nialloh

nialloh RN

IMCU/Telemetry

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All Content by nialloh

  1. Almost fired today

    nialloh replied to NP2BE's topic in General Nursing

    Take this as a learning experience. Watch your med's. You are responsible for med's you give, regardless as to who wrote the order. This double checking of med's won't last forever. Also, don't be...

  2. Advice for new RN's

    nialloh replied to healer27's topic in General Nursing

    Remember, you are the boss. If you go into a room looking/acting weak, the family/pt might walk all over you (I don't say all because some of them have too much class). Be assertive but not forceful,...

  3. anemia symptoms

    nialloh replied to curiousjoe's topic in General Nursing

    Yes, anemia/blood loss can cause a heart attack or angina. I have seen more then once a pt with a hg of 6 or less with chest pain and positive troponin. They got blood transfusions and were fine....

  4. Power crazy pharmacist-what can be done?

    nialloh replied to MissPiggy's topic in Patient Safety Issues

    I sometimes send pt's home with meds as their pharmacy is closed and they need 1-2 doses until it opens. Our pharmacy dispenses the meds and I hand them over. I would think it is the same in your...

  5. Moral character review

    nialloh replied to mismissy69's topic in General Nursing

    Sorry, it must be a different thing then. Does every NY RN have to go through this, or is it new

  6. How do you give report?

    nialloh replied to Jedi_Iatros's topic in General Nursing

    We give abnormal labs, all troponins, last 2-3 sets of bp's, latest chest xray, main points of CT's + MRI's

  7. Moral character review

    nialloh replied to mismissy69's topic in General Nursing

    I'm in NJ and got something similar. The letter I got said it could be up to 6 months. All I have to do is go somewhere and get finger printed. They will tell me where when they're ready for me. As...

  8. Man shoots himself in the ER

    nialloh replied to SANDMAN_RN's topic in Emergency

    Some ER nurses in my hospital have asked me if I want to work there. After reading this, I think not. It's bad enough pt's going

  9. CRNA being black-balled by former employer

    nialloh replied to crnadg's topic in Certified Registered Nurse Anesthetist, CRNA

    A lot of people are stuck on the fact that most states employ "at Will". This means that you can be let go for any reason, or none at all. The problem here is he fired her for cause. He now has to...

  10. CRNA being black-balled by former employer

    nialloh replied to crnadg's topic in Certified Registered Nurse Anesthetist, CRNA

    So far all you have is hearsay. You can't go to court with that. If he fired you, he must tell you why. Just saying "for cause" is not good enough. Try to get him to put it in writing. Then you can...

  11. Which watch is best?

    nialloh replied to mcknis's topic in Scrubs, Uniforms, Gear

    Too true. I used a digital watch for years. One day the battery died and I had to use my analog watch. I found it faster and easier to use. I also use waterproof

  12. Do you make a difference??

    nialloh replied to mtorado27's topic in General Nursing

    Save a life and you'll have your answer. IT's a great

  13. OPINION PLEASE-er triage situation-overwhelmed!

    nialloh replied to Uptoherern's topic in Emergency

    In fairness to ER nurses, if they had a situation where they had multiple police officers there, they then have to take safety into account. If they took you into the back in the middle of this and...

  14. Please help me understand/Domestic Violence Question

    nialloh replied to Bipley's topic in General Nursing

    This sort of thing has never happened to me or anyone that I know (that I know of). But the only time I had a run in with this sort of thing was in work. I worked as hospital security while going for...

  15. Dilema-need advice. Is Dr. misdiagnosing patients for financial gain?

    nialloh replied to Stray Kitty's topic in General Nursing

    In this the Dr. has no say. If the pt and family want the primary Md to assume care, and the primary Md accepts, the cardio must sign over. Or they can simply fire him. If he refuses, he is treating...

  16. DNR orders

    nialloh replied to night owl's topic in Geriatric, LTC

    I agree, but I don't have a pt in front of me, so I'm doing a lot of guessing. I am assuming (maybe wrongly) that the pt was not conscious considering how fast she passed on reaching the hospital. You...

  17. DNR orders

    nialloh replied to night owl's topic in Geriatric, LTC

    If all her vital signs are going down, the only comfort care tx you can give is O2. Any thing else is to revive her. Morphine, ect will only depress her resp even more. Sometimes, all you can do is...

  18. Raises for no one, except-(sorry, long post)

    nialloh replied to Limik's topic in General Nursing

    It might also be the office manager putting a stop to this. Maybe she gets a bonus for keeping costs down. If you are thinking of leaving, you might talk to the Dr first. But remember, you still have...

  19. Check Your Wall Clocks - Hidden Cameras

    nialloh replied to Gomer's topic in General Nursing

    These type of cameras don't really cost very much. If you are trying to catch someone doing something, you'll spend the money. As to cameras in a break room, this is somewhere you are ment to be able...

  20. Your employer's policy re: *snow and ice*?

    nialloh replied to nervousnurse's topic in General Nursing

    ruby, with that clarification, i agree with you. i was under the impression that you were including blizzards. also, i have never missed work for bad weather. including a blizzard. it was close at...

  21. DNR orders

    nialloh replied to night owl's topic in Geriatric, LTC

    CPR is resuscitation, hence the name Cardiopulmonary resuscitation. If you do chest compressions, you are breaking the DNR. You will be leaving yourself wide open for legal action. In my hospital we...

  22. Is it 5 or 7?

    nialloh replied to nurse4theplanet's topic in General Nursing

    Ditto for my hospital. Documentation is our 6th as

  23. Does anyone else feel like there is too much gossip going on?

    nialloh replied to ashley7's topic in General Nursing

    Oh boy Marie,can you call it.:rotfl: 23

  24. Your employer's policy re: *snow and ice*?

    nialloh replied to nervousnurse's topic in General Nursing

    I know, but she wanted them to ask so she could make a point of saying no. I have to admit, I have never heard of somthing so shortsighted (for the

  25. AAAAAARRRRGGGHHH!!!!! Nosebleeds

    nialloh replied to babynurselsa's topic in General Nursing

    Had a pt whose nose just wouldn't stop bleeding. After a while we noticed that she was blowing her nose and leaving 1/2 inch clots on the tissue. She refused to stop, so the Doc had it packed. She...