pennyaline

pennyaline

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All Content by pennyaline

  1. ? re unlabeled meds

    pennyaline replied to OklaLPN's topic in General Nursing

    You done good :) It's pathetic that the burden of customer service now means that the potential for harm means less than the potential for a sub-optimal Press Ganey. If you ever get written up for...

  2. My Mom just passed.....

    pennyaline replied to Angel@MyTable's topic in General Nursing

    Do not feel guilt. You've been living your own life, and that is a healthy thing to do. When my mother died last May, I had a hard time forgiving myself for not having done all of the things I might...

  3. When to call the Doctor regarding a fall?

    pennyaline replied to LStar's topic in General Nursing

    Unless you have a facility policy that states telephone notification of the MD is not necessary for every fall and outlines specifically under what circumstances it is not necessary, call the MD as...

  4. RN to MD, has anyone done this?

    pennyaline replied to Loux's topic in General Nursing

    Why go 'round and 'round about it? There are few (if any) advantages to having been a nurse first. You want to be a physician, so just go to medical

  5. Why????????

    pennyaline replied to Virgo_RN's topic in General Nursing

    Most facilities are prohibited by regulations from not accepting back. If the patient you sent to ED is now stable, ready for discharge and still qualifies for your level of care, you must take him or...

  6. Why????????

    pennyaline replied to Virgo_RN's topic in General Nursing

    Actually, there are many of us here who have spent years working in LTC and know the many answers to this single question. It is never as cut and dried as it looks. And for those of you who state that...

  7. a matter of terminology

    pennyaline replied to sunnycalifRN's topic in General Nursing

    Yes, in large hospitals each department may have a director for its own nursing staff, but the facility overall will still have a DON, DNS or (the more recent and incredibly preposterous term) Chief...

  8. a matter of terminology

    pennyaline replied to sunnycalifRN's topic in General Nursing

    In inpatient facilities: Director Of Nursing. A nursing manager or unit manager is NOT the Director of Nursing for the

  9. Bathroom grab bars

    pennyaline replied to makes needs known's topic in Patient Safety Issues

    Trust me, THIS approach will get you nowhere in a hurry. As a staff nurse these days, you don't have anything near the influence and leverage necessary to get away with such a tactic. Your employer...

  10. Ugh...mini-rant

    pennyaline replied to blondy2061h's topic in General Nursing

    I had a doc write orders for Flomax when what he really meant was

  11. Ugh...mini-rant

    pennyaline replied to blondy2061h's topic in General Nursing

    I've used it for women with urinary retention and it does work, but my favorite Flomax orders ever are for men and women with foleys in

  12. RN going back to be a medical assistant

    pennyaline replied to nurse441's topic in Nursing Career

    YMMV of course, but for me it's difficult to believe that anyone hired into an MA position will be allowed to work for long without MA certification. As far as I know, certification is required in...

  13. Where is the caring and advocacy for ME when I really need it????

    pennyaline replied to LoveActually's topic in General Nursing

    I empathize and wish you well. I'm sorry for the loss of your sister. Under the circumstances I wouldn't have given you a script for Xanax either. Caring and advocacy have nothing to do with it. You...

  14. Insight about the math and RN skills

    pennyaline replied to cute2's topic in General Nursing

    You're making too much of it. You passed Algebra (never mind how many times you had to take it, the point is that you passed it!) so you've got the skill for the mathematics of nursing. It's all just...

  15. nursing home to hospital

    pennyaline replied to piscean75's topic in General Nursing

    Find a baby sitter. Most of us have been through child care headaches and we manage just fine with whatever resources we have. You need to try harder, get off that "haven't been in this country very...

  16. "I Don't Care if You are Sick...Come to Work Anyway!"

    pennyaline replied to flashpoint's topic in Geriatric, LTC

    I believe the OP said that the policy is that staff who call in sick close to the start of their shifts are required to come in and be assessed. That is a common requirement that I've found in every...

  17. Duoderm, Tegaderm, Wet Gauze

    pennyaline replied to SuesquatchRN's topic in General Nursing

    A Duoderm dressing should be changed q48-72 hours, depending on how icky it's

  18. Duoderm, Tegaderm, Wet Gauze

    pennyaline replied to SuesquatchRN's topic in General Nursing

    Duoderm (or other hydrocolloid dressing) would be my choice, too. Wet gauze is for debridement (assuming you're talking about a wet to dry dressing) and a Tegaderm is only good for covering I.V....

  19. DON states she can't work as a nurse in LTC facility.

    pennyaline replied to LHH1996's topic in Geriatric, LTC

    The regulation exists to ensure that nursing department staff are adequately supervised and that department administrative duties are being completed by a DON who is not routinely otherwise occupied...

  20. Anesthesia: The Last and First Thing You Heard

    pennyaline replied to Tait's topic in General Nursing

    Oh, you don't want to know what happens to you on the table, believe

  21. Is this ever acceptable?

    pennyaline replied to Guest219794's topic in General Nursing

    some policy and procedure manual somewhere may say it's okay, but i can't imagine why it would. from the contamination standpoint, i wouldn't do it in the absence of a closed system. the risk of...

  22. Putting in your own orders

    pennyaline replied to SoundofMusic's topic in General Nursing

    I haven't worked in a setting with a unit secretary for more than a decade (frankly, I figured they were extinct in most healthcare settings). My coworkers and I put our own orders in all of the time,...

  23. What is the white stuff in my blood tube?

    pennyaline replied to stephenfnielsen's topic in General Nursing

    I agree with the respondants who guess it's fatty matter. When I've drawn bloods on some patients with profound liver disease or pancreatitis and histories of obesity, hyperlipidemia and crappy diets,...

  24. Crazy Work Environment

    pennyaline replied to carbaminohemoglobin's topic in Geriatric, LTC

    Nope. It's HIPAA and it stands for Health Insurance Portability and Accountability

  25. Need Help With Critical Thinking Skills

    pennyaline replied to luvtosmile's topic in General Nursing

    It kills me when I hear people say that their managers or department heads waited months to tell them that their work performance is below expectations. These kinds of problems are correctly addressed...