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On our floor in this case, with the patient taking up so much time away from the other patients we would have asked for a transfer to ICU where the patient had more one on one care. Also if we have to chemically restraint anyone it is an automatic trip to ICU.

we had this happen to a pt, no uti, can't remember why the balloon didn't deflate. A urologist was consulted came by took an 18 gauge needle, I guess palpated the balloon, and inserted the needle between the scrotum and the orifice and popped the balloon. The foley came out with no problems. He did it all at the bedside.

yes I will answer call lights. I'm also known to use the call lights myself if for example I need lift help or am in an isolation room and need something. We have one secretary who habitually will let the call light ring it seems forever before answering so I can only imagine how my people feel if they need something and it's not answered proptly.

thanks for the replies!

I'm interested in travel nursing but wonder if any of you have had trouble with the different charting styles out there. Where I am currently we are going from paper to total electronic (not looking forward to it) and we are having to take approx 36 hours of training. Is this normal if you travel somewhere and they also have electronic charting?

I would appriciate any advice on dry hands. I have been nursing now for about 9 months and I feel like my hands have aged 10 years. They are constantly dry from all the hand washing (probably a common problem in this profession) and I have tried everything I can think of to try to "cure" my dry hands. To give some idea about how bad it is I have constantly peeling hands and have gone thru about 8 skin layers since winter started. I use hand cream constatly, have tried sleeping with gloves/socks on with heavy duty hand cream all with no luck. Help!

IV push: phenergan- always give with running iv fluids or given im zophran morphine dilaudid toradol reglan IVpiggy back ancef pepcid protonix flagyl levaquin vancomycin cefapime

I have never tried it but a nursing instructor once told me sometimes if the pt can not swallow, but is in no danger of aspiration placing a small piece of ice on the tongue to melt and promote swallowing works.

we use a primary line for pca and primary fluids are secondary on the pca line but are run on there own pump, the primary line for pca discourages disconnect for possible narcotics syphoning. Our pca's must be run with a primary fluid.

What are the lowbed/enclosure bed policies in other hospitals? We just had a visit from JACO and we now have to consider lowbeds as a restraint and enclosure beds may only be used on nero and rehab.

we hand iv protonix as a secondary mixed in 50ml of fluid (can't remember which one). If we have protonix drip then we usually try to have a dedicated line, not compatable with most antibiotix.

:uhoh21: I had just had to respond to this thread. I am terribly appalled at all of the stories of management and physicians not listening to the nursing staff in regards to inappropriate behavior. I guess I am fortunate to work for a hospital network that does support their staff and have even been notified in report that the physician is aware of the paitent's manipulative behavior. All I can say is that as nurses we should demand support from our organizations that we deserve and work so hard for.