htrn

htrn

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All Content by htrn

  1. I can spot a kidney stone a mile away, an no, I don't think any of us think someone coming in with a kidney stone is silly. They are incredibly painful and do require intervention sometimes. Don't ever feel bad for going to the ER for that. Heather
  2. I am the "nurse in the family" and really love being there for family members when they go to appts, referrals, etc... There has to be a business opportunity out there for this. What do you think? Consdering putting an ad in the local (very small ...
  3. I am a staff nurse at a rural hospital that suffers from rampant horizontal hostility - not only condoned by management, but rewarded by management. There has been a 20% turnover rate in the past year and I would attribute most of the nurses leaving...
  4. Professionalism write up

    Help - was written up for "unprofessionalism" & then terminated for the same write up a few days later (with no other incident). Termination aside, I am dealing with that in another venue :-) I am looking for courses, books, seminars, on-line cl...
  5. Professionalism write up

    I admit that I suffer from a congenital lack of a filter that is worse at sometimes than others. This is what I want to be able to able to show significant personal growth on and am just not sure how to do it. There is also a general concensus tha...
  6. Passed CEN!!

    congratulations! I'm studying to take mine as well. Any advice or study techniques you would be willing to share would be greatly appreciated. There are some questions I look at and just scratch my head and think - huh? Is that really a word or di...
  7. Congratulations on going to college - very hard work once your married, esp if you have kids. Don't worry about anyone finding out about marriage counseling, medications prescribed, seeing a psychiatrist, etc... It is illegal for future employers to...
  8. sundowners in young adult?

    Thanks - things getting better with an increase in meds and new behavioral mod program. :-)
  9. sundowners in young adult?

    Have any of you ever heard of a young adult (18) having sundowners? This patient has several psych dx (bipolar, pervasive developmental disorder, explosive personality, and cognitive delay with IQ ~ 75). It seems like 4-6 evenings out of the week sh...
  10. How do you secure crash carts?

    How does your facility secure your crash carts. We have several crash carts, one in our ER Trauma room. They currently have the breakaway red locks that are numbered - so if the number changes, you know someone has been in the crash cart. Our crash...
  11. Bicitra in labor?

    We had on anesthesiologist give bicitra and reglan to anyone getting an epidural - and if they refused the bicitra he refused the epidural. They all get it for c-sections though. Had one woman on mgso4 ready for epidural and MDA was standing next t...
  12. How do you secure crash carts?

    Just wanted to give everyone an update on the locked crash cart situation. Our carts are now locked with a combination luggage style lock. We have a bolt cutter mounted on the back side of the crash cart incase someone can't get it open. We have r...
  13. If I were on a plane (and that's a BIG if:no:) and If I were still sober by the time I got on the plane (an even bigger IF:D) and if there were an emergency that I was needed for:eek:, then I would absolutely help out. But, I hate dealing with airl...
  14. What is the requirement to report injuries that are the result of a crime/domestic abuse? If you have a patient that tells you she was physically assaulted, but then says she doesn't want you to report it, is it mandatory to report it? If it isn't ...
  15. I too work in a small hospital in a very small community. Most of my patients are people I know and more often than not, I'm related to them through my husband. They are often suprised to see me, but like so many others have already posted, happy t...
  16. Yes. Allnurses gives me a forum to ask and answer clinical questions, or atleast point me in the right direction to find the answers. It also gives me a forum to seek support during trying times at work, advice on how to deal with specific situatio...
  17. Days = Administration around/lurking and watching, phone calls out the wazoo, family asking/demanding, doctors, pharmacists, 2 meals, baths, therapies, social workers. IMO, too many distractions from actually taking care of patients. Evenings = Admi...
  18. How long is orientation for nurse new to ED?

    I went from 5 years OB/NBN experience to the ER of a critical access hospital. I didn't even know what a GI cocktail was. I got 3 months of orientation and have done well. That said - there are things that I have never seen or done, that I know I ...
  19. VBAC: new insights

    I am not so sure it is the hospitals driving the no vbac rules - I am wondering if it is liability insurance for the hospitals that is driving this (alarming) trend.
  20. advice from Mom's working overnights

    Sleep is #1 or you are not going to be good for anyone. Dad takes the kids to daycare on his way to work, and in my case, picked them up on his way home. I don't keep any phones upstairs at all. Get a noise machine - something for white noise to c...
  21. Emergency Department 23 hr Observation Patients

    Ours go to the M/S floor as ER OBS followed by the ER MD or OBS by a PCP. We do this fairly often as it's not fair to patients to keep them on these uncomfortable cots, no bathrooms, no TV, etc... for more than a few short hours. That, and we don't...
  22. Now I've been the patient

    Congratulations - and I'm so sorry. The nurse manager of the unit really needs to know how you were treated. You posted something about hoping that your patients never feel the way you did - it seems to me that you can ensure that future OB patient...
  23. Drug overdose situation.....

    seems like someone is either trying to get help with homework or is looking for answers for potential board questions
  24. Question about something that happened

    Just remember, it is so much easier for them to throw us under the bus than to admit their own or their colleagues mistakes :-)
  25. This is why I do not work Med/Surg!! I will repeat, the dazed and confused scare the hell out of me!! I love labor & delivery, ER, sick kids and babies - but the dazed and confused are REALLY SCARY!!