RN1989

RN1989

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All Content by RN1989

  1. Over 21 but not an adult - adult or peds ICU?

    The hospitals that I have worked for usually went by chronological age. The peds nurses know the correct interventions/meds/dosages for children, the adult nurses know the correct stuff for adults. These interventions have nothing to do with wheth...
  2. There is not an absolute type of uniform that should be worn by any particular person/skill level. I see two problems with the public's inability to distinguish who is who at the hospital. First, is improper identification. Hospitals often go t...
  3. Restraints too Tight?

    Writing off a hospital bill or settling in the face of a lawsuit does not imply any negligence or guilt on the part of the facility. It simply means that the amount of money to write off the bill is cheaper than trying to fight a convoluted case tha...
  4. Most pharm/equipment sales jobs are given to people with business/marketing degrees and proven sales backgrounds. This is much more a business oriented job than a job that requires nursing judgement and most nurses do not have the ability to push th...
  5. starting own business??? sewing or diesel?

    You can find easy "how to" books to learn to sew. I learned to sew as a kid and taught my husband when we first met. Obviously you won't be a whiz when you first start, but it gets better. There are a zillion embroidery machines on the market. Per...
  6. Telling a patient/family that a mistake was made

    If mistakes were disclosed more often, there would be fewer lawsuits. Often these people want to know what happened because they get the feeling that something was wrong and being hidden from them. I am tired of physicians and facilities wanting to...
  7. thoughts on the best protective seal

    I have used pieces of Allevyn thin to cover the edge of the clear drape and go onto the skin. Duoderm thin would probably work as well. It's flexible, but it helps to protect that edge of the drape so that it isn't pulled up when they wipe against ...
  8. I thought that the first time that I did CPR on a little old person was bad, that first "crunch" under your hands.....breaking the contractures to do a code.....that was far nastier than almost anything else.
  9. About Incident Reports

    My guess would be that many facilities try to hide things and tell nurses NOT to document what happened in the nurse's notes. Attorneys KNOW something happened but can't get to the truth because everyone is trying to hide it. Apparently many people...
  10. Considering LNC career

    Effort is definitely the key! I think nurses get complacent because we are usually in demand and have people practically throwing jobs at us. Getting into this specialty means we actually have to do more than fill out an application or turn in a r...
  11. Just wait till the day you have to code someone contracted into the fetal position. The bone breaking to be able to get to the chest for compressions is really gross!
  12. Inpatient/hospital wound nurses

    Used a lot of Smith & Nephew and don't have a problem with any of the stuff from them. Ethicon/Johnson & Johnson has great stuff. I love Promogran and Prisma. It does great stuff for otherwise healthy people to get healed quickly. Also w...
  13. Considering LNC career

    Amen to all that! This is not a get rich quick scheme. It gets disheartening some days to see yourself putting out money and not getting it back in.
  14. About Incident Reports

    I still don't understand why everyone is hung up on the incident report being part of the record that an attorney sees. The incident report DOES NOT matter in whether or not you get called for a deposition, named in a suit, or have to testify at tria...
  15. Reuse of lancets, school age child?

    This may be the "standard" that people are going to, but it is not appropriate infection control. As a licensed professional, I will NOT put my license on the line by doing this. What a person chooses to do to THEMSELVES is one thing. But a licensed ...
  16. Sentinal Events

    Until the people that have the power to stop this insanity end up with a loved one dying because of short staffing, etc.....nothing will change. But then the people that control this kind of thing make sure that their loved ones go to well-staffed, ...
  17. Each job title wears it's own color.

    I have not seen that it makes any difference to patients, docs, or families. They don't remember who is which color. If facilities would issue nametags that clearly showed the persons's credentials, rather than hiding it to avoid questions about th...
  18. Inpatient/hospital wound nurses

    Most likely. Medline is used by a lot of nursing homes because they are less expensive than other companies. Although the last time I talked with one of their reps, they had a few good products but the NH I worked for was too stingy to even get the...
  19. Inpatient/hospital wound nurses

    Do you have protocols already in place for treatment that have been approved by the medical staff? I worked in a large facility with several WOCNs. They routinely had inservices to review the protocols for using products so that the floor nurses cou...
  20. thoughts on the best protective seal

    Benzoin works well in the right conditions. For excoriated/yeasty skin under the drape, we've used nystatin powder on the bad skin, put a telfa on top of that, then put the drape on so that it covers a larger area and holds everything in place. Rea...
  21. HELP!!! Just had my eval from admin.

    Deja vue! Don't know what to tell you. I have found that I just cannot deal with the slip shod way that employers want to run things. They let little compromises in and the next thing you know, they don't recognize when things are unsafe, against ...
  22. Reuse of lancets, school age child?

    I would tell her that the liability is too high for you to do this and you are personally responsible for you license and actions. If she insists, then tell her that she needs to come to school and take care of this child so that you guys don't have ...
  23. About Incident Reports

    This may not have anything to do with an incident report. Many reports never get written because it would take the nurse 2 hours after the shift to complete one. But lawsuits are still filed and records requested. If the patient/family/someone els...
  24. nursing shortage...

    Gee, what a novel concept. This is what most of us experienced nurses have been saying for a while. I have a friend in WY who hasn't been a nurse nearly as long as I have and she even sees this. I have debated often in the last few years about gi...
  25. You won't know what made it into the file unless something comes up. Better not to push things, just resign quietly and leave. If something does make it into the file and the facility actually gives this info to a prospective employer, it will loo...