I had a patient who needed assistance to ambulate. She would do the usual count "1,2,3" then stand. But every trip to the bathroom continued with her counting aloud "4,5,6,7...". She would reach the...
Paraldehyde for alcohol withdrawal (would melt plastic syringes!) and chloral hydrate (Noctec) for sleep. Chloral hydrate was used in old movies to pour into someones's drink "slipping them a Mickey...
Pax_Ramona replied to blondy2061h's topic in General Nursing
Urology!!! Too funny. I think the initials should read IPCU and that stands for Intermediate Progressive Care Unit. It's a like a step-down from intensive
Pax_Ramona replied to NickiLaughs's topic in General Nursing
My husband is a pharmacist. We met in college decades ago. We often "talk shop" at the dinner table. Hey, we just got an email from his pharmacy association. They are starting a social network...
Kudos for your practical use of critical thinking skills and your courage to get involved! Once when I was at the movies with the kids (Dr. Dolittle) I heard a woman say, "We've got to get to the...
Hi BA, I just completed this course in October. I started in June and finished my clinical hours (84) around Halloween and have secured a staff position after 10 years of inactive status. Your...
Pax_Ramona replied to Curious1alwys's topic in Retired Nurses
Hi, I just completed a nursing refresher course this summer/fall and am about to start my new job (hospital) next week. I took a state board approved nursing refresher course. I went through a...
Hi ba, I was on a 10 year hiatus from nursing practice. To return, I contacted my state board who provided me with the names of approved refresher courses. I enrolled in one and the didactic...
Pax_Ramona replied to cherrybreeze's topic in General Nursing
I had a patient who said she was allergic to all odors--not just perfumes. She said her son was, too. When he came to visit, he arrived on the floor wearing a World War I gas mask! You know, the...
I like the idea of having our notes transcribed. However, there is a new policy (?federal) that in 2009 all charting will be done electronically. I work at a hospital where this has been done for a...
Yes, I think it would be a clear HIPAA violation to be within earshot of the roomate, visitors, passersby, etc. We tried this BRIEFLY at one hospital and report took twice as long. Besides, the...
I just read the new JCAHO standards re: intimidating and disruptive behaviors to be in place by early 2009. Here's the link: http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_40.htm...
Hi Shay, I'm sorry to hear about this--it can be so distracting and weigh so heavy on your mind. Have you been deposed yet? Rebezemek gave some good advice. All I can add is not to say too much. If...
Vaporize, It sounds like the makings of a work place bully: "She says she is senior to me and that it looks bad on me if I don't give her an answer." You have some choices: avoid her (not likely),...
Pax_Ramona replied to turtle rain's topic in Geriatric, LTC
Hi Turtle, All good suggestions so far. I would add not to stick directly on the pad (center) of the finger but a little to the side. Many people have callous build up on the pads of their...
I would probably ask what the nurse to patient ratio is and what approach they use like primary care or team nursing. Also what general types of cases they have like heart caths, pre/post CABG,...
Pax_Ramona replied to Vito Andolini's topic in General Nursing
At first I thought "Booboo" was the psych client and not the aide! What kind of healthcare provider says "I'm woke" ? I think Vito did the right thing by relieving her and reporting to the supervisor...
Old at 50? No way! Go for it. In five years you'll be 55 and glad you made the decision to become a nurse. On "Good Morning America" they had news item noting that people will probably work into their...