rnmi2004

Very tense atmosphere at the moment. It feels like the calm before the storm.

My hospital has put out a plea to the public to make fabric masks for our staff. ? Anyone else working at an acute care facility with this situation? Also would like to throw this out there https://bmjopen.bmj.com/content/5/4/e006577

Nurse managers, case managers, WOCN nurses in my hospital are all weekdays only with no weekends, no holidays. NM do have to be available for any crisis on the unit 24/7 but they can usually manage whatever's going on over the phone. None of these ar...

This. An inexperienced RN or NP doesn't even know what they don't know. I don't want an NP with no job experience or residency taking care of me or my family, period. I also don't feel I should have to grill each NP that I see as to what their exper...

I've never run across that in real life. People who make comments like that are obviously ignorant of what nurses really do. Try to educate them; if they're receptive -- great. If they want to wallow in their ignorance, not your problem.

If the patient doesn't clot off with the bag going in at only 50ml/hr, they don't need a CBI. Your boss is clueless and should be ashamed to spout off nonsense like that. If that is indeed your policy, whoever came up with that rate is also clueless....

Many nurses have already made beautiful comments about end-of-life care. I'd like to address the OP's perception of how the nurse handled this situation. I can't imagine the emotions this poor nurse was dealing with -- it sounds like this woman had b...

I can see how it would be feasible in a small hospital. Many hospitals have inpatient floors too far away from ER to make this work. And what happens if the floor nurse decides the patient isn't appropriate for transfer?

I agree with other posters -- it's nothing new. However, in my relatively short time as a nurse, I've seen some practices come and go that turned out to be based on shaky evidence. Remember beta-blockers for all perioperative patients? How about uber...

Practice will help! I agree, turn the spout away from you to empty, and don't squeeze the bulb until you're done emptying. Styrofoam then a 30cc cup sounds a little more time consuming than it needs to be. We don't charge individually for the urine s...

Sorry to hear about your father. I hope he's better soon. Thank you for the reminders. I try to acknowledge patients that are hospitalized around the holidays & birthdays -- I want them to know I realize that this is may be an extra difficult tim...

The AC in the IV doesn't bother me-- there are many reasons for it as was previously mentioned. In addition to the ease of access in a dehydrated patient, plenty of admitting dx carry the possibility of a CT with contrast. Abd pain, anyone? If you're...

Wow, I work med/surg with a lower ratio (1:4/5) WITH aides & I can't even imagine being on a tele floor with no aides AND having to do your own lab draws. Many cardiac tele patients are admitted with orders for Q8/6 hr enzymes. The time you're sp...

Do you have a patient relations department that you can call? We have had more than a few patients that have had a behavior contract drawn up & enforced.

God forbid there's a shortage of all forms of IV Dilaudid... I think our patient population would suddenly drop!

I love your pain scale! I can see it being very useful for teens & young adults. I found this free article from a search on pubmed that might explain why she would have had surgery on both sides... http://radiology.rsna.org/content/233/2/361.long

Check out this article... http://www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Miller_93.pdf Especially this bit:

If I had the day off, I would consider standing with the strikers. If I felt the company in question were being unfair, I would not use their services or product. I would not screw my current employer, co-workers, and patients by not showing up if I ...

Do you ask about suicide attempts or suicidal ideations on every med-surg patient? That seems odd to me. We have a question about stressors, but we don't specifically ask about suicide. IMO, if your hospital's policy is to open this can of worms with...

Or maybe the patient was standing on his head?

What makes me cringe is reading that you only change tubing Q 4 days? I'm pretty sure our policies are evidence based practice, and don't even keep peripheral IV tubing up longer than 72 hrs. My facility has very, very low rates of CLABSI. Central l...

Pull his finger? OK, seriously 12 days is a long time to not even be passing gas. I agree with the position changes. At this point, anything oral isn't going to get to the part of the intestines that needs to be encouraged to move along. Reglan hel...

Most of our rooms have chairs, so I sit on them next to the bed. If the chairs have "walked off" or if they're full of stuff, I have sat on the bed before. There are just some times when your interaction with the patient isn't the same if you're towe...

I totally agree with the comments that you need to check the baggage at the door. I work with too many people that air out their dirty laundry while the rest of us are trying to work. Or they are arguing with their family members the whole shift -- w...

Maybe we should start using the hoyer on the linen bags.