Patti 2nd gen RN

Patti 2nd gen RN

L&D, medsurg,hospice,sub-acute

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All Content by Patti 2nd gen RN

  1. For all who have or do work in a nursing home....

    Patti 2nd gen RN replied to skittlebear's topic in Patient Safety Issues

    I work on a rehab--on nights, each nurse has 16-20 patients. Nights by nature are feast or famine-- The way to make it work is to pick your

  2. Do you trust automatic "vitals" machines??

    Patti 2nd gen RN replied to Fairlythere's topic in Scrubs, Uniforms, Gear

    At a rehab---many of our older, most reliable nurses aides have difficulty hearing--new VS machines a Godsend!!! But with irreg. HR's, they don't really do well--so certain patients are noted to need...

  3. The physician made a mistake; can I get my money back?

    Patti 2nd gen RN replied to SharonH, RN's topic in General Nursing

    The misdiagnosis, and the unacceptable wait for surgery DO count--(esp. with no communication on updates, and no emergency alternatives offered)-was that followed up on?? Mistakes happen to everyone...

  4. AAMC vs. Shore Mem

    Patti 2nd gen RN replied to Jules A's topic in Maryland Nursing

    Used to work at AAMC--VERY VERY legalistic, and long hx of eating it's young---even the doc's call it 'nurse unfriendly'--ex:--when I left, they were madatorily changing people's 12 hour shifts with...

  5. How do you stay cheerful and bubbly during work?

    Patti 2nd gen RN replied to tattooednursie's topic in General Nursing

    I agree!! Who told you Bubbly was part of the job description anyway??? Sometimes bubbly is downright INappropriate--peaceful, caring, supportive,--and sometimes, when a patient knows you, and you...

  6. Where to wear gloves?

    Patti 2nd gen RN replied to natrgrrl's topic in Rehabilitation

    Gloves are okay outside of patient rooms for carring dirty bags, etc.... Otherwise--NO you are not

  7. Question

    Patti 2nd gen RN replied to CashewLPN's topic in Rehabilitation

    Maryland: Days:4 or 5 nurses (a least one RN) for 40 pts/ 4-5 techs--sometimes a med aide, unit secretary works 10a-6p Eves:4 nurses (at least one RN) for 40 pts--occasional med aide--4-5 techs...

  8. Behaviors and Call Lights! Help!

    Patti 2nd gen RN replied to carolbear's topic in Geriatric, LTC

    absolutely--they shouldn't have been admitted in the first place--but it's not the don's and the administrators who whave to deal with these patients on a daily basis and be abused and emotionally...

  9. Behaviors and Call Lights! Help!

    Patti 2nd gen RN replied to carolbear's topic in Geriatric, LTC

    I tell them--there are this many staff to this many patient tonight--if you call, a reasonable time period is 10-15 minutes--the oriented ones are usually shocked at how few night shift staff there...

  10. Behaviors and Call Lights! Help!

    Patti 2nd gen RN replied to carolbear's topic in Geriatric, LTC

    Ours did--and does--Thank God--we work as a team and the first sign of anything they can be sent to the hospital for they are out--and listed as a 'do not re-admit'--Some of them take more paper...

  11. I Feel Like Hammered Poo-Poo

    Patti 2nd gen RN replied to tencat's topic in General Nursing

    Give it at least 2-3 months--especially if you have never done it before. I have been a nurse for 20 years, used to rotate (that's really hard), but now work exclusively nights. When I had to work 2...

  12. subQ narcotics?

    Patti 2nd gen RN replied to khine2mn80's topic in Patient Medications

    I have worked both inpatient med-surg and now on a rehab unit--as an RN I can give IV push narcotics, the LPN's either get one of us to help, or give it via slower IVPB--As for SC--yes--have given it...

  13. Heard of Ambien lowering b/p?

    Patti 2nd gen RN replied to Holly27's topic in Patient Medications

    I know I have seen it lower high (90-110) heart rates in anxious

  14. Antipsychotics in Alzheimer disease

    Patti 2nd gen RN replied to VickyRN's topic in Patient Medications

    And their suggestion for keeping people safe instead is

  15. Urine Drugscreens without pt's permission?

    Patti 2nd gen RN replied to GardenDove's topic in General Nursing

    Anybody out there know a list of which states require consent for HIV/needlestick panel testing and which don't??? I worked in a place where a patient refused conset tothat testing after a pregnant...

  16. Colorado - Illegal Immigrants no longer eligble for state health care

    Patti 2nd gen RN replied to hope3456's topic in Activism, Healthcare

    All the more reason to make citizenship something that means something important--that it is something to be earned, valued, and not taken for granted--all the more reason that we need to do better...

  17. Christmas Songs For The Psychiatrically Challenged

    Patti 2nd gen RN replied to lozza81's topic in Emergency

    So--is ther any "black humor" that you do enjoy?--each speciality has some of these--OR, L&D, geriatric, etc--I have worked in several specialities, and making light of difficult things does not...

  18. I had to take care of druggies today, and was disgusted!

    Patti 2nd gen RN replied to RN 4 U's topic in Virginia Nursing

    Any patient who refuses to take responsibility for their own health issues, and lies and manipulates staff, is of course frustrating. And there's nothing wrong with professional venting--so long as...

  19. is this abuse

    Patti 2nd gen RN replied to southernlady48's topic in Geriatric, LTC

    --Not all of us--I agree with you!!! Remarks like this are very relationship dependent, and without the context, we are missing much of the story. And there wass no comment about the patients general...

  20. Racism: Expanding Compassion

    Patti 2nd gen RN replied to firstyearstudent's topic in General Nursing

    The fact that you are acknowledging that we all make generalizations of one sort or another is a first step--very responsible--and in itself may take you farther than you would think. When you hear...

  21. NP's are okay to see if you have a cold, BUT...

    Patti 2nd gen RN replied to Jo Dirt's topic in Nurse Practitioners, NP

    I love going to see the NP because she listens better than the doc's most of the time--coming from a foundation in nursing and not doctoring changes thier perspective on treating the whole person--on...

  22. RN school and tattoos?

    Patti 2nd gen RN replied to DirtRoads's topic in General Nursing

    The definition of what looks professional will change depending on where you are and when you are practicing. Having tattoos or peircings, wearing scrubs with a variety of patterns, wearing perfume or...

  23. Writing lots of incident reports each night, is this normal for you in LTC?

    Patti 2nd gen RN replied to Elektra6's topic in Geriatric, LTC

    Yes to msnursekim!!! Our aides are invaluable, and have an understanding of patients that often gets overlooked--validate them by asking for their input whenever you can!!!They have a huge, and dirty...

  24. PICC line flushes

    Patti 2nd gen RN replied to mkflorida's topic in Infusion, Intravenous

    My facility also has a policy that you syringes must be more than 3cc as 3cc has too much pressure behind it--we always use 10cc or larger. We also, as a sub-acute unit, use PICCs for a long time, and...

  25. Experienced nurses answer this...

    Patti 2nd gen RN replied to willdgate's topic in First Year After Licensure

    Didn't mean to offend people who have paid their dues and would rather use skill acquired through long years of hands on care to support nurses--it was meant for NEW nurses--and for them, I do believe...