rnmi2004

rnmi2004

private duty/home health, med/surg

Member

  • Content

    534

  • Visitors

    7,017

  • Followers

    0

  • Likes

    15

All Content by rnmi2004

  1. Calling briefs "diapers"....*vent*

    rnmi2004 replied to cherrybreeze's topic in General Nursing

    I have come across patients or families that call them "diapers" or "pampers." If that's the term they prefer I go with

  2. Seriously...

    rnmi2004 replied to LouisVRN's topic in General Nursing

    So, the only "correct" way to teach a patient, on your floor, is to give them printed information? And if your audit shows that the printed information wasn't given, the chart doesn't pass? This is...

  3. What kills me..... (VENT)!!!

    rnmi2004 replied to shoegalRN's topic in General Nursing

    The OP is 'channeling negativity' because this is a place where nurses should be able to go and, among other things, VENT! It doesn't mean that she is eating her young or thinks she is superior to...

  4. Where are all of the "experienced nurses hiding?"

    rnmi2004 replied to SWS RN's topic in General Nursing

    Hey, I'm not hiding, I'm out $pending all the money I earned because I got into nursing for the "wrong

  5. 36 hours is only part time??

    rnmi2004 replied to NurseDevonL's topic in General Nursing

    I have 36 guaranteed hours/week (three 12-hr shifts). For benefit purposes, it is considered full time. I do stay late to chart sometimes, but I do not punch out until I'm done. If I have to work...

  6. Being a Nurse for a Killer

    rnmi2004 replied to Stickyrunner325's topic in General Nursing

    I've been the nurse for a patient who was in the local jail waiting for trail for murder. Surprisingly, it didn't really bother me. I didn't know many details of the crime and I didn't dwell on it. In...

  7. Nurses can't draw blood, its always hemolyzed

    rnmi2004 replied to HiThisIsStatLabCLICK's topic in General Nursing

    I've never had an ER patient with a hemolyzed specimen, and they send most of their samples off of the IV starts, even a 22-gauge. They place angiocaths, which have a stiffer catheter & less...

  8. Pushing Dilaudid?

    rnmi2004 replied to chacmool's topic in Patient Medications

    What JRD2002 said...if the MD orders Dilaudid IVP & you choose to hang a piggyback, you have changed the route of administration. You can avoid a high & not change the route. Dilute it in 10mg...

  9. Mandatory Flu shots

    rnmi2004 replied to CathyLew's topic in Disaster Preparation

    I made the choice to become a nurse. My patients have the right to competent, safe care when they are in the hospital. Studies have shown that immunized health care staff save lives. I will place my...

  10. If they can ask for it..they aren't too sedated...

    rnmi2004 replied to faline1973's topic in General Nursing

    As someone else mentioned, since she wasn't maxed out on her PCA, then she wouldn't even qualify for the Percocet for breakthrough pain. IMO, you were following the orders by not giving it. Next time...

  11. Question...NG tube to suction for SBO

    rnmi2004 replied to tcpmom's topic in General Nursing

    At the start of my shift, if the previous nurse hasn't done so, I make a mark on the tube at the nares so I know if it's been repositioned. Auscultation is no longer considered a reliable indicator of...

  12. Question about Hoyer Lift and Patient With Severe Muscle Atrophy

    rnmi2004 replied to WoofyMutt80's topic in General Nursing

    I had a similar situation when I did home health. My patient was rigidly atrophic and it was just me and the Hoyer. She was dead weight, but wasn't very big, and they Hoyer was in very good shape....

  13. What are the boundaries to help a pt that is not assigned to you?

    rnmi2004 replied to Nurse523's topic in General Nursing

    If you have good teamwork, there are lots of instances where you'll help a patient that isn't specifically assigned to you. When I'm charge, I usually take care of whatever the patient needs if I...

  14. Seizure Pts: what to do when it happens?

    rnmi2004 replied to 2bnurse_it's topic in Medical-Surgical

    When you have a patient admitted with a seizure disorder, ask them a few questions. What type of seizures do they have? How long since the last one? Are they regular with their meds? Do they have any...

  15. colonoscopy, bronchoscopy and bloodthinners

    rnmi2004 replied to orangepink's topic in Medical-Surgical

    Typically we withhold Heparin and Lovenox prior to any invasive procedure. The MD doesn't know ahead of time if a biopsy will be needed. Scopes aren't risk free -- there is always a risk of...

  16. Dog walker?

    rnmi2004 replied to yetanotheramanda's topic in General Nursing

    We had a patient on our floor who had a seizure alert service dog. There was no shortage of staff members who wanted to volunteer to take the dog out. I don't recall anyone taking too long of a walk...

  17. Do nurses have good medical insurance?

    rnmi2004 replied to ambermichelle's topic in General Nursing

    Like any other job, it depends on the employer. My hospital owns the insurance company and most of the physicians offices where my co-workers and myself get our medical care, so you'd think I'd have...

  18. Why is AACN developing new role " Clinical Nurse Leader"????

    rnmi2004 replied to NRSKarenRN's topic in General Nursing

    I honestly don't see my hospital spending money on a CNL, especially in this economy. I know that the recession/depression won't last forever, but right now it doesn't seem to me like a wise career...

  19. Biting my lip.

    rnmi2004 posted a topic in General Nursing

    A few weeks ago we had the patient from H*L! on our floor. You know a patient is bad when the attending comes to the floor to apologize to the staff about this patient he had to admit. This patient...

  20. Biting my lip.

    rnmi2004 replied to rnmi2004's topic in General Nursing

    Oh, believe me, we all documented our attempts at explaining why he needed DVT prevention. He still refused. And he STILL was loudly complaining to everyone who would listen at the doctor's office how...

  21. I think peri/rectal swabs are a humiliating 'welcome' to the hospital

    rnmi2004 replied to FireStarterRN's topic in General Nursing

    I can see where the hospital is coming from, I guess. I'd still have to refuse the swabbing, and strongly encourage any hospitalized family members to

  22. Terrible infection in pts foot

    rnmi2004 replied to diane227's topic in Nurse Entrepreneurs, Innovators

    It's hard telling from a post on the internet. My main advice to you would be to keep his sugars under control and high quality diet. Diabetes education if the patient is receptive. You sound like a...

  23. Infection Control "Committee"

    rnmi2004 replied to KalipsoRed's topic in General Nursing

    It's great that you'd like to become more involved at work. If you're looking to feel better about your job, it doesn't sound like this committee will help the situation. You shouldn't be expected to...

  24. Cheesy Activities in LTC

    rnmi2004 replied to Jo Dirt's topic in General Nursing

    :sofahider I like Bingo, too. Maybe it's cheesy to you, but not to others? If you think the residents are offended by the decorations could you perhaps volunteer to find some more age-appropriate...

  25. How do you feel when you see family members and their Note pads in hand

    rnmi2004 replied to lpnflorida's topic in General Nursing

    Wow, I guess you guys would really hate me. I'm probably the one who gave them the notebook. Seriously, if my patients and their families haven't brought their own notebook I will give them paper...