Sean 91

Sean 91

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All Content by Sean 91

  1. How do you induce passing gas post-op?

    I think you want allphysicians.com The case manager must be going nuts after 12 days, not to mention the doctors--can't believe they are "unconcerned." Insurance and/or Medicare funds must be running low. Haven't seen any mention of ambulation. Wa...
  2. Starting Nursing at 52 and Nervous

    Started a little older, too, like you. The primary problem at my beginning facility was the patient load of 1:10, not people--now at a wonderful facility that is 1:5, and a great group to work with, too. Nurses are great to work with! I've got pra...
  3. Being around alot of women....Pros and Cons

    I was the only male in my RN-BSN class of 40; scared me to death at first. But most of my classmates were quite respectful, and I in turn. And usually I am the only male on my shift (although, of course, there are plenty scattered throughout the ho...
  4. I am an American.

    Maybe it's not cultural. Maybe the doctor is a paranoid personality disorder type. In nay case it is a silly request and no way can it be enforced against nursing. We owe an obligation to get clear communication from M.D.'s and that usually includ...
  5. Benefits of being a male nurse vs Female nurse

    As a guy at our facility, you get an extra break period when they call all the guys over the intercom, by a special code designation, down to Behavioral Medicine when a patient is going off, for example, or when they need lifting help somewhere. Som...
  6. Do you have a system for making fair pt assignments?

    One of the hospitals in our four-hospital chain in our city assigns by blocks--a 5-6 room stretch on Med-Surg that doesn't change, regardless of acuity. It's "this is my little corner and this is where I am usually going to work." Period. I don't ...
  7. When the full law comes into affect, then maybe patients like the woman who had to leave my hospital med-surg floor two days into her hospital stay--two days after the insurance company cancelled her health insurance for a pre-exisiting condition (ob...
  8. Patient to Nurse Ratio

    Started off my nursing career as an RN with 1:8-1:10 nights (4-5 times 1:12) and started getting neuropathy and swollen ankles (Our older charge nurse with history of long term illness would call just before shift half the time, leaving us in the lu...
  9. Your thoughts on the nursing jurisprudence examination?

    Many of the answers require common sense, within the scope of nursing practice, so to speak. And a few are just blatantly common sense (right vs. wrong). But to be prepared for those questions referencing a specific section of the nursing regulatio...
  10. texting at work

    Texting??!! What really bothers me are employees who are chatting on their phones!! Especially some aides, who if you are looking for them, just go to the staff room and there they are. But, I mean, walking around the hall as they get linens talki...
  11. I just finished T.R. Reid's (2009) book, "The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care." An excellent read, giving a good overview of the fractured American health care system...Well, one really can't call the U...
  12. Research Questionnaire - Reducing Patient Falls

    Oh yeah, we have "skid proof" footwear which does make a difference over the bare feet or athletic socks many pts come in with. Gait belts are unavailable exc to PT--probably a $ matter. We do dead lifts (pivots), for some pts.
  13. Research Questionnaire - Reducing Patient Falls

    1.have you ever witnessed a patient fall? yes. several times, been near. have heard the thud. in most instances, the bed and/or other alarm(s) are not in place--but some people are just quick and are over the rails and out of bed before you can re...
  14. Fired all the LPN's

    A hospital I worked for a few years ago did the same partly in an attempt to move toward magnet status. It gave the ultimate to te LPNs to go for LPN to RN or find another job. Most LPNs left as most were older. Also, there was only one LPN tech s...
  15. Do pediatric vaccines still contain mercury?

    No. A family member asked me today (Sept 21) about mercury in the influenza vaccine, so I researched CDC and FDA sites and saw that all pedes vaccines, except the flu vaccine, are now free of the preservative thimerosal, which has a 49% content of th...
  16. Should I be a CNA -- I'm 44yrs old!!! Is it too late for me?

    Contact your local nursing school - BSN for RN - get your prerequisites in line, and apply for the program when you qualify.
  17. what's wrong with HCA hospitals?

    Sometimes with 10 patients overnight where I worked for 2 years it was tough to take the lunch break and still get done by 9 a.m. on the 7p-7a shift. They started having us sign at the front desk for a while. But never heard of mandatory with write...
  18. what's wrong with HCA hospitals?

    Take it to The Joint Commission. Or better yet, the U.S. Dept of HHS.
  19. what's wrong with HCA hospitals?

    That's great. Things can change.
  20. Injections practice?

    Unless you are going to work in an M.D.'s office or a clinic where more injections are done, you won't get much chance to give injections in the hospital daily exc perhaps Lovenox (SQ) and Insulin (SQ) and perhaps an occasional flu/pneumo shot (IM), ...
  21. Charge nurse with less than a year RN experience???!!

    Yeah, very common. Even an RN 6 mos out. We were told in BSN program, don't be surprised if you are in an administrative position within one year. Took less time than that. Esp as the 30-yr experienced charge nurse on our shift was calling in si...
  22. Vegan Diet - Healthy?

    We were taught in nursing school that health care should be based on emperical evidence (which is always changing) rather than on personal opinion--which seems to rule the day. One international program that promotes the vegan diet for heart patient...
  23. Curious about that presence!

    when a call button goes off in a room where someone has died recently and there is no one in the room. grew up in a house built in 1738 in which we all experienced (a few times together) men's booted steps--even with the sound of creaking boards--goi...
  24. Sorrry, ER nurse 46, I just used methadone as an example (something we see prescribed on the floor about 1-2 times per year anyway--I guess I just should have mentioned Percocet). But menthadone and oxy are still prescribed for home use with the pat...
  25. Classic II SE vs. Cardiology III

    You know what, I think stethoscopes are like buying chocolates from Neiman Marcus vs. Walmart (not that I am recommending a stethoscope from Walmart). You may have heard of the NoKA chocolate scam a few years ago where a couple of smart Canadian acc...