cookienay

OK-I know this is off topic (somewhat) and I am not an LTC nurse, but some things I have learned (and some I have learned the hard way): 1- only a judge can declare a person "incompetent". Yes it is a gray area when your patient obviously does not un...

It is possible. I am not a fan of PG, but it is a vital part of my facility's culture, so I must be on board if I want to be sane. We are about a 50 bed ED that sees at last count around 80K patients a year. Our administration has gotten on board wi...

Holy clinicals, Batman!! Wow. I did not get the impression that the OP feels that her years as an MA made her equal to an RN. I did get the impression that she is confident in her ability to be successful in an RN program. Nothing wrong with that, I ...

Oh my, what a bad situation. I agree with calliotter3 completely. And I am also thinking there is a diagnosis in there somewhere, possibly compounded by a substance problem. Could be wrong, just my hunch on what you have shared. Best wishes and summe...

Do a google search for Joint Commission National Patient Safety Goals. all kinds of good stuff.

Since this seems to be an issue in my workplace, allow me to perhaps offer another explanation. We have several "strong" nurses in my dept (ED). They have great assessment, critical thinking, multitasking, and customer skills. However, they simply do...

BTW... I did not clarify in my above post. I believe it is a great practice. Nothing wrong with making sure your patients are feeling better and trying to improve your processes. Some call backs have actually shed light on some things we were not awa...

we do it. patients love it, even though it is a hassle. and we are a pretty big ER.

Things are usually as they appear, but not always.

Oh my! You are right- I am showing my age!! Now it is just SAS- thanks for pointing that out.

Primary infusions are not necessary. If they were, we would never get any meds given in the ER. Go with what the above poster advised. SASH- this is indeed why locks were invented.

I work for >500 bed facility with a 50 bed ER (including the minor care area). I hope these answers are helpful... 1- We do have "criteria" which includes factors such as dx, labs, hx. There is a clause in there for physician discretion. All units...

so agree with above poster. we all have our things. sometimes your body does things we can't control. Still can't do open fractures, though. Something about bone protruding through skin makes me want to hurl. you will be ok, just give yourself some t...

I would have to agree with getmethisnownurse! I love Nashville!! It is a fun, hip (but quaint) town and not too big. Skiing is not too far away in east TN. Vandy has a great medical center. Lots to do and even though you are in the South, still plent...

May I gently offer some input? "Spinning your wheels" is a common phenomenon of new grads. You seem to grasp that you do have limited knowledge, which is better than thinking you know things you don't. However, your knowledge is not as limited as you...

As an addendum-I have also said "I am not doing that. If you want the patient to have that, do it yourself." Sometimes the situation calls for that, but rarely.

As a nurse it is not really in our scope of practice to "agree" with the physician's plan of care. However, it is in our scope of practice to be proficient in administering medications and treatments included in the plan of care. If you as the nurse ...

We don't see this too often, but we have seen a couple of swallowed Fentanyl patches. Both almost died until we saved their bacon. Too bad all they wanted to do was get high. Mostly we see the Xanax, Benadryl, and Tylenol. One guy had buyer's remorse...

Remember, it is your manager's problem to staff the unit. NOT YOURS! I know you feel bad for your coworkers, but it is not your problem. Kid's games trump overtime, every single time. Like Nancy Reagan says... JUST SAY NO!

oh, good luck with this one. i would request that the manager remain in the room while this occurs, that way the "questions" are not illegal, confrontational, or inappropriate. They do this at my facility in some units as well. I think the point is t...

have a more proficient nurse go with you the next time to see what you are doing wrong. they can give you guidance on how to be more successful.

I would like to go, does anyone know who to sign up with to go? My kids are older now and I would love to go.

The OP said she wanted to keep her job.

Congrats on completion of your degree! As someone who used to have to wade through resumes, I have a couple of things to add. 1- Keep you GPA and school honors. 2- Lose the clinical duties part. It is assumed that in school they taught you those and ...

DeLana- just wanted to say sorry for replying to your message as if you were the one with the issue. Sometimes my brain forgets pertinent info from the time I read the post until the time I get to the reply board. Please extend my best wishes to your...