nservice

nservice

Tele, Renal, ICU, CIU, ER, Home Health.

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All Content by nservice

  1. Infuriating Responses To Questions

    nservice replied to ADPIE10's topic in General Students

    I'm confused. Are you guys saying you don't want to use critical thinking skills to try and come to an answer? Critical thinking is so very important as a nurse and a hard skill to master. I deal...

  2. Medication Errors-Why?

    nservice replied to ERGirl83's topic in General Nursing

    I think the majority of med errors happen because someone failed to follow policy and procedure. Sure, you didn't follow P&P because you were busy, over-worked, sleepy, stressed...etc. But the...

  3. I think I was a morning snack

    nservice replied to RiverNurse's topic in First Year After Licensure

    It is probably in your hospital P&P to fill out an incident report for medications missed and notify the MD. I would fill out an incident report describing exactly what happened. The day shift...

  4. The "bully" nurse

    nservice replied to MikeyBSN's topic in Patient, Colleague Relations

    I've only had one person attempt to bully me. I was a traveler at the time and had been at this facility for a few months. This nurse was in charge and always gave me the sickest patients...usualy...

  5. in shock my daughters life on the line need your help!!!

    nservice replied to cathleenrmermaid7's topic in General Nursing

    I'm sorry your daughter is having to go through this...you too. The whole area probably had deep tissue damage that you just couldn't see until everything opened up. The good news is now that it's...

  6. Nurses Defibrillating???

    nservice replied to rgroyer1RNBSN's topic in MICU, SICU

    Speaking of defibing babies... I got a request from the newborn nursery a few weeks ago requesting an inservice on how to work the defibrilator. It seems they had to cardiovert and had quite a time...

  7. MedMath answer a med error?

    nservice replied to jackson145's topic in General Nursing

    I would also take that order to mean 1000ml should be infused over 125 cc/hr. If it were continuous, it would have just said NS @ 125 cc/hr. Maybe it is a regional thing. Better be careful with...

  8. Organization and Time Management

    nservice replied to byswe0525's topic in General Nursing

    I use the CURE approach when teaching time management / prioritization. C = Critical U = Urgent R = Routine E = Extras Of course the key is to constantly re-evaluate. Often times, new graduates are...

  9. What is your day like?

    nservice replied to FuturoEnfermera's topic in Emergency

    The thing about menial tasks is, they do require tons of critical thinking. You're not just cleaning poop. This patient has been hospitalized. Do they have diarrhea. Did they contract C - diff in...

  10. Can I put my hands in your hair?

    nservice replied to catlynLPN's topic in General Nursing

    OK, so I'm the only wierdo. I don't play with people's hair, but I'd let (almost) anyone play with mine. I love it! If I could only get them to rub my

  11. Insulin...When/ When not to give

    nservice replied to yurnurse's topic in General Nursing

    This is a great learning experience! It's also a great opportunity for patient teaching. Many diabetics do not understand sick day management for their diabetes. If they are sick and not eating,...

  12. fluid overload ,sepsis, Pneumonia what?!?

    nservice replied to lilacscrubs's topic in First Year After Licensure

    What a hard position to be in. My instinct is to hold fluids and give lasix. Patient probably needed pressors instead of more fluid. Could the increased intrathoraxic pressure be causing the low...

  13. Wound Care - Unna Boot

    nservice replied to nuttin2do78's topic in Wound, Ostomy, Continence

    I thought the purpose of the una boot was to decrease edema in order for the wounds to heal. If it is wrapped on two separate portions of the leg, the edema will be trapped between the wrapped areas....

  14. Doctor won't back up his telephone orders!

    nservice replied to In_Chantress's topic in General Nursing

    I don't think this doc is just a jerk. I think he has some big mental health issues that will only get

  15. "No, I am not pregnant"

    nservice replied to Tysmommy's topic in Nursing Humor

    Ouch! On the bright side, I am very pregnant (almost 8 months). When people touch my stomach and ask when the baby is due, I act offended and tell them I'm not pregnant. The horrified look on their...

  16. Hanging Chemo at Home

    nservice replied to wonderbee's topic in Home Health

    When I worked home health, all of the RN's were chemo certified and we did hang chemo in the home. We did lots of IV's. Most of the time the caregiver was taught to hang the IV's and the RN would...

  17. Should I hang it up before I get hung up?

    nservice replied to garciadiego's topic in Medical-Surgical

    Why in the world would any hospital think that 4 weeks is enough orientation? You need time to adjust and 4 weeks is not enough. In my experience, Nurses who are returning to acute care usually need...

  18. Is Joint Commission more hindrance than help?

    nservice replied to oldiebutgoodie's topic in General Nursing

    In my opinion many of the JCAHO directives are very useful to patient care. The problem is that most of the directives / deficits are "Physician problems". Since administration couldn't possibly...

  19. hall patients

    nservice replied to rnlightening01's topic in Emergency

    Our hospital will soon be moving the hall patients up to the floor halls in order to decongest the ER. This is supposed to be in emergencies only. My guess is that it will be the

  20. Tell me more about g-tubes and J-tubes

    nservice replied to raindrop's topic in General Nursing

    Man, this is a great thread. I just thought I knew all about this subject. Thanks

  21. super powers...

    nservice replied to registerednut1221's topic in General Nursing

    I want the ability to tell patients exactly what time they will go to surgery/procedure in the morning. Until then, I just tell them 7:30am....when my shift is over. hehehehe. I know that's evil,...

  22. Is there anything that you cannot handle as a Nurse?

    nservice replied to cammy429's topic in General Nursing

    The only time I've ever gagged or thrown up at work was when I was pregnant. At that time, anything would make me puke. Normally, that only thing that I can't handle is cat or dog vomit. Everyone...

  23. How do I do this without hurting anyone?

    nservice replied to HappyJaxRN's topic in General Nursing

    I don't know about your agency, but many agencies have rules against transporting patients. You and the agency could be held liable if there were an

  24. Pulling Meds for Multiple Patients

    nservice replied to trustsupplyguy's topic in General Nursing

    I pull up one patient's meds at a time. It's the way I was taught and it seems safer. Other than safety, My concern is how other nurses feel about waiting for the Pyxix when you're monopolizing it...

  25. Preceptor issues

    nservice replied to billlee2's topic in First Year After Licensure

    Chloe, I'm sorry you had such a poor orientation. Slamming new grads on the floor to sink or swim is one of the reasons we have such high turnover of nurses. I am the clinical educator for 4 very...