DJ-Adia

DJ-Adia

Med/Surg, Forensic Science

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All Content by DJ-Adia

  1. Placebo's & Trust

    A new grad RN started on our med/surg unit approx 4 months ago. Her goal for the unit, as she stated @ at our last unit meeting, is to change the unit by reorganizing supplies as "SHE" feels would best promote efficiency on the unit. I think that th...
  2. Bedside Report dillema

    At this months unit meeting, we were informed that we'd be starting Bedside Report to increase staff accountability & decrease shift "Dumping". We were told that only "abnormal" findings would be communicated to cut down on the amount of time. ...
  3. It wasn't until today that I got to thinking, "Am I really in the nursing profession for all the right reasons." I've been an RN for 15 years and believe that nurses are a patients best advocate until today..... I have been caring for an elderly pati...
  4. To-Keep-open Infusion rates

    Is there a standard for how fast the infusion rate should be when a physician orders "To-Keep-Open"? Currently it is up to the nurses discretion as to how fast it should run. On an average, the rate is between 10 -25 mls/hr. Inorder to clarify the po...
  5. Accused for having patients best interest at heart

    Do you feel as if I handled the situation "unprofessionally" by not Representing the hospital & in turn caused the patient & her husband unnecessary distress. ? Who is suppose to represent the patient if nurses can't. It seems to me that a ho...
  6. Sharps Disposal

    The subject of waste/sharp disposal of IV tubing sets has recently been brought up at our facilty. I thought I'd ask if anybody had an answer. When disposing of an IV bag & IV tubing after discontinued from a patient, - what are the guidlines fo...
  7. Legal Documentation

    At the hospital I currently work at, Joint comission reviewed all the Nursing documentation and sited us on not having all enteries date & timed thus making us non-compliant. Our Nursing manager is now requesting that staff go back & "time"...
  8. PICC dressing removal w/ biopatches

    Has anyone experienced difficulty when changing a PICC dressing that has a Biopatch @ the insertion site. Last evening, I spent 15 minutes just trying to remove the tegaderm transparent dressing from the biopatch which is also adhered to the PICC can...
  9. Our Medical/Surgical unit was informed yesterday that the Emergency Room was nolonger addressing the medication reconciliation forms seeing as though it is too time consuming. I was under the understanding that Joint Comission had enforced the Med Re...
  10. :idea:Everyone has been so helpful in guiding me to make informed decisions re: my dad's medical care (the result of a MVA involving an Armoured Security Truck that ran a stop sign & broad-sided my dad's car). Currently, we are being forced to ma...
  11. I have had an experience of a lifetime that has really put into perspective the frustrations that families encounter when a physician is too arrogant to enforce patients rights. My father is currently a patient in a local ICU & has required mecha...
  12. To care or not to care

    I work in small rural hospital & recently encountered a situation involving a 18 month old child who had swallowed a chocolate covered peanut in which he was allergic to. The ER doctor was very concerned about the child having an anaphylactic rea...
  13. I have been an RN for 11 years and never have I encountered a situation as I did recently. I was caring for elderly male patient, who prior to admission, was independent & enjoying life with his only complaint being that he felt "tired & weak...