This thread is talking about people who have progressive deterioration due to physical changes in the brain. These people are not going to become "more functionally independent" no matter what...
If you've found yourself a niche where you like the job, the co-workers, and *gasp* even the doctors, stay put! Med-surg is an area where you could spend several lifetimes in it, even get certified,...
rnmi2004 replied to General E. Speaking, RN's topic in Medical-Surgical
AC isn't the best spot for long-term use, but try to see it from their point of view. ER is usually a very busy place. Starting in the AC is usually the quickest, surest spot to go; also, certain CTs...
Does your facility have a standing order/flowsheet type of thing for people on tube feedings? That would tell you what to do if the pt isn't tolerating feedings. The one at my hospital is specific...
I don't give anti-hypertensives if I don't have a very recent BP (either my own or a trusted aides.) Our rooms all have manual BPs so I will usually use those. I am all about patient safety....
I work 12-hr night shift & usually only take my 30 minute lunch. If I can't even squeeze that in I can and will clock out "no lunch" so I get paid for it. We are also supposed to get two...
We've been doing the med recon process the last few months, and it is driving us crazy. It falls on the nurses to "make it happen." O.K., sure, but last I checked we can't order meds & we can't...
rnmi2004 replied to NiceNurse2b19's topic in General Nursing
I studied the heck out of "ABC" all through nursing school, including thousands of prep questions, only to get to the NCLEX-RN and get tons of questions on "XYZ." I still passed, though, because part...
I agree with what the other posters said. Also, MD orders for IV abx (the ones I've seen, anyhow) do not include the rate. The bags come up with a rate on them from pharmacy but it is not an MD...
rnmi2004 replied to ragingmomster's topic in Ob/Gyn
So is infection control stating that patients in all inpt areas are subjected to VRE & MRSA testing, and until results come back negative contact precautions are in place? Sounds expensive to
I will gladly perform ADL/personal hygiene tasks for the pt who needs it if I have time. Unfortunately, I often don't have time for these tasks because of the pt load and charting, charting,...
My floor--er, the floor at the hospital that I work at--has a great deal of teamwork. I think one of the ways we reflect that is that the aides say "my nurse," the nurse says "my aide," we introduce...
I'd rather be stuck before an emergency situation occurs. The fact that this dialysis pt is on telemetry implies to me that he is at a greater risk of a cardiac event occuring than your average...
If you're working OT hours, you should be paid overtime. I don't see a hospital wanting to pay an orientee overtime, though. I wasn't even allowed to work holidays, even if my preceptor was...
Have you checked your hospital's manual? I was pleasantly surprised to see that in the pages & pages of my facility's P&P manual they have a section to address this. I've been spreading the...
I work nights on a med-surg floor, and one of the most frustrating aspects of it is when I have to contact a physician. We have several different physician groups & specialties we deal with, and...
On a (very rare) slow shift a little while ago, another nurse & I were doing some research trying to figure out if Ultram is an opioid or not. On our floor, it isn't locked in the pyxis, just...
rnmi2004 replied to firstyearstudent's topic in General Nursing
Put it in writing people! We are required to ask every new admit or transfer about advanced directives. I can't even begin to tell you how many people say "Well, my kids know what to do if that ever...
ITA with previous posts that talked about intent. If a true med error is committed, it seems that a case could be made that it becomes a crime depending on how the nurse (or any other facility staff)...
Thanks! A few months ago, I read in a newsletter that a plan was being formulated to make it easier for staff to figure out how to contact the physician & how...that was months ago & I...