meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Other Side of Coin---Less than Humble New Grads

    meownsmile replied to Mystery5's topic in General Nursing

    LOL,, we have some who like to toot a bit also. Usually they are tooting to the patients in order to get personal comments on the satisfation survey sent to the patient after discharge. Gets them a...

  2. Other Side of Coin---Less than Humble New Grads

    meownsmile replied to Mystery5's topic in General Nursing

    Given enough rope!!! They usually take care of themselves fairly soon. About the first time they get a new one from a doctor their tune changes. I agree, monitor patient safety and let them hang...

  3. Priorities and time management

    meownsmile replied to RNAnna's topic in Medical-Surgical

    It's a little hard to coach someone about time management and prioritizing for your specific unit. Each unit is different in what kinds of patients they have, how their unit routines are set up....

  4. Morphine/ativan cocktail

    meownsmile replied to aprilleverett's topic in Geriatric, LTC

    I think the side effects of end stage pain far outweigh the side effects of giving the pain medication. Even if something is scheduled, nurses still have the option of making a nursing judgement...

  5. Coworker making patient WORSE...what to do?

    meownsmile replied to Jo Dirt's topic in General Nursing

    Why isnt the hospice coordinator taking care of this problem? I know in hospice there is a very wide range of wiggle room for taking care of the patient but if she is obviously putting him into CHF...

  6. Discharging disheveled patients from the hospital

    meownsmile replied to CapeCodMermaid's topic in Geriatric, LTC

    Thanks mjlrn,, i was going to post similar to yours. All joint commission standards are followed in my hospital also, and i think if capecod is getting less maybe they need to report to joint...

  7. need help with a 4yr old with loss of appetite

    meownsmile replied to melzan's topic in General Nursing

    Children go through phases where they dont eat. Just like little ones get busy and foget to go to the bathroom and have accidents. They dont do it on purpose they just are to busy with life to stop...

  8. Discharging disheveled patients from the hospital

    meownsmile replied to CapeCodMermaid's topic in Geriatric, LTC

    I agree with mjlrn,, and hospitals have as many poorly kempt patients coming in from NH's as they do having them come back that way. I think its best to just accept the fact that sometimes things...

  9. infection control - is it just me?

    meownsmile replied to lionkore's topic in General Nursing

    If noone is in the bed (patient wise) there should not be anyone or anything on the bed. When i go into a room and find a patients family using the other bed to diaper a baby, lean on,, sit on,,...

  10. Accused of Racism!

    meownsmile replied to yaddadoit's topic in Patient, Colleague Relations

    Unfortunately, in certan areas where census majority are not African American you will come upon those who feel they have to protect their job like that. I think a lot of times in that respect it...

  11. What would you do if diabetic pt. has 14 blood sugar.

    meownsmile replied to Sue7573's topic in Geriatric, LTC

    Absolutely recheck. A patient with 14 would have to have some symptoms, diaphoresis, confusion. Stat amp of dextrose would be in order along with the call to the dr. Although we were taught that...

  12. ortho patient load

    meownsmile replied to caringRN's topic in Orthopedic

    Id give my right eye tooth for a 5:1 ratio dont get me wrong. But thats just not the norm at my facility. We dont however have total patient care for all our patients unless we have a low census,...

  13. Why Nurses Go Crazy

    meownsmile replied to zenman's topic in General Nursing

    I guess you were lucky that is all you had going on. Usually ((whisper) the nursing gods/spririts), watch for situations like that and throw a few other patients in crisis in the middle of the main...

  14. patient questions

    meownsmile replied to lpnstudentin2010's topic in General Nursing

    Absolutely NOT!!! NO nurse should get aggrivated at a patient who is just trying to understand more about their condition and how to better care for themselves. That is what nurses are FOR!!!...

  15. What's This About Eating Sea Salt Only Instead Of Morton's That We Buy At The Grocery

    meownsmile replied to passing thru's topic in General Nursing

    Years ago, they added iodine to table salt because of goiters. The lack of or ability to ship fresh seafood like shrimp etc. kept people from getting enough iodine except for the market salt. Not...

  16. Are there still "cluckers" out there?

    meownsmile replied to 1Tulip's topic in General Nursing

    I dont know that its called "clucking" any more. Plenty of passive aggressives out there in middle management

  17. Crying about my job...

    meownsmile replied to LearningRN's topic in Medical-Surgical

    Sounds like everyone was having a bad day. This sounds a little cliche but s*** rolls downhill unfortunately. You are in your practice only 6 months or so,, and you still have a way to go before you...

  18. Why do some pt's bleed at IM injection site?

    meownsmile replied to EtoseLvr03's topic in Medical-Surgical

    It depends on the patient. If the patient is on coumadin, or takes large doses of asprin, getting subq heparin, or an active alcoholic they could bleed at the injection site without having accessed a...

  19. med surge staffing ratios

    meownsmile replied to findingmywayRN's topic in Medical-Surgical

    So you are saying 4-5 nurses, that is LPN's and RN's correct? I still would want to know exactly how many RN's are around on each shift. So actually they could work 1RN and 4 LPN's? Nope,, still...

  20. PleeeeZ help me with organization - vent

    meownsmile replied to starcandy's topic in Medical-Surgical

    Well as far as i know it is NOT like that everywhere. We carry large teams on my med/surg/ortho floor but if we have more than about 5-6 patients we have LPNs to help with meds, dressings, and pull...

  21. PleeeeZ help me with organization - vent

    meownsmile replied to starcandy's topic in Medical-Surgical

    Are you working acute care with 8-13 patients and no LPN? You are the only one passing meds and doing assessments, charting, discharges, admissions, new surgicals?,making calls, taking calls, and...

  22. Generation gap and attitudes towards work - hurting patients?

    meownsmile replied to pebbles's topic in Patient Safety Issues

    Uhgg,, save it for bar night or the facility picnic. Nothing says you cant have great working relationships with your co-workers without making a joke out of everything. If you need to then you need...

  23. ortho patient load

    meownsmile replied to caringRN's topic in Orthopedic

    You have a fairly good patient/nurse ratio. We routinely have 8-12 patients on our med/surg/ortho floor. It does get a little nuts at times, but you have to make sure you plan in your lunches and...

  24. level of function to expect post total hip replacement

    meownsmile replied to ren.lpn's topic in Orthopedic

    I agree, doing both at the same time wouldnt be advised. I dont know if you could get a dr to even do that. We have people that work with me that have had joint replacement and there is no reason...

  25. Prepare yourselves, the drug addict on Dr. Phil is a nurse.

    meownsmile replied to Judee Smudee's topic in General Nursing

    As far as the abusive wife(nurse) i didnt get to see it except in a few short bursts as i was at work. But for that i say,, noone knows what goes on behind closed doors. It isnt as easy as walking...