meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. is this legal?

    meownsmile replied to dcnballmom's topic in General Nursing

    There is a certain amount of nursing judgement that can play into this type situation. However, you have to know your doctor and need to have been in conversation with them regarding patient care....

  2. I know this is wrong - but how wrong is it?

    meownsmile replied to papergirlRN's topic in General Nursing

    All computer use at my facility is monitored. If we are caught accessing even our own labs without permission from the hospital we can be fired. Our access allows only those patients we are caring...

  3. Stethoscope parts

    meownsmile replied to kap1492's topic in Scrubs, Uniforms, Gear

    I also sent my littman in for refurbishing, they did it free because it was under 5 years old. And i had to have the reciept to show when it was purchased, otherwise it would have cost me a fee. But...

  4. Any nurses out there who think express care should not exist?

    meownsmile replied to JessicRN's topic in Emergency

    I thought that was the idea of triage. I realize people abuse this care because they dont have a personal physican. Most people that go in for things like that are the same ones who complain about...

  5. I wish someone would write a book about....

    meownsmile replied to mycatmax's topic in General Nursing

    I think its just husbands. I tell mine all the time when i get how little i do at work that my job is as much mental as it is physical. His is physical. Its two different kind of tireds. So when...

  6. Question about FFP transfusion

    meownsmile replied to astnm's topic in General Nursing

    We use blood tubing also. But when in doubt and you can find the PP in the book,, blood bank in the hospital can give you some good ideas and advice. They usually know protocol and are willing to...

  7. I need to vent, everyone is mad at me for quitting the "superhospital"-long story

    meownsmile replied to NurseLatteDNP's topic in General Nursing

    Noone should be upset with you. Unless they are going to drive the drive, work the shift, and take the heat its all your decision. I doubt the smaller hospital will be that much lower in pay but you...

  8. does bladder irrigation have to be aseptic technique?

    meownsmile replied to matt59's topic in Patient Safety Issues

    I second supernerf, well

  9. Abuse From Management

    meownsmile replied to boomer1's topic in General Nursing

    Not sure what her situation is but if someone starts yelling at her in hallways or in front of other staff about all you can do is listen but you dont have to respond. However, later i would sure...

  10. Nursing Surplus?

    meownsmile replied to sgmanda's topic in General Nursing

    I saw that early 90's situation too. There were a few RN's that were laid off and I actually had to cut back to part time to keep from being laid off. Not sure what the situation was, i was just out...

  11. 60 Second Tube Feed Stop********

    meownsmile replied to Kymmi's topic in General Nursing

    SInce most patients with tubes need repositioned at minimum of every 2 hours to stop a tube feeding for any more than 5 min. prior to reposition would drastically change the total calorie intake for...

  12. looking for some advice

    meownsmile replied to colleennurse's topic in General Nursing

    Dont discuss it with your manager until you make the decision and have been hired by another place. It doesnt matter if you want to go per diem or not, that shouldnt be a problem but if you approach...

  13. Mixing GT meds

    meownsmile replied to Mrs. M.'s topic in Geriatric, LTC

    You have to use reasonable common sense. Of course if a patient is getting 15 plus meds, anyone is going to expidite the matter and not give each one with 5ml of water to flush following. Time wise...

  14. Mixing GT meds

    meownsmile replied to Mrs. M.'s topic in Geriatric, LTC

    I can totally see the rational behind the practice of giving one at a time and flushing after with 5 cc. Although time wise its not always feasible to do it that way. Only problem is if you arent...

  15. I need a Buddy!

    meownsmile replied to Ivanna_Nurse's topic in General Nursing

    It never gets any easier. Its been 5 years since i took mine and i STILL remember that nauseated feeling after i left after only 76. Hadnt ever felt like that after a test in my life. I passed, you...

  16. Irrigating foley catheter

    meownsmile replied to nursenatalie's topic in Medical-Surgical

    We use normal saline at the bedside for hand irrigation to remove clots following CBIs. We don't warm fluids though. Haven't ever had anyone complain of bladder spasm because of it although it may be...

  17. anyone have a nose ring?

    meownsmile replied to rsjenni's topic in General Nursing

    I think it depends on the facility. LTC they may not be as picky but a lot of hospital settings are even making changes as to whether their employees can wear their rings, or necklaces. Which i dont...

  18. What about me?

    meownsmile replied to tigress_8207's topic in General Nursing

    Ask questions as if you are interviewing them. Let them tell you some things about them that would make you WANT to work for them. What type of continuing education do they offer if any. How...

  19. "Only" four patients yet so crazy!!!!!!!

    meownsmile replied to christvs's topic in Medical-Surgical

    I have days like that. It seems they are getting more frequent also. But,, the second day it usually gets better because you are prepared going in for what you have to do. The first day of that...

  20. Do you call your physicians by their first name?

    meownsmile replied to I<3H2O's topic in Medical-Surgical

    In the professional setting i only use their title with proper name. If i am in a social setting (school function with kids, athletic meets/games) i may use their first name. It depends on how long...

  21. Why do docs give D5 to diabetic patients a lot?

    meownsmile replied to Shell5's topic in Medical-Surgical

    What is their nutritional status? If a diabetic isnt eating or eating poorly they may use D5 to keep the blood sugar from bottoming out. The balance sometimes is better than constantly adjusting...

  22. Government classifies nurses as 'unskilled workers'

    meownsmile replied to karensflowers's topic in General Nursing

    If nurses are unskilled what does that make

  23. FINALLY a lower ratio

    meownsmile replied to icuwant2rn's topic in General Nursing

    The issue will be,, well this patient might leave today anyway. Or,, this one is being transferred pretty soon anyway. Then noone leaves until after your shift ends and you have had 10 again all...

  24. tid dressing changes

    meownsmile replied to snwflknurse's topic in Medical-Surgical

    Would be once a shift in my world too. I would automatically put it on q 8 and make a note on the MAR with scheduled times,, easiest would be at the end of each shift. 1400,2200 and 0600. That way...

  25. Preceptor woes....

    meownsmile replied to InfoNurse81's topic in General Nursing

    Actually simply telling her that you learn better when you do the procedure or set the pump or whatever. If she jumps in and starts to do it,, just remind her,, "excuse me but i really need to do...