GrumpyRN63

GrumpyRN63 ADN, RN

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

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All Content by GrumpyRN63

  1. REALLY stupid question...

    It seems to me the only fluid the ED ever hangs is NS, once the pt is admitted inpt, usually with protracted N/V/D they get D5RL or D5 1/2NS w/ 20 KCL as maint and then tweaked depending on
  2. Bad Day!!!

    I wouldn't give her until the end of the next time, I wouldn't even go back to that toxic rathole, if you truly wanted to leave on good terms give her just the initial two weeks you agreed on,...
  3. Do you wear your seatbelt

    Always, automatically before the car
  4. fed up, negative and wrong

    I just try and remember there are a lot of things I can't control but I can control how I react to
  5. help with abandoment issue

    I can't stand all this sucking up to these abusive families ( and many patients for that matter) who are abusive to the staff and are rewarded by free parking, meals, *******' flowers, you name it,...
  6. Forgot to waste a narc...

    Back in the day when we had keys I brought mine home, opening the front door, heard a jingle around my neck, crap, drove right back, luckily I lived about 15 minutes away, I was sooo pi$$ed at myself,...
  7. Narc problem. Plz Help me!

    I don't understand about the written statement. You didn't give a written statement or you weren't asked to give
  8. A personality overhaul

    I agree 100% w/easttexasnurse and babs, I do this often, it truly makes all the difference. Just the same five minutes sitting on a chair or the end of the bed really makes the pt feel sooo listened...
  9. I'm Injections and hitting blood vessels?

    I've hit 2 in 22
  10. polycythemia was exactly what I was
  11. Can someone please explain per diem to me?

    I work per diem on a unit, requirement is 24 hrs/ month, a certain % needs to be 'off shift' that could be eves/nocs or weekends, I don't usually do holidays, but on the occasion I do ,I get time and...
  12. Many RN's administer IV meds wrong.

    Our extention tubing diameter is very tiny, probably fills in .2 -.3 cc's that being said, we all usually dilute our meds minimally to 10 cc NS, so the pt has really gotten all of it before the final...
  13. easy street - where is it?

    MD office, maybe, but usually BIG pay cut, clinic, forget it, from my experience, you run your butt
  14. How often do you do vitals and I&Os?

    Onco, Q4H vitals, Q8H I and O's unless postop, we do vitals Q2H x3 then Q4, and usually follow their urine (all pts) at least Q4, esp postop and
  15. Young Hospice Nurses

    It's an interesting question. I don't think nurses start out in Hospice as a general observation; oncology yes, but I would be interested in hearing if it is possible. I think nurses generally work in...
  16. Geez, I would hope if I'm in an LTC one day I wouldn't need my children's permission for a smoke--(they would finally know and I[ve been in the closet
  17. when is it appropriate to call CNA or LPN to do task?

    You do what you need/should do for the well being and comfort of the pt as it needs to be done. If I'm there and the pt needs whatever, I do it, if I can't do it alone, will call for help if I need...
  18. My son wants to be a nurse????

    Good for him, I agree, pretty decent job security in the health care field and it's great to see more men becoming nurses, kudos to
  19. Cell Phone Useage

    We are provided a phone with unlimited useage /no restrictions or limits:), I've used my many times off work(never long distance or abused the privelage) and many nurses I work with have given up...
  20. Kitty litter as an order

    Does pharmacy dispense it?? or do we trot off to
  21. Dvt

    Once the pt is dx w/ a DVT( in the acute period) we no longer place venodynes on that leg,--- nor is the pt kept on bedrest, that was done many moons
  22. Want help with Insomnia working Day Shift

    My body always worked very well in 2nd shift mode, never able to sleep early even when on days , up til midnite at least, always exhausted. Even when not working days I would never get tired before...
  23. How Can You Tell if a Pt. Is Addicted???

    Sounds to me like she has chronic pain at baseline and acute pain post op, not unusual she is watching the clock, she is in all probability under-medicated, they should up her oxy, she is probably...
  24. I've not shown up 3 times in 20+ yrs, I've also shown up when not scheduled, I think all of the staff have screwed up on occasion, half the time you don't know whether your'e comin' or
  25. How many of you work 2 jobs??

    I work weekend baylor 10 hr sat/sun home hospice and prn about 3 shifts/month in the hospital, like the diversity of both and flexibility and get the benies, it's all