GrumpyRN63

GrumpyRN63 ADN, RN

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

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All Content by GrumpyRN63

  1. Do you sign "RN' after your name OUTSIDE of the hospital?

    GrumpyRN63 replied to uscstu4lfe's topic in General Nursing

    only by accident, off topic, I once got sucked into an automatic membership thing when I ordered something on the internet, I was to be automatically charged/enrolled, which I certaintly wasn't happy...

  2. Use of the nicotine patch

    GrumpyRN63 replied to Phillygryl's topic in General Nursing

    No time lag needed, actually 7 mg is the lowest dose, if the pt is a pack-a-dayer or more they should really be on 21 mg or they will still

  3. Pain sensation felt during morphine adminstration.

    GrumpyRN63 replied to saulgoodman's topic in General Nursing

    I always dilute w/NS before pushing morphine, some pts do have discomfort esp when we used to use it for PCA's, no problem now that everyone is on

  4. IM Injection, Hitting Bone?

    GrumpyRN63 replied to etep1209's topic in General Nursing

    Flu shots are given IM, most times you can get away with a 5/8" in the deltoid on someone who is fairly lean, and yeh I've hit bone a couple of times, just pulled back a smidge before injecting, no...

  5. Too respectful to doctors?

    GrumpyRN63 replied to nursemike's topic in General Nursing

    Great chatting with you nursemike, I'm sure your pts really appreciate you, BTW gotta love the Frank Zappa reference

  6. manifestations of stress as a new RN

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

    I worked with a resident once who ended up with complete alopecia from the stress!! Her hair did grow back after she

  7. WE're OUtta the vagina!!

    GrumpyRN63 replied to Jenny67's topic in General Students

    I agree the title was HILARIOUS, and yes have long term experience with OB, L & D, women's clinic, infertility clinic, GYN, and GYN/ONC. BTW we call 'em vajayjays (that would be the DOCS

  8. Have you ever administered IV iron?

    GrumpyRN63 replied to NurseDennie's topic in General Nursing

    I've given the Infed, not as scary as it sounds, the nurses do the test dose and then the infusion, haven't had a problem with it on our

  9. Too respectful to doctors?

    GrumpyRN63 replied to nursemike's topic in General Nursing

    I guess my pts are spoiled, they routinely get Dilaudid 0.1-0.2 mg q6 minutes via PCA and if they aren't post op and need IV narcs they get 1-2 mg q2 hrs (dilaudid for opioid naive pts) God I hope I...

  10. Too respectful to doctors?

    GrumpyRN63 replied to nursemike's topic in General Nursing

    nursemike, I get the neuro thing, but if someone is on longstanding opioids preop and then has surgery,if the docs can't manage them, they should be followed by acute pain service,many times people...

  11. confused as to what to do

    GrumpyRN63 replied to momtojosh's topic in General Nursing

    Life will go on, and somehow they will miraculously manage if you don't go in. Either use your caller ID, VM or answering machine, or don't pick up the phone. Don't fall into the guilt trap, they make...

  12. Will I get fired?

    GrumpyRN63 replied to johnnyDoGood's topic in General Nursing

    Oh thanks, thought I read them all, that's crazy by the way, cover for a few hours?? this can't possibly be a hospital, anyway , gee I worked nocs thru 2 of my pregnancies- wish I worked there then!!!...

  13. Will I get fired?

    GrumpyRN63 replied to johnnyDoGood's topic in General Nursing

    Am I missing something here??, who said anything about anyone being pregnant or napping for a few hours

  14. Too respectful to doctors?

    GrumpyRN63 replied to nursemike's topic in General Nursing

    I don't think someone can be too respectful or too friendly. I personally like to think I am respectful and friendly to everyone I work with, not just the docs. I think everyone deserves respect as we...

  15. PRBC transfusion and diuresis?

    GrumpyRN63 replied to hotshot12345's topic in General Nursing

    It all depends on the pt. Many times you can transfuse without Lasix. If the pt has a hx (or is at risk)of CHF/poor renal/cardiac fnxn, many times you will chase the transfusion w/lasix to optimize...

  16. Will I get fired?

    GrumpyRN63 replied to johnnyDoGood's topic in General Nursing

    In my facility sleeping on the job is grounds for immediate termination, we don't sleep at noc, doesn't happen and I doubt is unacceptable in any institution regardless of what others have posted. In...

  17. I did something that now makes me think I was acting like a druggie/doper/thief...

    GrumpyRN63 replied to Jo Dirt's topic in General Nursing

    Coworkers have done that to me on occasion, looking for mints or gum. It always gets me pi$$ed, altho I don't show it, its an invasion of privacy, like if someone went into my pocketbook, I don't even...

  18. Questions....

    GrumpyRN63 replied to snichols's topic in General Nursing

    Ditto

  19. For the nightshifters.

    GrumpyRN63 replied to HappyPediRN's topic in General Nursing

    I've done both, here's what I think; if you are single with no kids, 12 hrs is the way to go. 12 usually turns into more like 14 with travel , report etc. It's very exhausting to go home try to get...

  20. hippa violation

    GrumpyRN63 replied to glasshalffull's topic in HIPAA Challenges

    Well, I think if the wife was ok with you discussing her husband's condition, which it was, then I don't think there really is any problem. I don't really know if the administration has anything to go...

  21. Things you'd LOVE to be able to tell patients, and get away with it.

    GrumpyRN63 replied to AngelfireRN's topic in Patient, Colleague Relations

  22. hippa violation

    GrumpyRN63 replied to glasshalffull's topic in HIPAA Challenges

    I'm no legal expert, but it does sound to me that you violated his privacy. The wife should be the only one to update friend #3. I'm trying to put myself in the situation. It is a sticky one. I think...

  23. The Black Cloud

    GrumpyRN63 replied to casperx875x's topic in General Nursing

    Maybe see if your employee assistance program can refer you to someone to talk with. You are new yes, but it seems you are under more than the usual amount of stress . Maybe you can talk with your...

  24. Med Doc. question

    GrumpyRN63 replied to nursealanarae's topic in General Nursing

    I wouldn't bother , I mean really, who is ever going to look thru that chart for that documentation?? If you are really concerned about it, call med records,pull the chart and document it. I...

  25. Things you'd LOVE to be able to tell patients, and get away with it.

    GrumpyRN63 replied to AngelfireRN's topic in Patient, Colleague Relations

    You should stop complaining about trivial things like not liking the food, wanting a room with a different view, having to have a roomate, noise, being woken up to be CARED FOR!! So sorry we are...