maelstrom143

maelstrom143

PCU

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All Content by maelstrom143

  1. Would you have called?

    Seems pretty clear cut to me, too. We often see orders for PO if unable to obtain IV w/our difficult sticks. We keep both to ensure meds are administered regardless. Have had too many where we finally...
  2. A Nurse's Happy Thanksgiving

    OMG...made me feel like crying. What an incredible person. I am so happy she is still around for her daughters and loved ones. God
  3. Orientation...blechhh

    I think she takes orienting you seriously and likes what she does. Maybe she was so excited about being able to precept you that she may have been a little pushy, but it sounds like it is just her way...
  4. Deleting nurses notes

    I was always told notes made on a patient's chart are legal documentation and it is illegal to delete them as your management is doing...I would consider finding another job where they do not engage...
  5. pradaxa question

    You're welcome
  6. Rectal Cath. Foley bag disposal?

    We usually empty as much as possible into the toilet then bag it in red biohazard and into the biohazard
  7. i want to move to cape coral fl

    There is Lehigh Regional, http://www.lehighregional.com/default.aspx, which is a little hospital. They divert their more serious cases to other hospitals. Not sure what all else is available right...
  8. i want to move to cape coral fl

    http://leememorial.org/facilities/capecoralhospital.asp LMHS is the biggest health provider in the area and the one you will have to deal with if you move to Cape Coral. They own/operate a bunch of...
  9. I'm very tired after bad job experience

    Congratulations on your new job and orientation. Best of luck to you in your new job and thank goodness you have a new job. Hopefully, this new place will be more responsive to the needs of the staff...
  10. Blood admin question

    We do the final check at bedside, checking armbands, name, acct, ensure all match before spiking. That way if anything does not match we can always send it back to the blood bank untouched. Once...
  11. The Patient I Failed

    Nerdtonurse?, thank you so much for such a lovely, thought-provoking article that means so much to those of us that see this all the time. We had this poor little old man in our PCU a few years back....
  12. insulin help!!

    I usually like to review previous days' FSBS trends in my patients and see if they have been getting their insulin as ordered. I also ask the patient what they usually do at home. This kind of gives...
  13. I really need some advice ASAP

    I would say pull her aside and have a verbal counseling regarding the incident. Also, keep hypervigilant regarding patients she cares for and take any comment from the patients seriously. We had one...
  14. I'm very tired after bad job experience

    Your job sounds untenable! I would run away from that situation ASAP. Good luck finding another job. You are a patient advocate and looked out for the best care for your patients. The people you work...
  15. What do you want from your Unit Secretary?

    We have excellent HUCs, thank goodness:heartbeat They are also very versatile, being trained as PCT/HUCs, they can cover the desk or hit the floors when short-staffed on some floors (we do have a very...
  16. pradaxa question

    According to boehringer-ingelheim, without the gel capsule, the oral bioavailability of this med increases by
  17. So what exactly is a bed alarm?

    That is just heartbreaking! Poor little old man! To work so hard and nearly be there and have it all lost due to stupidity...can't blame you one bit for being angry. I nearly lost a patient cause doc...
  18. I had not yet seen an ICU w/o vents; however, when you said "community ICU" I thought you had said it did not have vents. Sorry if I misunderstood. If they do have vents, then fabulous. However, how...
  19. Torn

    Take the new job. I just don't see 6 months making you love the job any more than you do
  20. Have you ever seen this before?

    Wow. ESRD? Wonder what a review of urine output would have shown? BP that low I have never seen called "normal" on any patient I have ever had. Usually get put on drips/IVF and possible PO meds for...
  21. Torn to pieces - Pls help?

    :balloons::clpty:
  22. So what exactly is a bed alarm?

    OMG:eek: That is horrible! So sorry about such a poor outcome...did they not receive report on this patient or just chose to completely disregard your report??? What
  23. Working with stipulations

    My eyes teared up when I read your above post. I am so very sorry for your family's loss and so very happy that your mother passed in such a dignified manner, surrounded by love and safety. I wish...
  24. Can you chart too much?

    I'm sorry, but...what that good or bad? Are residents allowed to go into a facility's kitchen on a regular basis in some places? At the facilities where I worked we always made sure to supply the...
  25. Need some advice please from Nurses.....

    If it is a question attached to licensing and/or employment, and answered falsely, it can be immediate grounds for termination &/or penalties. Find out from your BON how your illness affects you...