Nurse Ratched RN

Geriatrics/Oncology/Psych/College Health

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All Content by Nurse Ratched

  1. Nurse Ratched

    Creepy!!!!!!!

    Kevin, yet another reason I *LOVE* male nurses
  2. Nurse Ratched

    Creepy!!!!!!!

    Ugh. I get this at times. I am always very blunt with the offending person, at first saying simply, "I am your nurse, and that is not part of a professional nurse/patient relationship." "You will...
  3. Nurse Ratched

    RN signatures after LPN's

    On my unit, LPNs do not process admissions because RN's must perform or co-sign the initial assessment and medical hx (and to me co-signing means agreeing with it, so I have to perform one anyway, so...
  4. Then the secret is to fine them enough that it's CHEAPER to actually hire enough people to do the work and treat the residents as they deserve to be. I saw a lady friend suffer in a nursing home...
  5. Nurse Ratched

    Crazy, abusive patient? What do u do?

    Anagray, that doctor should be shot. I'm sure from a liability standpoint he couldn't discharge him without a 23 hour observation (sure as he did, the guy would have keeled over on the hospital...
  6. Nurse Ratched

    Crazy, abusive patient? What do u do?

    And that wasn't to be flip or minimize the abuse you took. In my facility, any patient who treated the staff like that would find himself on the psych floor or out the door so quick his head would...
  7. Nurse Ratched

    Crazy, abusive patient? What do u do?

    I have two words for you: "psych consult" We're waiting for the call
  8. Nurse Ratched

    involuntary committments by POLICE!

    In our state, anyone can petition, a doctor (medical or psychiatric) has to agree and sign off on the 72 hour hold (this is actually 3 court day - weekends and holidays don't count.) If the person is...
  9. Nurse Ratched

    Nurses negligent in Minnesota

    I know we don't have all the details, but I am still confused. If it was a PCA, wasn't the pt administering his own drugs? Not that that means we aren't assessing him, too. It's been so long since...
  10. Nurse Ratched

    What Freaks You Out?

    Gonna have to add "memberes that look like split hot dog buns" to the list now! What is neuro
  11. Holy cow. You all have just given me cold chills..... Hubby read over my shoulder and visibly
  12. Nurse Ratched

    Travelers: picky scheduling

    I'd have to call it selective scheduling on the part of the traveler, which she is entitled to assuming she can get a contract specifying that. Not to sound insensitive to your unit's needs, but she...
  13. Once again I found myself in the position of charging and being told one staff member (not specified) would have to float to another unit. This was not floating to a like unit - it was going from...
  14. Nurse Ratched

    What do you enjoy the most in nursing?

    I love geriatrics, too. It's such an art to be able to get a demented person to do what you NEED them to do because they WANT to do it because of the way you interacted with them (ok that is a HUGE...
  15. Nurse Ratched

    "Floating" rears its ugly head again

    You all have given me a lot to think about. Our facility has no policy for orienting nurses to other units - only states that, as another poster put it, you work for the facility, not the unit, and...
  16. Nurse Ratched

    "Floating" rears its ugly head again

    I keep thinking to myself I should just suck it up, request orientation to the meds floors, and go willingly and happily, with Micro's idea in mind that help is short. But darnit, I don't want to!...
  17. Nurse Ratched

    Constipation

    In the ECF it was BAP (own special concoction of bran, applesauce and prunes/prune juice.) One medicinecupful at bedtime seemed to keep people regular. I preferred making sure they got regular fluids...
  18. Nurse Ratched

    Nursing Commercial Ideas

    Lrae - how about we go on to the surgical sterilzation and someone (perhaps a monkey) pulls a sterile instrument out of the clave, drops it on the floor, blows on it to "get the germs off" and puts it...
  19. Nurse Ratched

    What Freaks You Out?

    Fecal emesis right at the top. Oddly - it coming out the CORRECT end doesn't bother me in the least. I saw a green pus-filled abcessed sac explode when someone was having their massively fungal...
  20. Since the nurse spends more time with the patients and families, it seem like we have a better rapport built up to discuss a sensitive subject like this. The main doc I work with is not as...
  21. Nurse Ratched

    Has medicine and technology gone too far?????

    Good question, Micro. Ask any Hospice nurse who more and more finds that the "new" patient she/he is admitting is in MSOF and will probably be dead within 24 hours because no one wanted to admit that...
  22. Nurse Ratched

    Medication Aides

    Rusty et al - it's a shame the public in general doesn't realize it (or perhaps more accurately, the suits.) Anyone in scrubs with a week of class is qualified to dispense meds...especially if...
  23. Nurse Ratched

    Medication Aides

    I think you're talking about a QMA. Do they still use them? It's important to have someone passing meds who not only can read the package and dispense the proper amount, but understands the effects...
  24. Nurse Ratched

    Pregnant and working as RN

    Wendy - stick with me, kid - we'll avoid that evil pregnancy virus lol. I'm with you - scares me to death when everyone on the unit starts "turning up" pregnant! Congrats to those that are getting...
  25. Nurse Ratched

    Paperwork Hell

    Wow - and I thought ours was bad. I have to say that since we got the computer charting my admissions DO go faster - all the data from previous admits comes forward and you don't have to spend time...