GardenDove

GardenDove

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All Content by GardenDove

  1. carpuject injectors

    There are two kinds, one is bulkier and you twist it into place attach it on the bottom. It automatically engages the top thing, so the medication comes out. The other kind is simplier and you have to...
  2. Maintaining a Professional Attitude?

    I usually say "I'm so sorry you're feeling this way". It diffuses the situation without agreeing with them. I don't argue with people. But I don't get intimidated
  3. Damage control? Or just more damage?

    My advise is to turn off your computer and go read a
  4. Why do some DON's and Admin's treat nurses so badly?

    Wow, it's a cruel heartless world sometimes. I'm sorry about this. I'm not surprised at their cruelty, they are just thinking of themselves and their bottom line. All they want is a warm body, like...
  5. DNRs and ACLS

    Can a DNR/No Code receive anything else from ACLS, other than being shocked or intubated, or does everything need to be ordered specifically by a doc? I was talking to my co-worker last night, I had...
  6. Should I worry???

    Incidentally, this very same scenario happened to me once, the pt was an outpatient sx that I ended up doing the second stage recovery for. All of a sudden he developed high BP, which he had never had...
  7. Patient as Customer model of healthcare

    Hi Holly, that seemed like good general
  8. Hospital vs Hotel

    Their website is poorly designed and difficult to navigate. checked it out, they might have fancy music, but it's nevertheless not a well crafted
  9. DNRs and ACLS

    OK, I'm going to send my manger a link to this thread. Thanks for the post Suzanne4. It sounds like this whole issue is muddy waters still for
  10. Hospital vs Hotel

    Very good point. It feeds the unrealistic demands of many people. Unfortunately, this is a result of our healthcare system that is competing for healthcare dollars in a capitalistic
  11. It sounds terrible. Maybe you can get a roomate to help with the kids? Do you have family nearby? How old are your kids? I agree, just get any job for now, or apply for public assistance as a...
  12. Hospital vs Hotel

    It does exemplify the patient as customer model of care, doesn't it? Yes, I notice they didn't mention
  13. Should I worry???

    Maybe you want to discuss this case with risk management for a chart
  14. Families, are they getting more demanding?

    And don't you forget it, bucko! Now sit up straight and mind your
  15. How do they handle low census where you work?

    I presume a PRN nurse is a per
  16. Why do I seem so SLOW?!

    When I worked in the nursing home, many of the fulltime nurses who had worked there a long time practically had the meds memorized. Also, many took shortcuts. 2 hours sounds about right for a med pass...
  17. Should I worry???

    As long as you documented your discussions with the doc, you DON is FOS if she rags on you. Good idea to also chart "charge nurse
  18. How do they handle low census where you work?

    Where I work, the per diem nurses are the first required to go home if no one else wants low census. However, I believe the nurses with an FTE have first choice as to if they'd like to leave. In other...
  19. DNRs and ACLS

    I just got off the phone with my manager. She said every case was individual, and that a no code pt can be treated under ACLS at times, if you want to convert their rythm, for example, as in the case...
  20. Families, are they getting more demanding?

    Precisely my point, Tweety. I also wouldn't want to go back to the days of 'Doctors as God' model. Yet people were more respectful in those
  21. DNRs and ACLS

    Yes, that's what I'm wondering. I'm going to discuss this with my manager for clarification, for
  22. DNRs and ACLS

    Oh, but in our unit we have epi, atropine, and lidocaine at the bedside. If the pt has a symptomatic bradycardia, for example, we are able to give them 0.5 of atropine, then call the doc. You don't...
  23. DNRs and ACLS

    Under ACLS you don't have to wait for a full fledged code to operate under it's algorythms. That's my distinction. Say a pt is a no-code and goes into SVT or perfusing V-tach. You want to get them out...
  24. DNRs and ACLS

    This pt wasn't coding, he was in a perfusing V-tach. So we can't do any protocols under ACLS for a no code if the pt is DNR? In this case, the pt had just arrived right before I arrived at 1900. I was...
  25. ICU Staffing?

    This is a very naive POV in my opinion. I think all evidence points to the fact the God doesn't intervene directly in human affairs often, and it's up to human beings to advocate for what is good and...