Freshman RN

the problem with any job, especially right now, is that everyone is on edge. the coworker problems are always there no matter what job that you have. our just happen to be rude doctors, surgeons and nurses. patients will always complain no matter what the service, and usually about stuff that really doesn't matter. my MIL once complained that following surgery the nurse came in to wake her to make sure that she was still breathing at 0300, (sorry siding with the nurse on this one) this is something that she complains about today. people tend to forget all the good care and remember small things. dr's are a strange group, just do your job, document and limit contact. negative coworkers: limit that contact to. they are negative in nature, they don't change from the time they get up to the time they get to work. there is always a large list of complaints( the dog the car the weather) it is where they live and where they like to live. thanks

our school based it sole on gpa, credits and A&P

her tank was full, we bolused her for the pressure originally and the decrease in urine. normal osmal is 275 to 295 so the 305 not really to far away from normal. flushes were with every shift and we did get the 60 back. is there a reference for the diurectic phase, i am looking and cannot find any info. thanks

serum osmolality 305

I recently had a patinet that came to us from the nursing home. she had been obtunded for 6 hours, BP 50/30, diabetes. comes to the icu, blood sugar 110, b/p 90/50. foley placed-hardly anything out. had to pull with syringe and then like vanilla pudding. urosepsis dx. - arf - etc... u/o 320 over next 12 hours then nothing for 2 days. irrigate x6 with 60 mls. pt repositioned hourly. iv filuds going at 125 with bolus for 2 days then 30. After 2 days of nothing for u/o, soaked bed & 1300 out. b/p back up and continued to put out. End result death after 5 more days. :confused:any thoughts on the copious amount of urine??

"The question I am trying to determine is whether to report that nurse to the BON, or does this fall under the minor incident rule which states you can make 5 errors before reporting to the board." I have never heard of the "minor incident rule, but this is a major error, what if the insulin wasn't effective?? what if the sugar isn't checked in a timely manner? Do you have a 2 person check in place for insulin?

"I'm still a student, so I'm not making any accusations or anything here so please don't get upset, I'm simply curious. This seems to me like taking a HUGE risk. If something does happen, and an investigation is carried out, how many of you think that MD will actually back you up? Do you really think they would?" The doctors still have to sign behind you. Are you sure that there isn't a list of standing orders?? There is in someplaces an "accepted practice" if someone is on a vent, you apply scd's ng, foley get a ua with the placement, wounds get e would culture, PT etc.... And there are "accepted parameters" PT( who writes dressing orders), Respiratory therapy( who changes the vent), pharmacy( who makes or changes dosages) who act and write orders based on their job. my advise Know your doctors, your hospital and your nurse practice act.

Patients have 5 rights. right patient, right med, right dose among them the fact that they are outdated is the wrong dose/ med and 5. injections to 5 people is 5 med errors. the only combining that you can do is combining the wrong dose/med with the person given it to.

such a good point! get a letter from the dean! i am still at a loss why put that you are bipolar on facebook. I have nothing against mental illness, but I think facebook is a bad place to let that knowledge out there.

" "That is a highly unusual arrangement, and would not be permitted in any of the states I've been in over the years." "why would or should a hospital allow its building/equipment be used without compensation????" our hospital does it so that those students will be hired at the hosptial after graduation. Grow your own.

did you read the article to the side of the page?? New HIPPA laws may protect you in this case. A pt will have to be notified if a hippa violation happened. What about the state nursing board?? I mean before you pay a lawyer, have the state nursing board and the HIPPA compliance committee do the work for you.

small amounts of stress are useful. Nights like these can only be chalked up to learning days. kudos to you for giving all you could

hr 110 to 32

talk to your doc

What did they ban you for? The HIPPA or the bipolar. I certainly would make sure that I knew. Isn't there an HIPPA person in the hospital that has to follow a paper trail. If the hospital accused you they are liable for the fines. I am sure that there is paper somewhere?? Ask for it.