Dolce

Dolce RN

Day Surgery, Agency, Cath Lab, LTC/Psych

Member
  • Content

    861
  • Visitors

    9,664
  • Followers

    0
  • Likes

    8

All Content by Dolce

  1. Tips for a quieter floor?

    Kudos to you for trying to implement changes like this. I can hardly think of anything more unprofessional than loud talking, laughing and gossiping at the nurses station or outside the patient's...
  2. digital stimulation!!!

    I would like to, once again, apologize to everyone that I may have offended by using the term "quad personality." This is certainly not a term or a condition that I made up. Nor does it apply to all...
  3. Creaking Fingers

    Use two fingers instead of one. Make sure there are no clothes between your the stethoscope and chest. Press
  4. How do you waste meds? Environmental concerns.

    How do you waste your medications? I squirt it out in the sharps container. Do you have environmental concerns? Yes, which is why I don't flush the drugs down the drain. Are there laws/policies...
  5. The NEW Nurse (Not the ones AOL speak of)

    Well, I have to disagree. If we didn't vent here where would we vent?! I graduated with my RN at age 20 and now, at 24, I have 4 years of nursing experience. I have passed the "new grad" phase but...
  6. Is this reasonable or am I being a newbie?

    As a former LTC nurse, I had all of the CNAs get my VS. It was part of their job description. They didn't get BGs though. I fail to understand how they are not "certified" to do that. The main...
  7. New Nurse Horror Stories

    I agree 100%. It is not our position to change the schedule. But, we need to encourage pharmacists and doctors to think about things before they order are time
  8. New Nurse Horror Stories

    I agree. It used to drive me nuts when patients would have meds at 0600, 0630, 0700, 0730, 0830, 0900, 1000, 1200, 1300, 1400, 1500 etc. etc. Pharmacy and the physician need to coordinate to make...
  9. New Nurse Horror Stories

    Sounds like my first job in a nursing home. I remember bawling after work some days. There were many things going on like you describe. I worked with some excellent nurses at that nursing home but...
  10. Oh wow. Some people can be so unbelievably inappropriate. I don't think there was any right way of responding to that situation. It sounds like you made the best of it. I probably would have given...
  11. digital stimulation!!!

    I believe that I have treated all of my quads/paras with a great deal of respect and care. However, the "quad personality" that I mentioned is an observation that I and other rehab nurses that I have...
  12. Called Off for Low Census!!!

    Most units rotate low census among staff. I hope that everyone else is taking their fare share of low census. If not they could be discriminating against you during your
  13. digital stimulation!!!

    Thank you for your observations. However, I would like to point out that I was simply making a statement based upon personal experience with quads. These are not facts I have read in books or...
  14. Pain scale is missing a key element

    I say that too. And when a stony faced patient (who appears to be in no acute distress and appears to have no good reason for being in severe pain) answers "10" I then give the second description....
  15. New Agency Nurse

    Some hospitals are notorious for canceling shifts at the very last minute--making it difficulty for the agency to set you up with another shift. I found that it was helpful when I took assignments at...
  16. broke my patient's arm!!!

    So sorry this happened to you. It could have happened to anyone. Once I bruised a very ill patient's arm when I was transferring him to a chair. A coworker accidentally ripped her patient's brittle...
  17. What is it with managers at shift change?

    There is hardly enough time to get through an entire report in 30 minutes, let alone updates and inservices!!! You should speak with your manager about this. This is an inappropriate time and place...
  18. She is sleeping with a patient.............

    Many times nurses like this will "hang" themselves. Instead of sending pictures to the director and reporting her to the BON you need to be keeping track of your suspicions privately. Record drug...
  19. I couldn't disagree more. I have been a nurse for 4 years now. I would say that, after 4 years, I care more about my patients than I did as a new grad. It is true that I don't stress as much over...
  20. Confusing Order

    Well, I agree that it is a somewhat confusing order. However, I believe that it is a plausible one. Maximum dose every eight hours would be 3 mg. I have never given Haldol for nausea or
  21. Do nurses get mad when..

    I see so many patients without any visitors or family members that it really makes me sad. I am not Hispanic, but my family is similar to the OP's. When one of us is in the hospital the whole crowd...
  22. Your thoughts on this. . .

    It would depend on what the issue was. If a patient asks me to call the doctor at 3:00 a.m. and it is not regarding an order or change in patient condition I am most likely not going to do it. Most...
  23. Med-Surg

    I hope that you still have a preceptor. You shouldn't be left alone until you feel safe to care for patients somewhat independently. Computer charting is often a huge hurtle for any nurse who is...
  24. Missed orders!

    The problem with this system is that it is still a multi-step process. The doc has to write out the order on paper (wasting trees) and then the unit coordinator has to enter it into the computer. If...
  25. Missed orders!

    Computerized order entry is a great tool. Everyone can be in the chart at the same time, so hunting down the hard chart is not an issue. All new orders appear instantly at the top of your order...