Dolce

Dolce RN

Day Surgery, Agency, Cath Lab, LTC/Psych

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All Content by Dolce

  1. Comfortable Narrow Foot Shoes for under 100$...?

    I have narrow feet and wear crocs--I LOVE them! The professional crocs have vents along the side and are soooo comfy. They come in all colors and sizes. They are not great for people with arch...
  2. See if I offer to help YOU again...

    Wow. I would have given her really big eyes and walked away with a shocked look on my face. So much for helping people out. (BTW, is everybody from New York that
  3. Probably Paranoid, but....

    No, you do not need to go to employee health. Hep C is not spread by human contact. It is blood born and if you did not stick yourself with a contaminated needle there is no method of entry.
  4. I've had family members do the same thing to me. I wouldn't have the nerve to tell them to put it down, but that certainly would make me feel
  5. Help How to keep pts IN Bed

    I think you are on to something there. Usually there is a reason these patients are getting up--and most of the time it has to do with using the bathroom. Besides a bed alarm, the only thing I can...
  6. Central lines and TPN vs PPN

    Some facilities have chosen to give Vanco only through PICCs/Midlines/central lines because of extravasation. Vanco is pretty caustic to veins and there have been problems with giving it in little...
  7. Wow, not quite sure how I would have responded to that. Sounds like you did all the right things, allowing the complaint to go up the chain of command. Some families are just soo abusive. It is...
  8. Time symbols

    I like this way much better. I agree with JCAHO's goal to reduce error by having "do not use" abbreviations. There are a lot of abbreviations that look like one another and it just gets confusing!...
  9. HIV from bed linens?

    Actually, it is common misperceptions like these that cause HIV positive patients to feel ostracized. You cannot get HIV from a toilet seat, from human touch, from kissing someone, from hugging...
  10. I had a needlestick injury a couple months ago and was immediately taken to ER to have blood drawn--no waiting around. I found out the HIV/Hep C results the same day. I'm sorry you had such a...
  11. Can a patient purposefully become febrile?

    Good point. He has a prison
  12. Can a patient purposefully become febrile?

    What about encouraging IS use (10 per hour, Q 1 hour) while he is chilling. And, no warm blankets at nocs. You have obviously discovered a
  13. Nurse not seeming to care

    Aides have saved my backside more times than I could count. I am so blessed to work with caring and intelligent individuals, like yourself, who are competent enough to pass on important information....
  14. The pumps that I usually use will not alarm if the piggyback line is clamped. Thus, the patient will receive the maintenance fluid at the piggyback rate for 30 minutes and then switch back to the...
  15. encouraging team work

    If the floor is full with 28 patients and 6 nurses that means each nurse has 4-5 patients and the charge has none. I realize there is no tech, but that is actually pretty decent staffing, in my...
  16. TOO soon to be Stressed in Postpartum

    Oh my goodness! 7 couplets!!!! Yikes! I wouldn't want to have a baby at your hospital! I don't do OB (I run and hide from it, in fact). Is this the norm across the country? I thought the rule...
  17. I will sometimes mention another patient who has a problem that is a "priority." Using that term is not always nice but it does get the point
  18. Well, I don't know if it is unethical or not, but I don't think it is in the best interest of the baby. I think we should let the baby decide when its ready to come out. How on earth does she know...
  19. digital stimulation!!!

    I agree. I hate to stereotype, but I have many times heard patient's referred to as having a "quad personality." Often these individuals seem to have the idea that the world revolves around them and...
  20. lowbeds/enclosure beds

    How is a lowbed a restraint? I personally believe that enclosure beds are less dehumanizing than a posey vest and 4 point restraints--at least the patient can move around in there. JCAHO kills me....
  21. Best Alternative Pain Treatment

    Relaxation techniques, controlled breathing, position changes, heat, ice,
  22. Ooh, I Can Hardly Wait

    The problem is that the people who are the worst at being "insubordinate" are horrible when they themselves are in charge. They are often bossy, rude and inconsiderate. I used to work with a tech...
  23. digital stimulation!!!

    Wow. I think I would really feel defiled if I was in that situation. Sounds like you need to have a care conference about this issue and set limits. It is not appropriate to be doing dig stim 3-4...
  24. Wow, good to know. I'm not much of a fan of fentanyl patches anyway because I am always worried one will get lost or stolen from a patient. One facility that I work for is so paranoid about the...
  25. Input Wanted

    Telemetry is classed between med/surg and ICU. Typically you care for about 4 patients--as opposed to 6 on med/surg and 2 in ICU. It can be really, really busy (like med/surg) because the patients...