kindaquazie

kindaquazie

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All Content by kindaquazie

  1. Maureen Walsh Meme Nurses Week Contest

    Inventor of Cards Against Humanity: Nurses'
  2. stroke certification

    The American Board of Neuroscience Nurses has now developed a certification in Stroke Nursing. The CSRN examination will be available in May of 2013 and information is available at
  3. Anyone used music as an intervention?

    Please try to incorporate input from a qualified music therapist. Music therapy is more complex than most of us realize. You can find a qualified therapist in your area by going to...
  4. What to do about disruptive behavior?

    One: Learn from this and NEVER do it to another nurse. Option A: Go to the offending nurse, state that her behavior was against policy and inconsistent with professional behavior, however, let her...
  5. This is EXACTLY why I don't like taking Verbal orders

    Per the Joint Commission, what you are describing are telephone orders, which are different from verbal orders (although both are spoken). Verbal orders are those given while the provider is in your...
  6. This is EXACTLY why I don't like taking Verbal orders

    Dear Godfather RN: I don't disagree with you because I too was an ICU nurse for a very long time. My primary surgical population was neurosurgery. It is very different when you work in ICU and in a...
  7. This is EXACTLY why I don't like taking Verbal orders

    Use the facility policy. If the physician still refuses to write his orders, invoke the disruptive physician policy. Do NOT rely on your charge nurse/director to handle this. Send an email to your...
  8. HIPAA violation or just a bad decision?

    Any and all photography of any patient is a horrible violation and the person should be ashamed. There are some exclusions, histological samples..., but these are usually listed in the conditions of...
  9. Does the Clinical Ladder violate Labor Laws?

    The issue is this: Any individual ADN may be better than any or every BSN new graduate nurse, however, scientific studies are based on aggregates. In the aggregate, hospitals with more BSN nurses...
  10. I fully agree with and support the concept of nurses as an important political constituency. However, we should not focus on issues that divide us. Not every nurse is pro/anti abortion, seat belts,...
  11. Looking for advice! NP vs. MD

    I am an Acute Care Nurse Practitioner and Doctor of Nursing Practice. Nursing and medicine are disperate but complementary entities. I like to say that the best physicians practice nursing without a...
  12. Fictional vital sign charting

    As for the CNA training/education regarding VS... The RN has legally delegated this responsibility to the CNA and therefore is responsible to validate their understanding. It only takes a couple of...
  13. Fictional vital sign charting

    Of course any fraudulent charting should be reported immediately. There is most likely an issue that goes far beyond this one CNA, like a system that does not provide enough staff to meet the needs...
  14. nurses are science majors. as such, in the consideration of any "intervention" it is essential to weigh the best available evidence. is there any research evidence suggesting that nurses who smoke...
  15. Compassion or reality for obese patients?

    Compassion: sympathetic consciousness of others' distress together with a desire to alleviate it. There are no harsh words you could say to someone who is fat that they have not berated themself with,...
  16. 0.45% NS is Hypernatremia?

    This is where nurses sometimes falter in my opinion, wanting an isolated, easy answer. The truth is that fluid and electrolyte disturbances are something you will see every day of your nursing career...
  17. What a blow to my ego

    It is not because you are a student. I am an experienced ICU nurse and very competent. Frequently, when attempting to give report to a night RN, I encounter the very same attitudes. I let them know...
  18. Another nurse bites the dust due to facebook

    As health care providers we have a non-negotiable contract with the profession spelled out in our Code of Ethics for Nurses. Clearly, this nurse violated that contract. Why, to aggrandize her own...
  19. Curious...using the title "Doctor" for a DNP...

    Absolutely not! That statistic comes from the IOM report Crossing the Quality Chasm: A new health system for the 21st century and did not specifically mention NPs. What I am saying is that...
  20. Curious...using the title "Doctor" for a DNP...

    One of the driving forces behind the DNP is NOT politics but research translation. The application of all those wonderful RCTs in the real world is challenging and often fails to produce the results...
  21. Spinal protocols

    This question has come up frequently on this board. In our hospital, a level one trauma center, we remove the patient from the backboard as soon as they get their CT scan. This occurs usually within...
  22. I need your help Allnurses.

    If the program you are in leads to an Associate's degree, take something that will help you when you go to get your Bachelor's degree, like nutrition or psychology or organic chemistry. If you are in...
  23. Things you'd LOVE to tell the doc and get away with it....

    Thank you for being such a caring, collaborative, respectful physician. It is a pleasure to work with you to achieve the most favorable outcomes for our patients and their families. I wish every...
  24. You cant be fashionable for nursing.

    I usually try to wear something white, like a coat. Every person in the hospital wears scrubs, even the housekeepers. I think people, especially older people, equate white with nursing. It...
  25. You cant be fashionable for nursing.

    I told them that they had valuable training and education that they could use to the betterment of patients. That they should speak up, respectfully, if they felt something was wrong or "not quite...