GrumpyRN63

GrumpyRN63 ADN, RN

Gyn Onc, OB, L&D, HH/Hospice/Palliative

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All Content by GrumpyRN63

  1. Permanent Paracentisis Sites

    GrumpyRN63 replied to Valorie D's topic in Hospice, Palliative

    I have had pts w/tenkoff caths, just like a denver/pleurx, just need larger collection containers, its pretty straightforward and convenient for the pt, some we had to drain QOD due to the lg amnt of...

  2. What would you have done?

    GrumpyRN63 replied to MIcrunchyRN's topic in General Nursing

    At 10 pm I would have given the ss dose or nothing if the pt refused and restarted the metformin in the am, I would have been concerned the am dose would have been too close from the pm

  3. TPA for central Line clots??

    GrumpyRN63 replied to raindrop's topic in General Nursing

    I agree, I don't use the stopcock method, just create a vacuum w/ a 10 cc syringe, clamp to maintain the vacuum, before instilling the TPA, sometimes it does require a bit of pressure (even w/ the...

  4. Another stupid question..Do you know the answer?

    GrumpyRN63 replied to KarynicaRN's topic in General Nursing

    Actually, in all practicality I think the pharmacist would be the one to clarify the order since they are actually filling and dispensing the rx. This is the case all the time in my facility. They...

  5. How Safe is Home Health

    GrumpyRN63 replied to missea39's topic in Home Health

    I agree, I have never felt unsafe in any neighborhood, people are glad you are there to help out. In one case, I locked my keys in the car, and I was glad I was in a 'bad' neighborhood, guys came out...

  6. How did you get started in Hospice nursing?

    GrumpyRN63 replied to GaMBA's topic in Hospice, Palliative

    For me, it was a logical extension from working in oncology for many years, I wanted to try HH but cont to work w/onco pts. I always really loved the continuity of care and spirit of many of the onco...

  7. Palliative Bowel Care Question

    GrumpyRN63 replied to bluekermode's topic in Hospice, Palliative

    I agree, she still needs the bowel regime, very

  8. Small Bowel Obstruction

    GrumpyRN63 replied to Rebecca Williams's topic in General Nursing

    I'm a little confused, was the original surgery for an obstruction, or did she develop the SBO post op? also, how did she "crash", what events happened that day, what was done, what was the

  9. HIPAA Question. Appropriate?

    GrumpyRN63 replied to beachbum3's topic in General Nursing

    I frequently follow pts progress or setbacks while I am 'not their nurse' that shift, I also pop my head in and say hi -- just did it tonite, I don't think its a hippa violation, to follow the course...

  10. pyxis narcotics count

    GrumpyRN63 replied to connieg's topic in General Nursing

    We have never counted narcs from the

  11. Hospice?

    GrumpyRN63 replied to RNeyeam's topic in General Nursing

    Maybe it depends on the agency, where I work the hospice benefit will not pay for active treatment, incl, chemo, rad rx, even procrit. The dx is a terminal prognosis of 6 months or less, with the...

  12. Well, heck!

    GrumpyRN63 replied to AngelfireRN's topic in General Nursing

    Well, I don't really understand how agency work goes, but can't you just tell the agency you want a different position/diff facility/job? Don't they keep you abreast of jobs availability and if your'e...

  13. IM injection help: maximum amount given in ventrogluteal site

    GrumpyRN63 replied to christine2005's topic in General Nursing

    I would have definitely mixed w/lido, no more than 3 ml's , but I would have gone postgluteal as I hate the ventral site and have never used it --just my personal preference, I would have split the...

  14. Pt with fluid filled lung is urgent isn't it?

    GrumpyRN63 replied to BinkieRN's topic in General Nursing

    some pts may have pleural effusions as their 'baseline' as with lung ca or some gyn ca's, just as they may have ascites 2/2 different types of cancer or cirrhosis. Some pt's do walk around and get...

  15. What was your 1st job as a new grad? And where are you now?

    GrumpyRN63 replied to Mo_RN's topic in General Nursing

    First job postpartum, 21 years later, Home Hospice with inpatient/hospital surgical oncology on the

  16. Would you work in a hospital that pays less if nurse:patient ratios were better?

    GrumpyRN63 replied to blondy2061h's topic in General Nursing

    without a doubt, i'm old enough and wise enough (and tired enough) to choose job satisfaction and quality ( and sanity) over

  17. How long do you hold IVF when drawing blood from PICC line?

    GrumpyRN63 replied to IngyRN's topic in General Nursing

    I hold my fluids ,thru all lines for 2 minutes, listen to lungs ant and posteriorly, missing most of your lung fields if you just listen anteriorly

  18. Were You a Nursing Assistant

    GrumpyRN63 replied to pat8585's topic in General Nursing

    I worked as a CNA throughout nsg school , some one had to pay for it! I think it's invaluable, everyone who enters nsg should have to be a CNA, I think it helps me be a better team player, my work...

  19. career change: ICU to home health

    GrumpyRN63 replied to heygurlhey's topic in General Nursing

    I had worked for 20 yrs inpt, mostly gyn/onc, was getting burned out, decided to give HH specifically onc/palliative/hospice team and I absolutely love it. I do W/E baylor for the benies and still...

  20. Breach of patient confidentiality?

    GrumpyRN63 replied to chelleshocked's topic in General Nursing

    I don't think it would be very hard to get her

  21. Breach of patient confidentiality?

    GrumpyRN63 replied to chelleshocked's topic in General Nursing

    I would like to know who gave her the access, especially if it is in a different city?? Nevermind it is absolutely no business of hers in regards to her daughter's boyfriend's daughter ???? WTH, I...

  22. yeahhh sure

    GrumpyRN63 replied to ohmeowzer RN's topic in General Nursing

    The once or twice a year I have to buy it, I tell the pharmacist, I only have a small meth

  23. obituaries

    GrumpyRN63 replied to shannonRN's topic in General Nursing

    We post them all the time in the nurses report room, somebody out there is scanning

  24. Fired, concerned, worried, job issues, need information, and salary info!! help!

    GrumpyRN63 replied to cutehumor's topic in General Nursing

    I think you got screwed. What type of unit were you working in?? I don't think this 'transgression' would effect you being hired in the future. Pt wasn't even harmed. I]ve seen mistakes that have...

  25. Do you take the MAR into the patient's room with you?

    GrumpyRN63 replied to uscstu4lfe's topic in General Nursing

    This has been my practice as well ( to the T), and I don't know if we have a policy on this, has never been brought up. I only pull one patient's meds at a