GrumpyRN63

GrumpyRN63 ADN, RN

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

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All Content by GrumpyRN63

  1. Agencies with Benefits

    GrumpyRN63 replied to pat8585's topic in Home Health

    My agency provides benies for anyone working 20hrs per week or more and I know of several more in the area with the same

  2. I did a no-no

    GrumpyRN63 replied to mamad7's topic in General Nursing

    I too do the same, my OWN tylenol or motrin, not from the

  3. i feel so guilty..should i have done more?

    GrumpyRN63 replied to erin01's topic in General Nursing

    I would have had that resident's a$$ at that bedside ( or go above him), and if he didn't show and she was going south fast I would have went ahead and called rapid response. He really let the pt down...

  4. Would You Take This Job?

    GrumpyRN63 replied to kemkem's topic in General Nursing

    The only drawback I see is the potential very little sleep you'll get... maybe 5 hrs and then have to pull another 16, If you're young, go for it . I do WE baylor but only sat/sun 10 hrs, i love...

  5. Husband of an assaulted ER nurse

    GrumpyRN63 replied to goyavo's topic in General Nursing

    It seems she should (or did?) get STD for her 5 weeks med LOA, as you state she has not missed work since, so it seems she can perform her usual duties as before her injury and presumeably was cleared...

  6. Can You Suggest Home Care Bags that You USE or LOVE?

    GrumpyRN63 replied to loveandnyc's topic in Home Health

    My bag ripped pretty quickly, I am now using a computer backpack - bought at a retail store. I/m not putting my computer in it, although I probably could, it's got lots of pockets and...

  7. Can someone explain OASIS to me? Simply what does it mean?

    GrumpyRN63 replied to DutchgirlRN's topic in Home Health

    :typing More charting, In the simplest of terms it's a

  8. How to administer morphine via IV

    GrumpyRN63 replied to macgyver16's topic in General Nursing

    I dilute in 10 cc NS and run in it the secondary line over a few minutes, just 'cause I'm lazy and don'y want to sit there and push. That being said if it's just 1-2 mg, you really don't need to...

  9. For RNs who worked while pregnant, when did you take off from work, and for how long?

    GrumpyRN63 replied to rn4ever?'s topic in General Nursing

    Back in the day when I had my kids the hospital had me use 2 weeks PTO and then they paid 6 wks (vag deliv: 8 wks for c/s) @ 60% of my FT- so I think it was like a 24hr/wk paycheck. I was allowed a...

  10. How often do nurses have sex in the hospital?

    GrumpyRN63 replied to curiousstudent5's topic in General Nursing

    You left out my biggest pipe dream-- the getting to eat and pee

  11. 6 hour blood transfusion

    GrumpyRN63 replied to pedsnurse2002's topic in General Nursing

    I wouldn't keep it up past the 4 hours,( my NM and Blood Bank would have a s&*t fit, never mind the risk to the pt and my license ) regardless of how it was ordered, MD next time needs to order...

  12. Why didn't I know this?

    GrumpyRN63 replied to jmejo's topic in LPN, LVN Corner

    \ OOOOHH :) We have always used ATBX's, I couldn' t figure it out from

  13. Why didn't I know this?

    GrumpyRN63 replied to jmejo's topic in LPN, LVN Corner

    I guess what your saying is the other pt's had a past hx of MRSA, not active infxn, BTW, what are ABT's ( I'm unfamiliar with that- is it a LTC thing)

  14. Why didn't I know this?

    GrumpyRN63 replied to jmejo's topic in LPN, LVN Corner

    I don't understand how you have taken care of many pts with MRSA and not known they are on contact precautions, I don't understand the protocol in LTC and faxing whatever to the md, seems to me if you...

  15. Homebound but working?

    GrumpyRN63 replied to HHLVN's topic in Home Health

    I think whoever drives him to work should swing him by his lab and have them draw his labs or his md should order him his own INR meter so he could do it himself, we don't do any blooddraws period,...

  16. Don't flush saline lock? I'm confused.

    GrumpyRN63 replied to boggle's topic in General Nursing

    I flush anyway just to be on the safe side there may be some blood/fibrin not visible and like to do a positive pressure just to be sure. It may be overkill, but it won't hurt, I'd rather just do it...

  17. Nursing hazards, how much of a risk is there of contracting something?

    GrumpyRN63 replied to michelle_d's topic in General Nursing

    I've had a few exposures during 22 years, a few needle sticks,(before safety needles ) chemo exposure, once had a really gross exposure where someone explosively ruptured their membranes I got it in...

  18. Socialism Is the Best Medicine

    GrumpyRN63 replied to herring_RN's topic in Activism, Healthcare

    I agree, if one is truley "poor" they would qualify for medicaid, if they are the working poor there are places that offer services and fees income based on a sliding scale. I find it interesting...

  19. Socialism Is the Best Medicine

    GrumpyRN63 replied to herring_RN's topic in Activism, Healthcare

    she shouldn't be going to the ER, that's the problem, people using the ER for primary

  20. I witnessed the most horrible death last night at a LTC facility.

    GrumpyRN63 replied to stdntograd06's topic in General Nursing

    I would be wondering why the pt ( presumably dying at this pt) would still be getting TF at such a high rate? TF's themselves are contraindicated in Hospice rather than the occas yankauer sxn. (Unless...

  21. Oncology nurses out there I have a question......

    GrumpyRN63 replied to sheabe32's topic in General Nursing

    I had three normal, healthy children while working Oncology. We no longer have the implants on our floor, but back then we did. The implants and the I131 pts were the ones we (pregos) didn't have...

  22. Med-Surg experience before OB/GYN

    GrumpyRN63 replied to Harlem05's topic in Ob/Gyn

    I started out in OB and then moved to GYN and then GYN/ONC. Did some L and D inbetween. I now also do Home Hospice.I never did the med.surg thing and it didn't have any negative influence on getting...

  23. Follow up to Narcotic question

    GrumpyRN63 replied to gsstover's topic in Hospice, Palliative

    We don't count narcs in the home, the families are taught the dosing and administration and it pretty much ends there. Sometimes they keep track/log on their own, but the only time we count is at the...

  24. Does DNI mean no CPR?

    GrumpyRN63 replied to chenoaspirit's topic in General Nursing

    My experience has been the same as vitoandolini, we have pt's who differentiate the DNR/DNI status. DNI means just that, everything except intubation, DNR, no compressions, no intubation, but...

  25. How does your facility deal with fetal demise?

    GrumpyRN63 replied to anggelRN's topic in Ob/Gyn

    I am no longer on L and D, but we deliver demises up to 23 weeks on my floor. We (and l and d) have a protocol in place. All pts see SW, given lots of support group/genetic counseling resources, we...