RN1989

RN1989

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All Content by RN1989

  1. Dying Pts who are still full codes.

    I don't want my choices taken away either, but people need to be accountable for their choices. These include the choice to be realistic with what healthcare can actually do. People think that they...
  2. One could only hope that someone will step in and prevent unlicensed personnel from performing procedures outside their scope of practice. Probably won't happen though since UAPs are cheap compared a...
  3. Wanna quit because of patients attitude?

    I don't know why people are surprised at patient's behavior. Their behavior is merely a reflection of our society - the me first, don't think of others mentality is
  4. Dying Pts who are still full codes.

    Doesn't scare me. I think it is ridiculous that we waste resources keeping people alive who are veggies, and continue to aggressively treat people who have NO chance of survival because they have...
  5. Question about Heimlich Maneuver and restaurants.

    I believe that in most places it is required that the restaurant have heimlich posters posted and the employees are supposed to go over them when hired. I know that I have seen "dings" listed by the...
  6. I've worked at several different Dallas hospitals as agency on tele. At the best place I had 6 tele patients every time. At the worst place I had 7, sometimes 8 on
  7. Venous Stasis Ulcer & RA

    Compression is not indicated for someone with arterial insufficiency. It could completely obliterate blood flow causing loss of limb. Is the pain under adequate control normally whent the pt...
  8. Inmate Pts

    I've taken care of many prisoners over the years without knowing what they were "in for". Does not matter. I treat them the same as I treat a VIP. Have only had one prisoner "test" me. I gave that...
  9. Propofol used for palliative sedation

    Have never seen propofol used on a floor in any of the states I've worked in. It is an OR/procedure med or used for the vent pts in the unit. I would not give this drug on the
  10. Re: Holding a med d/t POA's request

    I always document that the POA refused the med on behalf of the pt and what their rationale was. I can't believe that someone ordered a routine sleeper instead of a prn for someone with dementia....
  11. My experience has been with for-profit. The manager is salaried due to the need for O.T. The manager generally does wound care along with any staff, in addition to performing managerial duties -...
  12. Depends on the type of facility. Is this a for-profit company that runs a free standing clinic or a clinic associated with a facility? Or does a hospital run the
  13. how long to wait for job

    If you really want the job, call them and ask where they are at in the process. Sometimes it helps to tell them that you have another job that you need to give an answer to but you wanted that job...
  14. It is a JCAHO policy to take MARS to the room with you. They'll ding you bad if they catch you not doing it or if there is a med error and the investigation finds that the MAR did not go to the
  15. yeahhh sure

    Sudafed has pseudoephedrine - an ingredient used in making methamphetamines. This is why cold/allergy meds with pseudoephedrine are now kept behind the pharmacy counter and they practically search...
  16. Credit checks for employment

    The company in TX that masquerades as a credit check company does not use the credit score as a means to deny jobs. In TX, it is legal to give out more info than the standard dates of work and...
  17. Credit checks for employment

    They also use this to check out people who work with money in facilities. A person with a poor credit score, history of large debt, excessive spending is a greater risk to hire because they may be...
  18. ER vs. Telemetry.. need help

    I would hate to see you lose your job or your license by taking an ER position when you do not have experience to work in a fast paced environment in today's healthcare situations of high expectations...
  19. Worried about too much accountability.......

    I hope you are documenting every shift. There will come a point where you will need the documentation - either to CYA or to provide proof of the unsafe conditions and need for a
  20. Don't want to do this anymore

    These regs are OSHA - they are called "occupational safety" for a reason. There is a big difference in the JCAHO regs and OSHA regs. OSHA regs are in place because of true safety issues. JCAHO regs...
  21. I think that there needs to be some specimen cups passed out to the parties
  22. I just can't see someone "forgetting" to properly waste and dispose of narcs. Possibly trying to get rid of stuff in a hurry and shoving it into a mailbox IS something I can
  23. is it ok to call a dr even if not your patient

    You facility is required to have a policy on chain of command, including the names of the docs that hold the positions of authority over the surgeon not calling back. Find that policy, make a copy so...
  24. RNC - the whats and hows?

    The American Nurses Credentialing Center - an arm of the ANA gives the RNC credential. They have one in Maternal Child Nursing. www.nursecredentialing.org You will need to review their...
  25. Paris Regional Medical Center

    Yet another reason why I am happy to have gotten out of northeast TX. The good ole boys rule everywhere, but you feel it more when you live in the smaller, less metro areas. The dirty politics gets...