tommycher

tommycher

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All Content by tommycher

  1. written up already!

    tommycher replied to janetrette's topic in First Year After Licensure

    Most often lumbar punctures and bone aspirations/biopsies are done with local anethestics, yet we still have to make these pt.'s NPO, due to the possibility of nausea/vomiting, and we still have to do...

  2. DNR bracelet with DNR written on it. HIPAA???

    tommycher replied to FireStarterRN's topic in HIPAA Challenges

    Have you ever seen a code run on a pt that a nurse forgot to put the DNR bracelet on? I have, and the hospital is still in litigation over this. A doctor's order says DNR, and two nurses sign the...

  3. written up already!

    tommycher replied to janetrette's topic in First Year After Licensure

    Was it an order to begin IV fluids at 0600? Often that is an order for a cardiac cath or a procedure using conscious sedation. It would seem to me, that if you are giving report at 0700, and it is...

  4. DNR bracelet with DNR written on it. HIPAA???

    tommycher replied to FireStarterRN's topic in HIPAA Challenges

    When and if a pt goes bad, there often is not the time to discern color codes, you absolutely have to know, without a doubt, what this pt's wishes are. We do use a blue bracelet, with DNR or No Code...

  5. Nursing is 24hrs is just an expression

    tommycher replied to angelique777's topic in General Nursing

    I am sorry you dread giving report, I recall feeling that way as a new nurse, only because of my own fears of having missed something that a more seasoned nurse might question me on. But, being a day...

  6. NG tube question-please help!

    tommycher replied to sweetieann's topic in General Nursing

    Certainly, if the student gave the meds without the instructor present, did not follow instructors instructions, then it was a med error. Students were kicked out of our program for such a

  7. NG tube question-please help!

    tommycher replied to sweetieann's topic in General Nursing

    And by the way, the instructor is ultimately responsible for a student giving meds in clinicals. The instructor should have asked the student all of the appropriate questions before the meds were...

  8. NG tube question-please help!

    tommycher replied to sweetieann's topic in General Nursing

    Dusktildawn, I am sorry if I appeared to be sarcastic, you are very thorough, and I meant my compliment sincerely. Our pharmacy has meds timed on our MAR, and designated as such, when they are to...

  9. NG tube question-please help!

    tommycher replied to sweetieann's topic in General Nursing

    Oh my dusktildawn, you are extremely meticulous, must be a great nurse. Do you by any chance work in ICU, that is the only place I can imagine working and having the time to be this meticulous....

  10. Annoyed that public doesn't know what nurses do?

    tommycher replied to UM Review RN's topic in General Nursing

    I did not know "what nurses do" until I was almost out of nursing school, and was "doing it" without even thinking about it! I get frustrated at times on the floor and think to myself that a...

  11. I made a med error

    tommycher replied to southern_rn_brat's topic in Geriatric, LTC

    Bless your heart, keep your chin up! I have a feeling this will go nowhere, but I know that does not ease the anxiety much. Thank you for sharing, reminds us all to be extra diligent, once

  12. Why are doctors so rude?

    tommycher replied to TheCommuter's topic in Patient, Colleague Relations

    As a staff nurse, the other nurses with whom I work, and I, know which docs are prone to rudeness, therefore we do not take it personally. We know them as Equal Opportunity Offenders. You carry on,...

  13. Potassium piggybacks

    tommycher replied to starcandy's topic in General Nursing

    The amount of sodium bicarb in an amp is inconsequential, the doctor who orders it is also aware of the pt.'s labs, thus the purpose for ordering the potassium in the first

  14. Should patients be allowed to refuse LPNs and CNAs?

    tommycher replied to flashpoint's topic in LPN, LVN Corner

    As far as an LPN not having nearly as much training as an RN, when it comes to bedside care, that is hogwash. LPN's go through intensive training in this arena, as this is their primary job. Many RN's...

  15. I'm having major assessment problems. Please help!!!!

    tommycher replied to Jessica Student RN's topic in General Nursing

    When doing a manual blood pressure, the stethoscope actually should be placed on the little finger side of the antecubital

  16. Dealing with a difficult co-worker

    tommycher replied to Alicia18's topic in General Nursing

    Never allow another person's anger over their own lack of achievement affect your mood, ego, or care for others. Some people live in a perpetual state of anger, and will always be willing to unleash...

  17. The Less-Than-Glamorous Duties

    tommycher replied to miya's topic in General Nursing

    There is no nursing care that has ever grossed me out or turned me off to nursing. What has made me want to leave a shift screaming and never come back is the one factor that makes or breaks a...

  18. Air Embolism From Iv Tubing

    tommycher replied to WILLY WASHOUT's topic in General Nursing

    Did this induce nightmares and hot sweats? (In the nurse, I mean, not the

  19. Air Embolism From Iv Tubing

    tommycher replied to WILLY WASHOUT's topic in General Nursing

    Uh, just out of curiosity, why the question? Did someone fail to prime an IV

  20. imposter nurse????

    tommycher replied to lllliv's topic in General Nursing

    I am in Texas, and the BON has a picture of me and all of the other nurses I graduated with on file. The school sent them to the board before we could sit for the NCLEX, then when we took the NCLEX,...

  21. Potassium piggybacks

    tommycher replied to starcandy's topic in General Nursing

    If you look in the drug book under sodium bicarbonate, it lists different strengths and different names. Neut is one of the names, it is NaHCO3 packaged specifically to neurtralize the burning of...

  22. Potassium piggybacks

    tommycher replied to starcandy's topic in General Nursing

    We use "neut" 5% in 1ml ampules. The doc generally orders one to two amps per bag of IVF, depending on concentration of K+/ml. We use many different sizes and concentrations at the

  23. Nurses Will Eat Anything

    tommycher replied to bobnurse's topic in General Nursing

    At the hospital I work in, the different EMS teams will bring us food and ink pens! We KNOW who to call for a non-emergency transfer! If you want a nurse to remember you, just FEED

  24. I'm Only A Nurse......

    tommycher replied to mye614's topic in General Nursing

    Oh even better than flipping the name tag, how about those boards on the wall opposite the pt's bed, where you write the name of the nurse for the day? How many times have you discharged a pt from...

  25. I'm Only A Nurse......

    tommycher replied to mye614's topic in General Nursing

    I am just glad to hear I am not the only one suffering from this strange name tag phenomenon! And no, even if you take it apart and clip it the other way, it will still turn back to the back....