pennyaline

pennyaline

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All Content by pennyaline

  1. could rifampin treatment cause liver failure down the road?

    Unfortunately, patients are often not honest and forthcoming about their histories so the cause of the liver failure will probably remain speculative forever. It's possible that Rifampin was involved,...
  2. Night shift and daycare- ahh!

    What I'm about to say will sound cold, but bear in mind that it's coming from someone who has already been this route and had to make the tough decisions: What did you think was going to happen? When...
  3. Scape Goat

    BusyBee, I know you feel terrible and want to get it off your chest but please don't tell us anymore. When I told you to keep your mouth shut about it at home and at work, I meant online too. There's...
  4. Is my manager incompetent?

    This lack of management expertise also shows up in staff members such as the OP, who believed that her manager should have jumped into action immediately upon hearing her report and now questions the...
  5. Scape Goat

  6. No to the LPN boards in Utah, too. They used to allow it for students progressing through RN programs but stopped in recent
  7. Keeping experienced nurses at the bedside

    Oh, I forgot to mention the part where they ask us: "Who else do you think is going to hire
  8. Keeping experienced nurses at the bedside

    They tell us every day how lucky we are to have
  9. D/C central lines in SNFs?

    Yeah. I must be "mixed up." The hospitals must not have been reacting to increased incidence of complications with central lines and central line removals, and didn't require CXR and cath tip cultures...
  10. D/C central lines in SNFs?

    I've been an RN for thirty years too, and I did say that the CXR requirement is my experience. CXR after removal was routine, as was preserving the cath tip and sending it to the lab for culturing......
  11. Acuity based nursing

    Staffing by acuity is nothing new. And I guarantee you that the higher ups will find a way to tweak it to keep your staff numbers down. I'm sure that you're already aware of how they've bastardized...
  12. D/C central lines in SNFs?

    Do you mean LTAC or SNF? SNFs in my area do not take admissions with central lines. The only temporary long-lines we are able to handle are PICCs. But it's my experience that central lines require CXR...
  13. Another noob RN vs LPN question!

    In terms of advice, let me relate to you what popped into my head and then dominated my consciousness as I read your post: For God's sake, pleeeeeeeeeeeze DO NOT become a nurse of any kind, anywhere,...
  14. I did the stupidest thing ever

    No, dear. The poster asked why we're ALWAYS doing it, even before the jobs crunch. And it's true. We did. So,
  15. Understaffed hospitals and unemployed nurses

    LOLOL!!! I watched a coterie of corporate representatives do the same thing on my unit about a year and a half ago. There was a huge powwow about what to do about a crumbling corkboard on the wall...
  16. Defiant and Insubordinate

    I'm with you, Sue, but there's a problem with that attitude as well. When those higher up the ladder than you are unsuccessful in addressing problem behaviors with staff, they will usually take the...
  17. Automated Email after and Interview and Shadow?

    Yup. I once received one of those via cell phone while I was still in the facility's parking lot after what had seemed like a very positive and productive
  18. Defiant and Insubordinate

    Amen to that. It isn't just the unit staff who are that childish, either. As a manager and DON, I couldn't believe how pouty and babyish administration and management get, too! Jeeze, cry me a river,...
  19. Defiant and Insubordinate

    Too right, girl, too right! If the second nurse did not correct the other nurse's error when she was instructed to, she deserved to be written up. And when she decided arbitrarily not to give overdue...
  20. Stop the nursing shortage insanity

    There is no nursing shortage in nursing homes. They have cut back staff numbers just like everyone
  21. This is an excellent point. There are administrators and activities directors out there who think that LTC populations still want to hear music from the Naughty Nineties. Sure, they probably know the...
  22. i hope i know when to hang up my stethoscope,

    It sounds like, for whatever reason, be it physical or psychological, the nurse in your example just wasn't going to do CPR and that's all there was to it. I know nurses in their 60s and 70s who are...
  23. i hope i know when to hang up my stethoscope,

    So you say, but the older nurses in this forum are here to testify that when the time comes you'll do whatever there is to keep a roof over your head, food on the table and your health insured....
  24. i hope i know when to hang up my stethoscope,

    Dear Supernurse1230, Word to the wise: You will be neither 29 nor Supernurse forever... in fact, at 29, you are just about at the place where things really start to decline noticeably. I promise you...
  25. Chart Audits -- I Couldn't Make This Up!

    Probably the patient's wife meant that the patient never uses alcohol... anymore! Suuuuure he doesn't! How much does SHE not use anymore? (I've seen it and seen it