department you want. But,, if there...
  21. Intellidot

    It is a computerized system of MAR similar to the bar code scanning. Just another company and the technology is a little different
  22. I hate to write!

    Maybe thats the problem,, you are trying to hard. Just say what you have to say and leave it at
  23. I need help with a question.

    Try your local department of aging or county health department and see if they have information to help or they can put you in contact with someone to help with arrangements and/or financial
  24. Offended by pt- how to react?

    First you should be commended and congratulated for being the professional that you are. You handled it exactly right. Granted these guys were everything and more that the posts have named, but you...
  25. New Nurse 6 Months-float ?

    My facility too. You get off orientation and if staffing needs float you get to go in your turn just like everyone else. We dont get orientation to another floor after the initial orienatation...