jmtndl

The patients are the best,easiest part. I love them,figure out what they need, get more brains involved if I can't figure them out, and document with excellence. The hardest part has been discovering and accepting that hospital and nursing administra...

We have a new very toxic bullying manager and I am at a total loss what to do. She changes routines that work and feels it is appropriate to make people "move out of their comfort zone", which I have always felt should be a personal choice. She openl...

She should be charged with involuntary manslaughter and lose her license. Her careless action resulted in a nightmarish death for a patient. I feel for her, but I feel more for a lady who laid in a long banging tube and slowly suffocated to death com...

Um, I'm in the day now with my ADN at a job I've worked at for 5 years. They are still hiring ADNs.

you know a virgin in Texas got pregnant from a flu shot...

TB mask and negative air flow for Hep C? When did Hep C become airborne?

I'm about to shoot myself in the foot here but....does the hospital close down if you don't work 10 12-hour shifts in a row? Is that even safe? Does your manager not arrange for enough staff because he/she doesn't have to because the night shift will...

inservice on new device is anxiety producing

I just attended an inservice on a new device. It is an LVAD pump on a catheter that must be placed exacxtly between the left ventrical and tha aortic root and sucks blood from the ventrical and gooshes it into the aorta. I am seriously wondering abou...

It's a basic med test, not difficult, but has some trick questions on it. Read all questions completely and think a minut before answering.

I put the bedpan in the trash then remove the trash from the room so I'm not leaving a stinky bedpan in the patient's room. Housekeeping doesn't even know.

Dying with Dignity is for those with a condition that prevents them from an expectation of life,not for those who are so depressed they don't want to live,even tho they may not be overtly suicidal.Please reach out for help! Recontact your family with...

Nursing has totally changed how I view physicians. You can't bill a dead person.I have seen orders "Place feeding tube Monday then discharge to nursing home Tuesday on Hospice." I have seen Stage 4 decubes debrieded. I have seen 1 mg of Dilaudid IV q...

It exists! This is my job! Sometimes I feel that my patients feel like they are in Hell. 68, end-stage Alzheimers, metastatic cancer, decub the size of a dinner plate, trach/vent, PEG, Full Code. 84, end-stage Alzheimers, ETT/vent (trach later this ...

Happened to me and freaked me out! Got a call-back...questioned veeery suspiciously about why I drank so much water before the test (...??because I had to pee for them??) Went back after walking around to let my pee concentrate (!) and all was fine!S...

lipstick and reading glasses.

I saw a 26 year old healthy young man admitted for a bug bite on his hand.He got an MRI of the hand,an ID consult, and Dilaudid q 3 for pain.The ID doc wrote that there was minimal erythema,no evidence of cellulitis, and that he agreed with the curre...

How cute! I think it is spelled prophylactic, but I'm not sure. It sounds like you did everything right! Pls don't worry!

Wow...I'd just make sure she had effective pain med,something for nausea,maybe an IV antihypertensive,an air mattress, and some emotional support!Oh yeah,some anti-thrombolytic measure too.Sounds like you are putting a lot of good thought into this.I...

Malice and poor character ...the choice of words used by this man certainly indicate malice to me!

How do you "encourage racial diversity"? Quotas?

You know wht? Be hateful and demeaning to me one time and that's all it takes. I am never rude or demeaning to anyone for any reason...ever. It is just fine for me to expect the same. And when someone doesn't live up to those simple human expectation...

Part of your responsibility as a night shift worker is to get enough sleep.You are endangering your patients coming to work groggy and sleep-deprived. If you cannot arrange to get enough sleep consider changing shifts. It is a tough position to be in...

When I was the trigae nurse, I would ask what was different about the sympton...pain...year-old rash that prompted them to come in tonight. They usually had an answer and no one got offended.It helped me understand them and their motivation for an ER...

How does an IUD help stop bleeding?