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brownbook

brownbook

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  1. brownbook

    Pit Bull Service Dogs

  2. brownbook

    Thoughts on vegetarian/ vegan diet

    Big NO. If it isn't, it should be, waaay out of a nurses scope of practice to advise patients on their diet!
  3. brownbook

    Conflict of Interest

    I think this smells like a troll. At the very least it's very inappropriate to give so much detail about this man. Wasn't there any disclaimer at the meeting about, "what's shared in this meeting stays in this room." Other posts by LPN-BSN (whose user name makes no sense) have been just as odd.
  4. Yeah, no, you lost me at your reply too Ruby Vee. "You are what’s wrong with the way nurses treat one another and I don’t need a lifetime of experience to see that. You could have easily been kind, but chose to be rude instead. I pity the struggling new nurses that are ever taken under your wing. " These are rude responses. “You’re a dumb cry baby, your coworkers don’t have to be nice, shut up and get over it” were not in Ruby Vee's reply. I have been reading Ruby Vee for ???? 10 years. She is one of my top favorite's on Allnurses.
  5. Scientifically speaking...changing your toothbrush after an illness is a myth. "Our bodies have a natural defense system against germs....you are exposed to ...germs constantly but your immune system is able to fight them off...these antibodies keep you from catching the same flu or cold twice. Therefore, the cold or flu germs on your toothbrush after your illness won't reinfect you. The same goes for many other germs on your toothbrush." However I am not sure if the same thinking applies to cold sores and herpes simplex virus? However since I never think about "hey...I haven't changed my toothbrush in a while...maybe the bristles are worn down to a nub...." it certainly doesn't hurt to change your toothbrush more often. And of course major toothbrush makers love to post the change your toothbrush after a cold advice.
  6. brownbook

    Abraham Lincoln and Rebecca Pomeroy

    Thanks, that was amazing...it'd make a great book or movie.
  7. brownbook

    Lab Coat or No

    I wore one in acute care. I agree it gives a little air of authority. I don't know if staff were "fooled" , but occasional "situations" with patients or visitors it "maybe" had an effect??? Am I over using quotation marks? I agree with Wuzzie also.
  8. brownbook

    Rapid response in the clinic

    I'm no expert.... hopefully you don't have that many RRT incidents. Even in the hospital RRT do patient care and go to lunch. The few moments it should take to tell a patient you are needed for an emergency and a coworker will take over, and someone at lunch just has to finish their lunch later. Or if they leave the facility for lunch assign a coworker to cover for them.
  9. brownbook

    Help with NCLEX-RN – Let’s do some sample questions

    I love this. Graduated in 1984 and worked mostly acute care bedside nursing. I often wonder how I’d do on the NCLEX. I didn’t do that great.....but I was taking the quiz on my phone while walking my dogs....so that’s my excuse and I’m sticking to it.
  10. brownbook

    Catheter Change Question (May seem stupid!)

    And please.... there are no stupid questions. I've been a nurses over 35 years and I have never come across this issue. I maybe giving you had advice. It's best to ask the doctor.
  11. brownbook

    Catheter Change Question (May seem stupid!)

    Assuming you're changing catheters on patients who have had indwelling catheters for days....or months... I would feel comfortable sending them, or their care giver, home with documentation that they knew to call their PCP, or go to the ER, if no urine appeared within ????? an hour or so?
  12. brownbook

    Burnt out floor nurse looking to make a change

    There is acute care hospital PACU/Pre op and out patient surgical centers PACU/Pre op. Out patient is easier than acute care since the patients have to be healthy/stable enough to go home. The hours are similar to acute care but you don't have to be on call. You may find it too easy, routine, worry about losing your acute care skills. Acute care can be intense, critically ill post op surgical patients with every drip and line you can imagine. And PACU nurses have to be on call. Which I hated, but other nurses loved the big bucks. The hours for both are usually 6 am to 6, 7, 8, pm when OR cases run over. Both are usually closed weekends and major holidays. You're usually only with each patient 1 - 2 hours as opposed to an 8 hour shift with the same patients and possibly facing them again the next time you work.
  13. brownbook

    What is most important to chart on?

    I can't love JKL33's post enough. I've been a nurse 35 years in 3 different hospitals and always in the float pool. So I've met a lot of nurses in a lot of different units. I have never met a nurse who was sued or in a court case. I've never even heard a rumour of this happening to any nurse in a facility I worked in. Of course it happens, I wonder if a stressed rushed nurse worried about keeping up with her charting was a factor in the error. I'm a terrible "charter". I will spend 10 to 20 minutes at my patients bedside even if they just want to talk, then rush through some of the worst charting you can dream of at the end of my shift. To be blunt I'd rather leave my shift with a well cared for patient than a perfect chart.
  14. brownbook

    CNA, Mom and first time working night shift

    All answers are correct. Including mine :). It's best to not obsess over when or how much you sleep. Do not count the hours of sleep. Go by how you feel. I worked nights 17 years when my kids were 5 and 11. I only worked 32 hours a week. I did not follow any of the above advice and functioned fine. I think it is at least 50% genetics how people adapt to night shift. I believe nurses who said they couldn't work nights, it made them physically sick. I'm just saying find what works best for you.
  15. brownbook

    ADVICE PLEASE,

    Review basic telemetry readings. PQRST, normal sinus rhythm, tachycardia, bradycardia, etc. Just stick with the basics. When you're really comfortable with a normal EKG, normal P - R interval, normal QRS, etc then at first you may not know what to call a rhythm but you'll know it doesn't look right.
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