Ideal nurse !!!!!! Does not require food, has no personal needs: food, water, a kind word occasionally. Able to take the verbal abuse of EVERONE who is not happy for whatever reason: administration...
Was going to ambulate a pt one night. She kept asking for her "pink moo moo". Thought to myself OH MY GOD. I told her someone was taking care of her calf. She said no, it is in the closet. I told her...
A slight twist. Had a 83 y/o male in ICU ask me if I could recommend a cardiologist. Knowing that I could not tell him who I would use, I gave him the list of who was available. The pt saw a name and...
Had a lady on Wednesday morning continually tell me it was Sunday. Was getting a little concerned as she insisted it was Sunday. Finally asked me to change the calendar on the wall from Sunday to...
Does anyone change blood tubing between each unit? I have read that there are a number of facilities that chage tubing every 2 units. How did they decide on 2 units...why not 3...I know in ED and OR...
I heard about his from a friend in Tulsa. Their senior administrative staff works one shift a month (shift of their choice, usually a weekend) as unlicensed staff. Pass trays, assist with baths,...
M&M enema, got to love it and it would be great to have an AOD to help. Our AOD is available by phone from the country club. Our administrators started "walking rounds" about a year ago. It never...
But it is better than nothing (I think). I have brought it up in every meeting since I first heard the story. Several nurses have said they did not want them on their floor. Thought they would be...
You're right on "course" Tee. And P_RN, we also have the token hamburger cookout once a year followed by a "state of the hospital address" which is MANDATORY for all staff so we can't say we are not...
I think the point that he was trying to make was that they knew the senior staff knew what it was like on the floor. They were not on the schedule, they were not counted as staff...they were simple...
SCRN1, if the nurse uses the system the way it is designed: scan yourself, scan the patient, scan the med...it will not be a problem. Your documentation is
What is the safest way to document meds that are ordered in range doses? We currently have computer generated MARs that list every possible order. Example: MSO4, 2-10mg every hour PRN.... Our current...
I am all for the bar code/scan system. Anything that will reduce the chance for med errors. I am on the team that is writing policy/procedures for the new system. We have several med nurses on the...
We are in the process of implementing bar coding as we speak. Some of the more "memorable" med errors we have had recently would have been prevented by this system; wrong med, wrong pt... The system...
That is the purpose of the burette, to make you reasses. If you start with a little extra this time, then a little extra next time....Next thing you know you put 3-4 hours worth in and you get busy,...
It is a "chamber" that is placed between the bag of fluid and tha patient. You place no more than 1 hours worth of fluid in the chamber and then clamp between the bag and the chamber...It "MAKES" you...
The water is simple a way to determine the amount of air leak. Few bubbles-small leak, lot of bubbles-large leak. They are not a "water seal". Unless you have a couple of dinosaur docs like we do...
Is anyone working at a facility that no longer worries about accreditation from JCAHO? They seem to be getting carried away with some of the 2004 stuff. They are concerned about patient care but some...
We got gigged for having out of date batteries in a layrngoscope handle and not having an eye wash ststion in PT... I think most of us do more to "PASS THE TEST" than we do to truly change or provide...
Thanks for the info guys. Mine big complaint now is the list of DO NOT USE abbreviations that will be required by the end of the month (probably). I think it is essential that we do away with some...
We are part of a "system". Our facility is a smaller hospital about 120 miles from the "parent" which is in a large metropolitan area. We have had a lot of nurses leave here to make the big bucks in...
Just wondering how often you post strips during a code? We are having a rather heated discussion over the requirements. Do you record (post in the medical record): 1. q minute throughout the code or...
A large part of PALS is the assessment of a child to prevent the need for intubation, defibrillation...It would be well worth your time. There are also times when , as a team member during a code, you...
I was just informed (from our material management group) that we no longer needed nitro tubing for nitro drips. Standard tubing was OK. They said we were 10 years behind. Is everyone using standard IV...