maelstrom143

maelstrom143

PCU

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All Content by maelstrom143

  1. Rectal use of opiates???!!!

    maelstrom143 replied to RNOTODAY's topic in Patient Medications

    I am in agreement w/Asystole...right dose/right route comes to mind. If patient is administering rectally without it having been ordered that way, doctor needs to be made aware of the issue and med...

  2. how to ask patient for pain scale score correctly?

    maelstrom143 replied to 7feetunder's topic in Emergency

    It helps to have the chart available when needed. 1-2: I know it's there, but tolerable - I do not usually medicate, unless patient requests (some patients are medicated round the clock at home to...

  3. how to ask patient for pain scale score correctly?

    maelstrom143 replied to 7feetunder's topic in Emergency

    LOL. I feel your

  4. Texting while doing patient care?

    maelstrom143 replied to klone's topic in Patient, Colleague Relations

    Using a personal cell phone while on duty is totally against our policy and a firing offense at the first sighting (not that anyone is enforcing it, unfortunately). Taking a picture w/said phone could...

  5. Allowing Pt's Parent to Take Meds Home

    maelstrom143 replied to Juan-RN's topic in Patient Medications

    As a nurse, the mother should have known better. Shame on her, for

  6. Patient Care And Customer Service Are Not The Same!

    maelstrom143 replied to TheCommuter's topic in Patient, Colleague Relations

    Excellent article, superb points. Thank you so much for putting forth such a wonderful article

  7. Unable to answer family questions about DVT.

    maelstrom143 replied to arallenrn11's topic in General Nursing

    I agree w/everyone here. We don't have all the answers. It is ok to say I don't know, but I will find out for you. Most hospitals have internet access and/or resources where you can print out patient...

  8. Do You judge and treat patients differently depending on who they are ?

    maelstrom143 replied to star.crush's topic in Patient, Colleague Relations

    I think we all have preconceived notions and mores and tend to judge, especially if we are not aware we are doing it. I try very hard to be aware of how I feel and try to leave it at the door. Once I...

  9. Check out those veins!

    maelstrom143 replied to susanmary's topic in Patient, Colleague Relations

    OMG! I am so glad you guys are here! My hubby and children do the same,"Uh, what are you doing?" bit whenever I start looking at their arms and palpating springy veins. I guessed when my tween was...

  10. Chart checks

    maelstrom143 posted a topic in Patient Safety Issues

    In our facility we do chart checks; days do 12h checks, nights do 24h checks. Recently I came across a patient sent to me who had a 12h chart check already done. Being the cynic that I am, I began...

  11. Chart checks

    maelstrom143 replied to maelstrom143's topic in Patient Safety Issues

    Wow. Thank you for the link. Very cool :) and I totally agree. I am fortunate to be surrounded by caring people that I am proud to call friends and family, but it is very scary to me that so many...

  12. Chart checks

    maelstrom143 replied to maelstrom143's topic in Patient Safety Issues

    ashley, picu rn said: "does a 12/24 hour chart check entail checking all of the orders (since admission) and verifying they are correct? simply the name, "24 hour chart check" assumes that only the...

  13. Chart checks

    maelstrom143 replied to maelstrom143's topic in Patient Safety Issues

    I can't wait for the day. It will make things so much easier when we are no longer guessing what the heck the doc ordered (having three people deciphering a doc order is no joke o.O) It just scares...

  14. Having a medication nurse?? Yes or No?

    maelstrom143 replied to shipmanmisty's topic in Patient Safety Issues

    My patients, my meds whenever possible. I just feel safer that

  15. Neglect, or not? I think so, ADON disagrees...

    maelstrom143 replied to littleone25's topic in Patient Safety Issues

    Definitely neglect. Taking her history into account, the RN/LPN in charge of her care should have been made aware the CNA was not allowed to care for this patient. The patient should have been...

  16. If a nurse leaves the unit without telling anyone...

    maelstrom143 replied to mom1965's topic in Patient Safety Issues

    Leaving the floor for any reason without reporting off to someone is considered abandonment. Without a heads up your patients have no one to rely on while the nurse assigned to them is gone and that...

  17. Completely confused about this Foley Catheter issue...

    maelstrom143 replied to SunSurfRN's topic in Patient Safety Issues

    Had that foley been in the urethra to begin with when you started inflating the balloon, the c/o pain and expression on the patient's face would have been enough for you to cease and desist from...

  18. Am I unsafe to practice?

    maelstrom143 replied to Need2Care's topic in Patient Safety Issues

    Keep your chin up and good luck w/the job search. We all make mistakes and learn from them. The only nurses unsafe to be nurses are those that do not own up to their mistakes and do not learn from...

  19. Question about PICC LINE: Air bubbles in line?

    maelstrom143 replied to KaylaBabyBelle's topic in Patient Safety Issues

    Odd. I would wonder if the PICC has flipped (in RAD they have sometimes flipped a PICC back into place by using forceful flush, but had one patient whose PICC flipped upward when they injected meds...

  20. Eating a new nurse for breakfast, lunch, and dinner. Or is it?

    maelstrom143 replied to dudette10's topic in Patient, Colleague Relations

    Pretty awesome outcome. It sounds as if you work with some really awesome nurses. I have been blessed in being surrounded by amazing coworkers as well

  21. help please! morphine side effects!

    maelstrom143 replied to missnurse2012's topic in Patient Medications

    OMG!!! THANK YOU! THANK YOU! THANK YOU! Three pages of this most interesting post and I kept fretting over the .1, .1, .1!!! It was driving me nuts! So glad to know I was not the only one... Please,...

  22. Things you'd LOVE to be able to tell patients, and get away with it.

    maelstrom143 replied to AngelfireRN's topic in Patient, Colleague Relations

    "Oh...you are leaving AMA? Thank you. We need the bed for the STEMI waiting in the ER who will not refuse all treatments except dilaudid and ativan (I hope). And no, I will not give you an extra mg of...

  23. Things you'd LOVE to be able to tell patients, and get away with it.

    maelstrom143 replied to AngelfireRN's topic in Patient, Colleague Relations

    "Hmm...no, I do not care that you want a coffee right now and a soda and some graham crackers (for the 3rd time this morning). You see all these meds on top of my cart? They are due and I am not...

  24. Things you'd LOVE to be able to tell patients, and get away with it.

    maelstrom143 replied to AngelfireRN's topic in Patient, Colleague Relations

    "No ma'am, we do not have a magic pill to cure all your aches and pains. Maybe if you got out of bed and stretched/sat on the chair and got some of the kinks out of your joints you might feel better."...

  25. Things you'd LOVE to be able to tell patients, and get away with it.

    maelstrom143 replied to AngelfireRN's topic in Patient, Colleague Relations

    LMBO...I love it! Especially that last one! So true. OMG, not even if it is only a family member. After seeing how they act and carry themselves, I would gnaw my own leg off before even considering...