GrumpyRN63

GrumpyRN63 ADN, RN

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

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All Content by GrumpyRN63

  1. charting sleep question

    GrumpyRN63 replied to The Bell Jar's topic in General Nursing

    I chart pt appears to be sleeping comf when checked I've never been told this was unacceptable, even on the flowsheet, when reassessed after being medicated for pain,we write asleep, NM have never had...

  2. Heparin Drip Compatibilty

    GrumpyRN63 replied to Advocate1's topic in Patient Medications

    Iagree, we NEVER piggyback anything into a heparin gtt, not even maintenance IVF, probably b/c of the above, but what about interruptions w/the rate?you will end up switching off the heparin for 1-2...

  3. Safe Nurse:Patient ratio

    GrumpyRN63 replied to hoopette34's topic in First Year After Licensure

    I work on abusy/heavy surg/onc unit, for nites we are staffed for 18 pts w/ 2 RN's and 1 PCA, we can't get more staff, even if we have a bunch of sick ones, our load is 7-8 for nites, 5-6 for eves....

  4. Accused of abandonement

    GrumpyRN63 replied to bell83's topic in First Year After Licensure

    I think it's important and would be helpful to know how long you were in the office, ten minutes is quite different than an hour... either way yes, you should have let him/her know, maybe you opted...

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

    GrumpyRN63 replied to mitchsmom's topic in Ob/Gyn

    Blee[/quote Ummmm. excuse me, yes we do.:uhoh21: I'm unsure of the foreskin issue,but we certainly do bury placentas and limbs, esp orthodox ,Hassidic ,but I've had a secular(read--) non-religious...

  6. Nurses not responding fast enough-VENT

    GrumpyRN63 replied to pirap's topic in General Nursing

    I don't try to sugarcoat or excuse delays to pt's but to be realistic so they understand ie,"sorry for the delay, I was______fill in the blank, " in the middle of a sterile procedure,attending to an...

  7. Is there anything that you cannot handle as a Nurse?

    GrumpyRN63 replied to cammy429's topic in General Nursing

    I Have never gotten"weak"anything, I do 'sceive'(?sp) sputum though ,truly trach sxning, or brushing someone's slimy dentures are gross to me, but puke on me,bleed out whatever doesn't bother me in...

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

    GrumpyRN63 replied to mitchsmom's topic in Ob/Gyn

    I Have seen A number of pt's families do this 2/2 religious tradition, i.e. in Judaism it is customary to bury the placenta )and other body parts-- like amputated limbs) no paperwork for the...

  9. OB/GYN floating and infections?

    GrumpyRN63 replied to SouthernLPN2RN's topic in Ob/Gyn

    I understand your concern, we used to argue w/admin all the time about booking "dirty" pts on our "clean" unit. Especially b/c many of our onc pts ere immunocompromised. Now today we can have...

  10. Made first med error :( Filled out first OAR.

    GrumpyRN63 replied to RNcDreams's topic in General Nursing

    Baby steps are important, as a new grad there is a lot of learning to do,as in the 1mg of Dilaudid is about 10X stronger then the 75 mg Demerol ,until you know ,keep checking...Also you...

  11. How do you, on a Med-Surg floor, get report from the ED?

    GrumpyRN63 replied to cdm.rn2006's topic in General Nursing

    I work in a large teaching hospital, we get a ED summary that just comes off our main printer at some time, no nurse to nurse report in several years now, transport sends them up, on nights many times...

  12. Made first med error :( Filled out first OAR.

    GrumpyRN63 replied to RNcDreams's topic in General Nursing

    Making A med mistake can be devastating, but once out in the real world and you catch all the residents' ordering errors, the pharmacists' and pharm tech errors --well lets just say no one is...

  13. Spinoff : What We Do, What We Used to Do

    GrumpyRN63 replied to NursingAgainstdaOdds's topic in General Nursing

    Smoking in the conference room during shift change

  14. first name last name issue and drama

    GrumpyRN63 replied to The Bell Jar's topic in General Nursing

    You took the words right out of my mouth!Who gives a crap about PC in that case, I use first names if they are younger than me, Ms/Mrs if elderly, and ask them if they are in between, I usually use...

  15. Help! need advice please..new RN job offer

    GrumpyRN63 replied to kendel's topic in Nursing Career

    I vote job 1, I work in a ghetto (ie large teaching) hospital for 20 years, great diversity and autonomy. Just the thought of a 2 hr commute makes me gag !!! No way is it worth

  16. Code Red/Code Blue/Code whatever....what do you have/what are they for?

    GrumpyRN63 replied to HappyNurse2005's topic in General Nursing

    Code 5= Adult resp/cardiac Code 7= Peds "" " Signal 11= Fire Plan D=

  17. help me!! need avice for job!!!

    GrumpyRN63 replied to caloynik125's topic in International Nursing

    Ditto

  18. Need help figuring out what happened to this guy!?!?

    GrumpyRN63 replied to TigerGalLE's topic in General Nursing

    I'm suspicios he may have been ignoring you,maybe some visitors slipping him something, nice to run a tox screen to rule that

  19. Fleet enema = NO results!!

    GrumpyRN63 replied to kwagner_51's topic in General Nursing

    Where I work the liver docs always order lactulose ATC to facilitate the removal of ammonia, is she NPO by

  20. Am I assessing today's nursing situation accurately?

    GrumpyRN63 replied to marie-francoise's topic in General Nursing

    1) You will probably be much happier utilizing your MPH- I would 2) The good ol' days are gone at least for the forseeable future, I see things only getting worse until the industry as a whole...

  21. quit after last 8th week of orientation. do i have to add this 2 my resume?

    GrumpyRN63 replied to lilmaxine02's topic in General Nursing

    I think youv'e been given sound advice, I wouldn't bother to mention the job and apply as a new grad, I left a job after 2 months, never mentioned it again,saves a lot of discussing uncomfortable...

  22. da vinci robot poll

    GrumpyRN63 replied to mikethern's topic in Operating Room

    We use ours in Gyn/Onc Sx, not sure about other specialties, lots of postop complications though, I wouldn't want one used on me....xould just be the technique of the surgeon doing most of the cases...

  23. Shabbos/Religious Observances

    GrumpyRN63 replied to texasmommy's topic in General Nursing

    No apology necessary! Yeh, basically one on sat one on sunday, your'e right, the intention is the same .. the rules are different, especially were the orthodox are concerned and that will require...

  24. Shabbos/Religious Observances

    GrumpyRN63 replied to texasmommy's topic in General Nursing

    Ummm, this is a Christian

  25. Shabbos/Religious Observances

    GrumpyRN63 replied to texasmommy's topic in General Nursing

    Docs and nurses observant as well work on shabbos --preservation of life trumps religious observation. The good thing is many more christians work so its really easy to get coverage for the high holy...