nimbex

nimbex RN

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All Content by nimbex

  1. Nurses rat on nurses

    nimbex replied to rscarlatti's topic in General Nursing

    RNinICU, double your statement and well said. With you 100%. I think that the difference may be those that search out and look for every and any reason to complete the paper trail.... and we all...

  2. Telephone orders...read back and verified...

    nimbex replied to deespoohbear's topic in General Nursing

    Even worse!!!!!!! NNNOOOOO verbal orders unless in the middlel of a code or a proceedure. MD rounds and rattles off a list of things to do..... you tell them.... sorry, you have to write it. All the...

  3. Jessica's family's lawyer opposes medical mal. cap

    nimbex replied to Tilleycs's topic in General Nursing

    sorry Dukes costs for all the health

  4. Jessica's family's lawyer opposes medical mal. cap

    nimbex replied to Tilleycs's topic in General Nursing

    Hey, let the family sue, then if a jury allots a cash settlement, Duke University can sue and recoup their costs

  5. Questions about dying patients...

    nimbex replied to JUSTYSMOM's topic in General Nursing

    Having seen a (nonresponsive) patient hang on for days until a family member showed up from out of town pass just after their arrival, to patient that hang on and on and on, then the family steps out...

  6. Patient demands, "I want a different nurse"

    nimbex replied to passing thru's topic in General Nursing

    Different from everyone else's posts, I would feel the need to politely confront either the family or patient and ask WHY..... Perception is reality... if I had done something that was perceived to be...

  7. IABP certification

    nimbex replied to WNCrn's topic in CCU, Coronary, Cardiac

    Datascope rep. if asked will do an inservice and provide manuals for training, get them to come in and schedule everyone you can. Then as for a trainer manual, I use this to train the staff for an 8...

  8. Undecided whether to become a letter Carrier or R.N?

    nimbex replied to Lisa24's topic in General Nursing

    Nursing is like serving in any of the armed forces... It's the toughest job you'll ever love quoted poorly I'm sure.... but you work your orifice off and the rewards are not monetary, pats on the...

  9. Transportation of Telemetry/Stepdown Patients

    nimbex replied to nursemouse's topic in General Nursing

    All patients on the tele floor go without RN and the tele doesn't reach everywhere, like radiology. If your patient is on drips like dopamine... it would be a prudent nursing judgement to go anyway....

  10. resperidol

    nimbex replied to lynn1967's topic in General Nursing

    carol, I don't recall why your daughter was started on the adderal, I'm assuming ADD. My 15 yr. old, 13 at the time was diagnosed with add, the adderal made her very hyper. then psycosis set in with...

  11. Direct Admits

    nimbex replied to MissdonditaBsn's topic in General Nursing

    Our CCU does get direct admits, many that would not need to be "inconvienenced by the crowded ER". Usually works well, call the MD for orders and the cardiologist comes in.... We DO get the "I'm...

  12. Assingment under protest

    nimbex replied to l.rae's topic in Patient Safety Issues

    Having been there, now older and wiser... the best advice: YOU, not the manager will be giving a disposition for the court of law, then sitting on trial. PERIOD. NO one will have your back, as you...

  13. NURSING SCHOOL: Your Biggest Challenge!

    nimbex replied to LasVegasRN's topic in General Nursing

    Mine was my obsession with learning "skills", I was so disgruntled that I would lack"basic skills" at graduation that I led a mini revolt to try to re-vamp clinicals (like I knew what was best)!!!!...

  14. Is anyones facility so short staffed that they feel guilty calling in sick?

    nimbex replied to tattooednursie's topic in General Nursing

    Just called in this past monday night. the assistant manager called me at home to inquire just how sick I was.... You see there is an emergent heart, two patients on IABP on and on. I responded, in...

  15. Pulling arterial sheaths

    nimbex replied to RNinICU's topic in General Nursing

    Is there a nurse clinician to gather the data to determine factors? What does your policy state about checking clotting? We use ACT as previously mentioned, activated clotting time... 150 is the...

  16. Not a "people person" - problem?

    nimbex replied to vettech's topic in General Nursing

    I'd bet that if you reflect upon your care to your current patients... It would be seen as compassionate and carring. Animals can't speak and tell you what's wrong, you learn to look for small...

  17. No charge nurse

    nimbex replied to perkines's topic in General Nursing

    Hell, if the clerk has the knowledge base to make assignments... let her manage mine.... Since she knows so much... she can update the docs, make rounds, make the laundry list of needs during rounds...

  18. How do you deal with rude patients?

    nimbex replied to rachel h's topic in Patient, Colleague Relations

    I play DEAF "excuse me, what did you just say?" with a sweet smile. anyone who repeats the obsenity or becomes more challenging needs the "I certainly would never speak to you in that tone and you...

  19. physician abuse

    nimbex replied to jaquar's topic in General Nursing

    kewlnurse.... LOL!!!!!! God don't get me started on those interns!!! Had one for lunch few days ago... gave me gas! PH of 6.8 ordered one, ONE amp of bicarb. I replied it's like pis**ng in the...

  20. physician abuse

    nimbex replied to jaquar's topic in General Nursing

    ABSOLUTELY NOT!!!!! In NC, used to be a "good ole boys" hospital where MD's were Gods and nurses pond scum. New CEO said, you give me the documentation and I will fix the behavior or the MD is gone....

  21. Night Shift ~ Greetings!

    nimbex replied to incognito's topic in General Nursing

    worked nights 5 of 7 years 7p-7a. on my 2 years of days, I was on stimulation overload, docs, pharmacy, PT, dietary, the phone the phone and visitors... plus people eat during the day... what's with...

  22. whistleblower protection

    nimbex replied to woo 2's topic in Activism, Healthcare

    Hate to be a skeptic here. BUT any facility can look and find reasons to fire a whistle blower from digging through thier charts, interviewing family, patients co-workers on and on. No nurse is...

  23. Clear stools?

    nimbex replied to jschut's topic in General Nursing

    See that with bowel obstructions, the only thing that forms to pass below the obstruction is clear mucus. disclaimer Only experience here no real way to back this

  24. Terms of endearment

    nimbex replied to mamabear's topic in General Nursing

    The hardest part of moving down south for me was the Miss Susan, Mr. Billy... ect. Then I started getting called sug. (as is sugar),(pronounced shoog) Hun. is included too. I've noticed that these...

  25. informed consent

    nimbex replied to ageless's topic in General Nursing

    Forgot to mention... as patient advocates.... we generally assure that patients understand the basics of what they are signing and alert the MD's if the patients questions are not aleviated with...