lsyorke

lsyorke RN

Med-Surg, Wound Care

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All Content by lsyorke

  1. Do you think "isolation precautions" are outdated?

    They have a staff member at their door???? Wow.. that's a bit over the
  2. When do we give flu shots?

    I wouldn't be comfortable with this since someone who is sick enough to be admitted isn't in the best frame of mind to make a decision of if they want
  3. Bizarre behaviour and personality changes

    It is slowly coming out that ssri's in some people can cause "activation" of mania. This doesn't necessarily mean that they are "bipolar". It can be a direct side effect of the drug. This was a big...
  4. But are we really doing the best by our patients if we are treating "mental" pain with a narcotic? What happens when the tolerance to the drug of choice is reached? God forbid they find themselves in...
  5. Drug calc question

    Yup, 45 works by my
  6. Always a hard topic! Pain is what the patient says it is. But you are always going to have that patient that had their gallbladder out 3 years ago that is still taking 2 Percocet every 4 hours to...
  7. I'm Being Disciplined for Looking Up My Own Labs

    My post was in reference to the "Those records are not yours. They belong to the hospital. You do have a right to request copies, but there is no law that says you will get them." Computer access to...
  8. I'm Being Disciplined for Looking Up My Own Labs

    Hmm, sorry to disagree!! This is directly from the HIPAA website http://www.hhs.gov/ocr/hipaa/consumer_summary.pdf Providers and health insurers who are required to follow this law must comply with...
  9. pension

    My pension from 18 years of service will keep my cat in food!!! Thank goodness hubby's will be MUCH
  10. Float pool, ideas on making it better

    Wow, with all those restrictions a float pool isn't doing much for you. Float pools fill in the gaps left by open positions, sick calls, vacations. If management has to give 72 hours notice that...
  11. Float pool, ideas on making it better

    After floating for 3 years you establish a relationship with most of the other nurses on the units that you float to. There are always going to be some that, for whatever reason, don't like floats....
  12. Float pool, ideas on making it better

    I'm in the float pool at my hospital and have been for 3 years. Our pool consists of ALL per diem nurses. We don't get benefits, but our hourly rate is considerably higher than a staff nurse. We float...
  13. Get THIS!

    Totally agree! Since when does taking report mean you are "off the floor"? It's as simple as the tech walking in and telling the RN that a pump is beeping. Big overreaction, in my
  14. Insulin question

    It's hard to make the call on this without knowing what kind of insulin the patient is on. If it was humalog you wouldn't hold the insulin for a "normal" blood sugar, since that humalog would cover...
  15. Illegal Alien- frustrated!

    This is key. The "system" can only support abuse for so long. We are seeing the results of that today. While "compassion" is a great thing... it comes with a price tag. That price tag is going to...
  16. Float pool nursing

    Float pool for almost 4 years now(after 19 years of being on a single floor) and LOVE IT!!!!!!!!!!! You are so right, no politics, no infighting. I go to work, give my patients the best care that I...
  17. Difference between Type&Cross and Type&Screen

    Type and screen determine Blood type, Rh, and any antibodies present in CASE you need blood. No blood is prepared for transfusion. Type and cross-determine the same information but go one step...
  18. Non compliant and frequent flyer patients

    Or allergic to every single pain med except
  19. Non compliant and frequent flyer patients

    But what about those who have figured out the system of "they have to treat my pain" and that "pain" is a result of addiction?? This we don't see addressed. I understand and agree that pain is...
  20. Children under the age of 18 and Prozac

    Thanks! This document is "supposed " to go out with each prescription written.. in most cases the parents have never seen
  21. Children under the age of 18 and Prozac

    Then they should be commended! Just curious.. do you know about the medication guide that the FDA put out on all
  22. Children under the age of 18 and Prozac

    All of the antidepressants(except Prozac) are off label and they are prescribed by the thousands to children. This huge red flag did go off, and was explained to me as most drugs are off label for...
  23. Children under the age of 18 and Prozac

    Yes, there was clear suppression of facts. http://www.msnbc.msn.com/id/5120989/ http://www.ahrp.org/risks/SSRI0204/GSKpaxil/pg1.html It's this situation that the lawsuits are stemming from. Now that...
  24. Children under the age of 18 and Prozac

    This argument would fly if all those who attempted suicide were given Prozac, or other ssri, for depression only. The reality is that kids are becoming suicidal on ssri/snri's when it's been...
  25. Children under the age of 18 and Prozac

    This page has the listing of the current FDA warnings on this subject. http://www.fda.gov/cder/drug/antidepressants/default.htm Yes, it is a problem. I, unfortunately, experience it with my