brownbook

brownbook

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All Content by brownbook

  1. Patient face-down ok?

    If the family has been doing this for several months or years and the patient tolerates it, maybe it's okay. But there may come a time he doesn't tolerate it as well. Can he lift his head, turn it...
  2. Terrible experience with nursing staff

    This times a hundred. A local hospital remodeled and has a waterfall in the lobby. That's where I want my healthcare-insurance payments
  3. Airway Maintenance During Seizure w/Trach

    There is not a black or white, right or wrong, answer to your post. Seizures can be, are, as different as snowflakes. No two are alike. Yes the airway is important to focus on. You need to get...
  4. I concur MunroRN. How much of a difference are you registering? Ideally an irregular pulse is taken via the radial artery for one minute. This would be if no pulse oximeter or telemetry was available....
  5. Terrible experience with nursing staff

    Thank you for that very informative link. I finally realized what really bothers me about your post. It's the expectations of some American tourists or Americans who move to developing countries. They...
  6. Terrible experience with nursing staff

    I'm glad to see you're feeling we'll enough to post such feisty comments here. Maybe in a backwards way I'm helping you recuperate. Get your mind off your
  7. Terrible experience with nursing staff

    Tell me exactly what you want me, Alnurses, or anyone to do? I have no idea what the governing body for hospitals in Brazil is. Thus I suggest you contact the American Embassy. I am really sorry you...
  8. Terrible experience with nursing staff

    You moved from, I assume the USA, to Brazil to live with your boyfriend. Lived there for several months. And just now realized Brazil is tragically suffering a severe economic downturn? It's health...
  9. Gloves at all times?

    You're correct. An immunocompromised patient is going to be on strict precautions. No one is going to touch non-intact skin with their bare hands. Hopefully the nurse knows something about their...
  10. "My Nurse"

    The House Supervisor, a fellow RN, I recieved report from often said, "my nurses". I don't think it's a great way to refer to the nurses. But I knew her, knew nothing demeaning was meant by it. When...
  11. Rapid response

    I'm not trying to argue. But I wonder how researchers can evaluate if oxygen, "takes away some of the more pleasant aspects that naturally occur in the dying process"? How do they know if the patient...
  12. RN left alone

    I understand your concerns. You've run into some difficult situations and your manager is an idiot. Talk to your supervisor. Give him the specific example of the deaf patient. Ask him for suggestions...
  13. Taking Off Orders

    Is this something to do with computer orders? Or pen and paper orders written in a chart? I'm confused why you can't verify an order that was written when you weren't
  14. How to count Narcotics?

    Which time does the signing of the narcotic book confuse you? 1) Coming on the shift? 2) When you give out the narcotic? 3) The end of the shift for the oncoming
  15. Is the a free 12 Lead EKG online?

    Yes, You Tube videos will go over where to place the leads. Different equipment may vary on what buttons to push, how to enter the patient's name, age, sex, etc., but the machines are usually...
  16. Is the a free 12 Lead EKG online?

    Have you looked at YouTube for how to read EKGS? I'm not going to do your homework for you ?, but I would be very surprised if there weren't many free videos about how to read 12 lead
  17. "Just a Med/Surg Nurse"

    I love your story. So great the Kaiser RN was there. I wish the Kaiser nurses's letter could be posted on every staff bulletin board. And all doctors should not be able to ??? use the hospital...
  18. RN left alone

    I agree completely. LASRN3911 are there code buttons within easy reach? An anesthesiologist, surgeon, scrub tech and OR nurse are right down the hallway. When I worked on call PACU I was alone. The...
  19. I don't have, remember, any numbers but am very cognizant of the bodies amazing ability to adapt to slow blood loss. People can be functioning normally, some shortness of breath may be the only sign...
  20. Lazy patient

    I meant I would clean the lazy patient if they were being discharged. I can't imagine getting a poopy, urine soaked, patient into a wheelchair and helping them into their caregivers car,
  21. Keep asking full time staff to do overtime

    I was a house supervisor for five years 11 pm to 7 am, every other weekend, holidays, etc. The basic staff for each unit was pre-scheduled. However I had to cover sick calls or unexpected increase in...
  22. Lazy patient

    I've never encountered this situation. I hope it doesn't happen to you often. If the above patient was ready for discharge I couldn't in good conscience send them home like that. I wouldn't blame...
  23. Lazy patient

    There's taking care of, there's enabling, there's learned helplessness. Takes common sense, book learning and street smarts to figure out what you're dealing
  24. Can I refuse an infant patient??

    Do you, or are you required to, have
  25. I've only read one book with a nurse as the main character. The nurse ended up being the murderer. Which I think is humorous. Of course the depiction of nursing was inaccurate (not that a nurse...