dream'n BSN, RN

UR/PA, Hematology/Oncology, Med Surg, Psych

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All Content by dream'n

  1. dream'n

    16 hour shift- turned into 19.5 hrs

    The on-call nurse should be disciplined. She is responsible to cover any shift she is on-call, therefore she should have had childcare already set up in case she was needed to come
  2. dream'n

    what should i have done.

    I'm confused. You say that the patient was combative enough to refuse assessments, vitals, etc., but on your 3rd shift he was practically vegetative. That right there would have put me on the line...
  3. dream'n

    NG Tubes

    They want to take acute med-surg patients, but not provide med-surg nurse
  4. I've found my Med-Surg skills invaluable working in psych. Particularly due to Munchhausen and factitious disorder possibly encountered in this patient population. These particular patients can be...
  5. dream'n

    Peer feedback

    This seems like a common complaint from CNAs. I guarantee you that I've never seen "all the nurses" chilling in the break room. Many CNAs have gone on to become nurses and are shocked to find out...
  6. dream'n

    Insulin error

    No I see no rationale for giving someone that isn't going to eat right away and with a BS just over 100 any Humalog at all. Remember that Humalog is rapid acting insulin, not a sustained/long release...
  7. dream'n

    Insulin error

    The OP said it was
  8. Didn't you get the memo Emergent? Just read some of the responses in the thread about the fed up, irritated ER Dr; she wasn't a coddling Saint (gently wiping the furrowed brow) and therefore must be...
  9. dream'n

    Los Gatos ER Physician in the News

    Definitely more to the story than this video. The family is angered that he had to wait "3 hours", that's when she responded that he was the least sick and that other patients were dying. Her...
  10. dream'n

    Student Nurse Med Error

    Refine you 'brain sheet' Put an area on it for important information that you must check off before you leave. Sometimes running around busy and learning of or thinking of something important can...
  11. dream'n

    Do you look up the push rate for IVP meds?

    Unless I'm familiar with the medication's push rate, I always look it up. Remember that IV medication mistakes can be much worse than with an oral or injectible administration. This is because after...
  12. dream'n

    New Grad-Insulin

    Seems like a high ratio with minimal training for a new graduate. When you say it's an 8 patient unit with one nurse, do you mean that you'll be the only nurse on duty? Is this a hospital with acute...
  13. dream'n

    Should I feel bad for not picking up shifts?

    Why feel guilty? The problems at Location B are not under your control, you can't fix them. Why take more stress upon yourself (we have enough as it is) for things that you aren't responsible for....
  14. dream'n

    Gloves required for ALL oral meds.

    I've given Geodon a million times, but only in the pill form. Thank goodness my psych unit is for physically healthy youngsters so no medication crushing needed. I do have to cut meds on occasion so...
  15. dream'n

    Charles Cullen and Other Healthcare Serial Killers

    You're talking about Cathy Woods and Gwen Graham; they were the CNAs that killed nursing home patients in the 80s I believe. Genene Jones from Texas is still in prison, she was due to be released but...
  16. No "excessive smiling" in the halls. Wait...what?? And why does this make me
  17. dream'n

    Legal ramifications at facility

    Dakin's is so expensive to buy, but very cheap and easy to
  18. I respectfully agree to disagree. I don't want to argue or further explain myself, but my decision is not selfish. Let's drop it and move
  19. I am not, nor are my loved ones, signed to be organ donors. This decision has been well thought out and is personal. What bothers me is the judgement of some people that attempt to make our decision...
  20. The initiative is for a MAXIMUM staffing ratio. Nurses could have LESS patients due to clinical complexity, but not more. It states that nurses could not have MORE than x number of
  21. dream'n

    Is there CMA to RN bridge programs?

    No, there are no bridge programs for Medical Assistant (certified or not) to
  22. dream'n

    I know it's hard. But is it really that hard?

    Unless you've worked in the Health Care field, learning nursing lingo can be a challenge for some. It's like learning a whole new language while also learning to be a nurse. The poster that said the...
  23. dream'n

    Hiring an RN into private practice

    A physician will not be in the office at all times. Does that occur at your clinic? Something doesn't sound legal about a Tech, a Medical Assistant, or a non-medical person performing these...
  24. What the h*** kind of unit is that? I'd leave it immediately. I've been nursing for years and years, but I certainly couldn't jump in and do Tele or Peds on the 1st day by myself without
  25. dream'n

    For new or prospective Psych NPs

    Shows how manipulative teens may be, or rather how gullible these parents are. Hope the kid has been flushing them and not saving them up for a suicide attempt. I also hope you've already notified...