Ruffles 1

Ruffles 1

Med/surg, pediatrics, gi, gu,stepdown un

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All Content by Ruffles 1

  1. Wound care puzzle

    Ruffles 1 replied to ErinS's topic in Hospice, Palliative

    I wonder if you could try normal saline wet to dry dressings for this wound. You could pack it with the wet saline gauze and cover with a dry dressing. This also would help with debridement and be...

  2. Telephone Triage Stories

    Ruffles 1 replied to LadyLovelilocks's topic in Telephone Triage

    Triage is a different world for nursing. You have to know what questions to ask to get the information you need to help the patient . We have 3 great triage protocol books we use. Adult ,...

  3. MAs call themselves Nurses at my office..opinions please?

    Ruffles 1 replied to lisaannjamRN's topic in Patient, Colleague Relations

    In my office where I work the MA's wear totally different colored scrubs from the LPN or RN's and our badges are clearly marked if we are MA's or RN's.

  4. Nursing, the field of medicine or customer service?

    Ruffles 1 replied to jalvino1's topic in Patient, Colleague Relations

    I am sorry to hear about your illness too, Lamazeteacher. I hope you feel better and they figure out what is wrong. I am also sorry to hear ,you as a nurse, had such a bad experience. I feel people...

  5. Concerned Dad !!!!

    Ruffles 1 replied to chascal's topic in General Nursing

    I hope it works out for you chascal. I think your daughter should not have to change her major if she had already been accepted into the Nursing program. Go talk to the Dean of Nursing and have her...

  6. stressed..other nursing options??

    Ruffles 1 replied to LovePurple's topic in First Year After Licensure

    I think that every nurse who has worked the floors, has had these same issues. I feel that it is because most nurses are required to work 12 hour shifts, I feel this is unnecessary. I feel this leads...

  7. Concerned Dad !!!!

    Ruffles 1 replied to chascal's topic in General Nursing

    I would think your daughter would not have any problem getting into a 2 year ADN program or LPN program at this point. She has not wasted 2 years. Maybe your daughter is also grandfathered into the...

  8. Nurses, Clients and Power

    Ruffles 1 replied to Anxious Patient's topic in General Nursing

    I agree with MoopleRN, the patient is the boss of their own care. I try not to make someone do something they don't want, but I do explain the conseuqences of refusing and we have sometimes made them...

  9. On the verge of quitting...

    Ruffles 1 replied to evilolive's topic in Geriatric, LTC

    I think the ADON needs to be "Fired". If she has time to harrass you while you are working she can come in and help you. It sounds like this may be some of her responsibility if she is giving you and...

  10. Technology in Nursing Staff Development

    Ruffles 1 replied to CraigB-RN's topic in Nursing Educators, Faculty

    I think powerpoints are great. More concise and not too much information. I think you still need to have some "hands on training". Everyone has different learning styles. Some people do not understand...

  11. Nursing, the field of medicine or customer service?

    Ruffles 1 replied to jalvino1's topic in Patient, Colleague Relations

    I am being to feel I should have gone into the business field, instead of nursing. The administrators are always telling us " the customer is always right" Stop calling our patients "customers" It...

  12. Charge nurse with less than a year RN experience???!!

    Ruffles 1 replied to RNpandoraRN's topic in Nurse Management

    I feel that all the administrators, nurse managers and director of nursing only care about patient satisfaction. I had to sit for four hours and listen to how are patients have become "customers" We...

  13. Pain is NOT subjective

    Ruffles 1 replied to SunnyAndrsn's topic in Pain Management

    I agree that the drug seekers are ruining it for all of us. It is a shame that people abuse the system. I agree that some people really do have pain and suffer needlessly but others abuse the system....

  14. performance based competency

    Ruffles 1 replied to suni's topic in Medical-Surgical

    We have something we call skills day. We are requried to attend and go through several stations such as safety in x-ray, how to use O2 tanks, lifting patients, blood bank, how to report equipment...

  15. I've made the decision to leave med-surg

    Ruffles 1 replied to Jean1313's topic in Medical-Surgical

    I am sorry to hear that MS was not your calling and you know that is okay. Good Luck in whatever you do next in

  16. Patient appointments, call them back to exam room

    Ruffles 1 replied to groovetta's topic in Ambulatory Care, Clinic

    I try to call them back as close to there appointment time as possible. The Doctors sometimes make them wait in the room for a long time. I feel this is bad public relations but what are you going to...

  17. Medical Uniforms

    Ruffles 1 replied to twoheartbeats's topic in General Nursing

    Our hospital is suggesting that we all wear Royal blue pants with white top or Royal blue scrubs. We have to purchase them ourselves. Cost can range from 30.00 to 60.00. Not including the Jackets...

  18. IV Lopressor...who can administer it?

    Ruffles 1 replied to HurricaneBreeze's topic in General Nursing

    In our state of Missouri, LPN's are not allowed to give any IVP meds. I would also think that the patient would need to be on telemetry to monitor HR and BP, Ox Sat.

  19. Charge nurse with less than a year RN experience???!!

    Ruffles 1 replied to RNpandoraRN's topic in Nurse Management

    The only reason they let a new nurse take this position is because it is more cost effective for the hospital. She probably doesn't make as much as an experienced nurse. I feel it adds chaos to an...

  20. Nursing, the field of medicine or customer service?

    Ruffles 1 replied to jalvino1's topic in Patient, Colleague Relations

    I agree, it seems as though the management wants us to act like our hospital is a luxury hotel, where we want on people hand and foot. They do not care if are patients get well. It has become such a...

  21. Bad Rep for Med Surg

    Ruffles 1 replied to kellyskitties's topic in Medical-Surgical

    I think you are all correct in your thinking that the workload and patient acuity is so overwhelming to new nurses. I was talking to an ER nurse and she said she doesn't understand how we can function...

  22. Nursing, the field of medicine or customer service?

    Ruffles 1 replied to jalvino1's topic in Patient, Colleague Relations

    I think that if nurses are happy then our patients will be happy. If management could ever figure this out and stop running nurses away from the bedside everyone would be happy

  23. Pay wise for RN's in office?

    Ruffles 1 replied to Nightrn16's topic in Ambulatory Care, Clinic

    I work in a Clinic, and also the hospital. The Clinic pays $10.00 less than what I make at the hospital. I feel the work is just as important because we make the same decisions as I do at the hospital...

  24. Nursing, the field of medicine or customer service?

    Ruffles 1 replied to jalvino1's topic in Patient, Colleague Relations

    A question, If you think this patient is "disgruntled, and wants to retaliate" they must have some sort of mental issues, stress issues etc. that would lead them to

  25. Nursing, the field of medicine or customer service?

    Ruffles 1 replied to jalvino1's topic in Patient, Colleague Relations

    Yes I agree "Sully" was very professional and he knew he had to land the plane safely. Just as nurses know and understand that we have to act safely when we take care of our patients. We follow a...