BUNightingale

BUNightingale has 8 years experience and specializes in Cardiac/Medicine ICU, Rapid Response.

Latest Activity

1. ACLS requires a doctor's order?

   BUNightingale replied to BUNightingale's topic in Critical

   That is what assumption I have always worked under and now they are trying to tell us they will report us to the board if we do this. The people above my pay grade tell us that they have contacted "large" hospitals all over the country and they have...

2. ACLS requires a doctor's order?

   BUNightingale posted a topic in Critical

   My facility is telling us that we must have a physician's order to start pushing ACLS drugs. They are telling us that it is a violation of the Nurse Practice Act to start ACLS without an order and that we are operating outside of our scope of practic...

3. How important is it for a Charge Nurse to be able to run a code?

   BUNightingale replied to Anna Flaxis's topic in General Nursing

   This is a tough one. Resusitation is one of my passions in nursing so my gut instinct is to say that charge nurses should be "experts" but I know this is not usually the case. I think they should be experts at CPR at least. CPR includes AED trainin...

4. Sleeping is an observation, not an assessment!

   BUNightingale replied to BUNightingale's topic in General Nursing

   For Bluegrass RN I understand that is seems to be overdoing it to wake a patient up everytime. I have seen pt's who have become unresponsive with just 1mg of morphine or 1 lortab. Yes, these patients usually have comorbidities that probably have co...

5. Sleeping is an observation, not an assessment!

   BUNightingale replied to BUNightingale's topic in General Nursing

   We also have computer charting at my hospital and "sleeping" is an option for pain and level of consciousness. I think it is something we as nurses need to have changed in our standards of practice. I was actually told by our CNO that we cannot wak...

6. Sleeping is an observation, not an assessment!

   BUNightingale posted a topic in General Nursing

   I work in a large urban teaching hospital as a member of the Rapid Response Team. I don't know how many codes I have responded to over the years where the primary nurse tells me "They were fine 15 minutes ago. They were sleeping." Endless chart rev...