Nurse Ratched RN

Geriatrics/Oncology/Psych/College Health

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All Content by Nurse Ratched

  1. Nurse Ratched

    Blood Glucose Monitoring

    Nurse Ratched replied to Tweety's topic in General Nursing

    At my facility, the policy is that night shift does the a.m. BG about 7:15 only if the pt does not get humalog (either scheduled or SS.) Night shift administers non-humalog insulin. If humalog is a...
  2. Nurse Ratched

    needleless needles

    Nurse Ratched replied to night owl's topic in General Nursing

    We just got a similar system - I think they're called Vanish Point syringes and there's a button on the end that you push that retracts the needle. Now the angiocaths at my old hospital with the...
  3. Nurse Ratched

    Question for House Supervisors

    Nurse Ratched replied to RoaminHankRN's topic in General Nursing

    Our house supers just want to know the problem folks - those who have a greater likelihood of coding at some point during the shift, potential p!ssy family members and the like. I have noticed that...
  4. Nurse Ratched

    Question

    Nurse Ratched replied to CliveUK's topic in Psychiatric

    Sometimes there is no other alternative, altho the trauma to pt and staff, not to mention the extreme paperwork involved, certainly makes it the last option. I have written up a doc who refused to...
  5. Nurse Ratched

    blackmail by hospital

    Nurse Ratched replied to poppyrn's topic in General Nursing

    Amazing. When I started working the unit I am on now, I was told by coworkers that OT was "expected." I told them that I was happy to do my 40, but that work was not my life. It is management's job...
  6. Nurse Ratched

    Foot care

    Nurse Ratched replied to adrienurse's topic in Nurse Entrepreneurs, Innovators

    (1) Don't touch diabetics. Just a bad idea no matter how well-meaning we are - I'm very comfortable in my skill at it, but ya gotta draw the line somewhere. (2) Cut straight across. I have a nice...
  7. Nurse Ratched

    Foot care

    Nurse Ratched replied to adrienurse's topic in Nurse Entrepreneurs, Innovators

    I've got your back, Adrie! Yes, I hate feet, but I love the difference foot care makes. I'm not certified, and to be honest, foot care by a someone not a doctor or a wound/skin care nurse is frowned...
  8. Nurse Ratched

    Pre-setting meds....

    Nurse Ratched replied to mtgirl63's topic in Geriatric, LTC

    I agree with those who wonder how you could possibly get around it in LTC with the sheer volume you're passing. If you didn't pre-set your meds, you'd have technical med errors on most people simply...
  9. Nurse Ratched

    What pension/medical retirement benefits to you get?

    Nurse Ratched replied to lee1's topic in General Nursing

    Pension plans in the traditional sense are a thing of the past. Even if there is one in place, the chances seem to be more and more that it will be underfunded, or the company will go out of business...
  10. Nurse Ratched

    Do you wear gloves

    Nurse Ratched replied to mellow's topic in General Nursing

    My patients fall into two categories - those who have hepatitis, and those I don't know have hepatitis yet... I practically wear a full body condom if I'm just sitting at home THINKING about work . I...
  11. Nurse Ratched

    activity director

    Nurse Ratched replied to tonicareer's topic in General Nursing

    Activity Director usually involves planning and implementing a program of large and small group activities, cooprdinating volunteers and staff, and documentation. Lot of documentation - activity...
  12. Nurse Ratched

    question about urine drug screening

    Nurse Ratched replied to melissa24's topic in General Nursing

    (Wed do UDS's frequent;y on my unit.) Both will pop positive results (under opiates.) Our lab tells me typically 1-2 days after ingestion will get a positive results. So your dilemma is this - tell...
  13. Nurse Ratched

    For those of you who use computer charting....

    Nurse Ratched replied to deespoohbear's topic in General Nursing

    I have used Care Manager and Invision. I enjoy using computers and find that both packages were pretty easy to pick up on. As HazeK said, make sure your IT people can tweak the system to meet your...
  14. Nurse Ratched

    Do nurses have a voice?

    Nurse Ratched replied to Sleepyeyes's topic in Activism, Healthcare

    In another post I referenced the nurse who had been intentionally injured by a patient in his right mind. She has had 2 surgeries and still isn't 100%. When the incident first happened, she told the...
  15. Nurse Ratched

    Well Elder Assignment

    Nurse Ratched replied to TCW's topic in General Students

    I remember that assignement - I loved it! :) My subject and I went out for the afternoon and I noted the things that might potentially impede a senior that I would take for granted - finding parking,...
  16. Nurse Ratched

    Can Someone Be a Nurse Without Jean Watson??

    Nurse Ratched replied to Q.'s topic in General Nursing

    Cactus wren, honey, I'll see your Tylenol and raise you an extra strength
  17. Nurse Ratched

    Can Someone Be a Nurse Without Jean Watson??

    Nurse Ratched replied to Q.'s topic in General Nursing

    Oooooooooooh - makin' my head hurt.....
  18. Nurse Ratched

    Clear stools?

    Nurse Ratched replied to jschut's topic in General Nursing

    Do you mean a small amount of mucus? Or are we talking volume? There are many things that can cause mucus in the stool, some benign, others
  19. Nurse Ratched

    Terms of endearment

    Nurse Ratched replied to mamabear's topic in General Nursing

    I don't think you're being unreasonable - we should all be called as we wish. For some reason, there is not a person that comes through my unit that goes by his or her given name, and we try to...
  20. Nurse Ratched

    informed consent

    Nurse Ratched replied to ageless's topic in General Nursing

    Interesting. I have always wondered about the patients who come to our unit having signed a "voluntary" form for admission to a psych floor, who clearly had impaired ability or no ability to...
  21. Nurse Ratched

    Embarrassing moments...

    Nurse Ratched replied to RoadRunner's topic in General Nursing

    It's never in the quiet, witnessed only by a comatose patient, is it?? Always while orienting someone with 12 family members (10 employed in health care) looking on. Glad I'm not alone in my...
  22. Nurse Ratched

    Travelers: picky scheduling

    Nurse Ratched replied to redhedgoddess's topic in General Nursing

    I'd also like to add that I LOVE travel nurses. They're like a shot in the arm of energy, fresh insight and knowledge. I've always learned some really great bit of valuable info or an improved...
  23. Nurse Ratched

    Does your company pay for CPR certification?

    Nurse Ratched replied to melissa24's topic in General Nursing

    Ours offer CPR cert days as well (no charge). If you don't make it to the offered times, then you have to find your own class at your own
  24. Nurse Ratched

    Torsedas ?

    Nurse Ratched replied to RNConnieF's topic in General Nursing

    Can I just say you guys teach me SO much about areas I am not strong in. Keep it up!
  25. Nurse Ratched

    4-hour shifts--Anyone done them or doing them now?

    Nurse Ratched replied to dianacs's topic in General Nursing

    7p-11p is a very hard time slot to fill for us. There are several 12 hour day nurses, but most of the night nurses work 8s. I'd love to see our manager be able to hire someone whose lifestyle would...