GrumpyRN63

GrumpyRN63 ADN, RN

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

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All Content by GrumpyRN63

  1. MORPHINE and Dying Patients

    GrumpyRN63 replied to constantlylearning's topic in General Nursing

    I have no reservations at all about giving seemingly huge doses of Morphine or Dilaudid to a terminal ptNo dose is high enough until the patient is comfortable. Death should be peaceful, easy, not a...

  2. Need advice for career path

    GrumpyRN63 replied to cyclechic2127's topic in General Nursing

    I don't think you can pick up PRN work in an ICU without established experience in ICU, in fact, I'm pretty surprised you didn't need ICU or stepdown for the cath lab, in any event the orientation for...

  3. Appearance at work

    GrumpyRN63 replied to peds_cna's topic in General Nursing

    Have to wear makeup!!!! Horrid at this age al naturale ,but I try to achieve a' minimal 'makeup look. Very flexible dress code, I'm a standard scrub pants, sneaks or crocs, cottonshirt/scrub coat...

  4. The most expensive, silly or cheap gifts you received from your hospital

    GrumpyRN63 replied to Shantas's topic in General Nursing

    Nice canvas camping chair w/cup holder and carrying sack w/hospital logo, foldable picnic blanket w/carrying straps, canvas totebag w/ hospital logo--( all for different years for nurses week ) $10...

  5. warfarin nocte'

    GrumpyRN63 replied to dkduncan's topic in General Nursing

    Also, once the pt is discharged, they will need f/u labs as an outpt for months, drawn during the day also reflects the plasma/distribution level of the pm dose of Coumadin more accurately in a steady...

  6. Ortho Floor only takes care of ortho problems?

    GrumpyRN63 replied to marygirl's topic in General Nursing

    DITTO!!

  7. Share Your Saying

    GrumpyRN63 replied to angelique777's topic in Nursing Humor

    Dream like you'll live forever ,live like you'll die today ---James

  8. Digoxin and Coumadin

    GrumpyRN63 replied to ORNurseAngie's topic in Patient Medications

    We always give coumadin @

  9. Ready to Call it Quits

    GrumpyRN63 replied to whontime's topic in General Nursing

    I can only say, I pretty much like most of the pts I take care of, even the psych cases, drug seekers, high strung , I don't really have a problem with any 'type', most people I find something...

  10. Multiple IV's question

    GrumpyRN63 replied to hollyberry678's topic in General Nursing

    I've never had a pt on cont Vanc, what's happening w/ the TPN, is it running WITH the Vanc??? I've never piggybacked anything into TPN line, always dedicated line, If so, seems rather...

  11. Having Trouble telling people I'm an LPN

    GrumpyRN63 replied to gt4everpn's topic in General Nursing

    Be Proud ( Lovely Proud Nurse) LPN

  12. For an experienced nurse who doesn't know anything

    GrumpyRN63 replied to moliuchick's topic in General Nursing

    Why not get a subscription to one of the monthly publishings such as nursing2007,, they'll update you on current practices, changes, new meds etc, easy reading, prety general accross the

  13. Meal and Potty Breaks

    GrumpyRN63 replied to Weeping Willow's topic in General Nursing

    i worked for a while in a crazy busy amb unit doing telephone and walk-in triage. anywhoo i told the insane nm there that exactly,, a person should at least be able to have the time to change their...

  14. Meal and Potty Breaks

    GrumpyRN63 replied to Weeping Willow's topic in General Nursing

    You are so

  15. Meal and Potty Breaks

    GrumpyRN63 replied to Weeping Willow's topic in General Nursing

    Usually don't get a lunch break, PB and crackers, h20, some nuts here and there snacks,BR break maybe 2x in 12 hrs, only swipe no lunch if it's been a real noc from you-know-where and my blood sugar...

  16. Management is turning the hospital into the Four Seasons (If they could)

    GrumpyRN63 replied to abbaking's topic in General Nursing

    YUP, $3.00 a day for a TV, if you were an employee who was hospitalized it WAS FREE WAAHOOOO!!!!! what a perk, Oh yeh, always got my report with a cup of joe and a

  17. Management is turning the hospital into the Four Seasons (If they could)

    GrumpyRN63 replied to abbaking's topic in General Nursing

    that may be the case in some places,our unit consistantly ranks high, letters upon letters of accolades,awards about the nursing care,etc. in fact all of the vip's in the community, hospital...

  18. Management is turning the hospital into the Four Seasons (If they could)

    GrumpyRN63 replied to abbaking's topic in General Nursing

    I hear your pain loud and clear, it is pure insanity. If something doesn't go their way, pt relations sends flower/fruit baskets, meal vouchers, valet parking vouchers its ridiculous...B/c the...

  19. Refusing to do charge

    GrumpyRN63 replied to MA Nurse's topic in General Nursing

    I hate charge,( but get it quite often.) I don't know anyone who does. We get a full pt load plus charge , no differential. Who could like that? Where's the incentive? We have no choice in the...

  20. What MD speciality do you find the most difficult to work with?

    GrumpyRN63 replied to nurturing_angel's topic in General Nursing

    1) Plastics 2) Gen surg esp

  21. Nsg care of hypotensive pt

    GrumpyRN63 replied to OncNewbie's topic in General Nursing

    I think it all depends on the whole picture, pt's age, dx, med hx etc. First and foremost recheck the BP, how does the pt look, tachycardic?,bradycardic? febrile? asymptomatic? dizzy? fluid status?...

  22. Nsg care of hypotensive pt

    GrumpyRN63 replied to OncNewbie's topic in General Nursing

    She must also want you to get an order before calling a

  23. The Unwritten Rules of Nursing

    GrumpyRN63 replied to GregRN's topic in General Nursing

    When a pt says " I'm going to die " believe

  24. How do you protect your identity?

    GrumpyRN63 replied to mcknis's topic in General Nursing

    I never really thought I'd need to be concerned about my identity at work. My badge has full name, our paychecks come to the floor with our mailing address on them. Theyare kept in a safe place but we...

  25. Do you allow patients to take home their placentas if desired? more

    GrumpyRN63 replied to mitchsmom's topic in Ob/Gyn

    It may have been that my experience was with patients whose babies had already died ;usually btwn 19-23 wks gestation, the tradition ( for burying the placenta) may be different than that of a live...