brownbook

brownbook

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All Content by brownbook

  1. Question about blood pressure medications

    brownbook replied to NoobRN's topic in Patient Safety Issues

    Great to learn new stuff in my old age. Never heard of isolate hypotension. Irregardless this discussion seems very academic. If the patient was in CCU, Swan Ganz, artline, etc. his isolate...

  2. CNAs starting IVs

    brownbook replied to BSMSCCRN's topic in Patient Safety Issues

    This! Whoever started the IV......a RN is responsible for assessing the

  3. CNAs starting IVs

    brownbook replied to BSMSCCRN's topic in Patient Safety Issues

    The whole issue is as clear as mud. I worked in a free standing ambulatory surgery clinic in California. We had a tech who had been a veterinary tech. She was one of our go to staff when we had a...

  4. Question about blood pressure medications

    brownbook replied to NoobRN's topic in Patient Safety Issues

    I'm not sure what "isolated" diastolic hypotension means? You can't give, or hold, a blood pressure medication based on one blood pressure reading (if that's what it means)? Retake the blood...

  5. Reporting coworkers

    brownbook replied to jaMcLPN's topic in Ambulatory Care, Clinic

    I hate it when old threads pop-up. I've responded to a few and feel like a fool.... thanks Allnuerses ?. I do enough stupid things during the

  6. 5 must-know tips for new RN

    brownbook replied to anm's topic in General Nursing

    It takes a while to find what works for you, but get a routine down and except for a patient coding or bleeding profusely try to stick to your routine. The 100's of interruptions are what cause...

  7. Mini Rant

    brownbook replied to ShadowNurse's topic in General Nursing

    Welcome to the great BSN ADN debate, this educational difference has been the norm for over 40 years. In "most" situations a bedside nurse in an acute care hospital has the same job and pay whether...

  8. Single mother working 12 hours night shift

    brownbook replied to NolaBCbabeRN's topic in General Nursing

    Good to be proactive. If when, the babysitting arrangements fall apart it's a mess! No great ideas

  9. Single mother working 12 hours night shift

    brownbook replied to NolaBCbabeRN's topic in General Nursing

    I had help so I've not dealt with your exact situation If you're working 3 twelve hour shifts out of a week including every other weekend, it seems the issue of getting child to school won't happen...

  10. Mini Rant

    brownbook replied to ShadowNurse's topic in General Nursing

    If you do what you love you'll never work a day comes to mind. Adding if you do what you love the money isn't that important. Anyhow I think nurses make good money.... which has never been my goal...

  11. Short term strategies for lifting a child.

    brownbook replied to nursenmom3's topic in General Nursing

    I love YouTube. I'm sure there are many nursing videos on transferring patients in various

  12. Mini Rant

    brownbook replied to ShadowNurse's topic in General Nursing

    With your experience I'd hire you in a heartbeat. Your hands on 4 years experience trumps a new grad whether ADN or

  13. RNs giving patient lab results.

    brownbook replied to Dperez201's topic in General Nursing

    You can't be so black and white! You would not tell a patient their blood glucose level prior to giving insulin? Even for a newly diagnosed diabetic this would be part of patient education. And...

  14. Trump's 'religious conscience'

    brownbook replied to PediatricMA's topic in General Nursing

    "My religiosity....my religion....". I guess because the topic is Trump's religious conscience comment I brought Christianity and Jesus into the conversation. I never claimed it was my religion or my...

  15. Trump's 'religious conscience'

    brownbook replied to PediatricMA's topic in General Nursing

    I love comments that start with, "Us _____ (fill in the blank) believe such and such". A Black comedian joked that when white people asked him, "What do Black people think about _____" (fill in the...

  16. Question about Code Beds

    brownbook replied to flipflopsNsweetTea's topic in Critical Care

    I was a house supervisor. Never heard of a code bed. Never heard of saving an empty bed in ICU for just in case there was a code. If ICU got admits that stretched staff beyond the 2:1 ratio I'd pull...

  17. Animal abuse

    brownbook replied to K8e's topic in Psychiatric

    This happened long ago so my husband doesn't remember the details...but when he was working Adult Protective Services he was trying to do a health and safety check on an elderly couple. They would...

  18. RNs giving patient lab results.

    brownbook replied to Dperez201's topic in General Nursing

    So you wouldn't tell a patient who's been IDDM for many years their Ac 1 level? How about a patient with a low H & H, the doctor has discussed all the treatments and options, told the patient...

  19. RNs giving patient lab results.

    brownbook replied to Dperez201's topic in General Nursing

    Your reply is makes sense, but is confusing at the same time ?. Maybe you or your "boss" should discuss, review, the policies with that doctor, maybe he is confused also. The "old system" was a little...

  20. RNs giving patient lab results.

    brownbook replied to Dperez201's topic in General Nursing

    I'm very confused. The patient is discharged home and calls you at work, at the hospital, for lab results from when he was septic in the

  21. Holding HS Meds

    brownbook replied to Newgurl17's topic in Geriatric, LTC

    Great, that explains a lot. Your protocol is to notify the RN, (and document that you did). Did you notify the RN about holding the trazadone and seroquel? I can completely understand why you held...

  22. Holding HS Meds

    brownbook replied to Newgurl17's topic in Geriatric, LTC

    Okay, so scheduled meds, what I said applies, the doctor must be notified, UNLESS there is a written protocol for patients in your special care

  23. Holding HS Meds

    brownbook replied to Newgurl17's topic in Geriatric, LTC

    I do not know the routine or protocol of special care units. You mentioned that in other units you "we're instructed to" hold the medications. In regular acute care hospitals you cannot NOT give a med...

  24. Stupid mistake when being observed

    brownbook replied to Zippy83's topic in General Nursing

    You're not human if you don't have some degree of performance anxiety in a situation like this. I feel the tension in my shoulders. IF I can catch myself, I take a deep breath and slowly shrug my...

  25. Texting a Dr.

    brownbook replied to adn_nursingstudent's topic in HIPAA Challenges

    I'm no HIPAA expert. But I know of several situations where patient information was inadvertently given to a different patient. No need to explain, each situation was different. My point is that...