KneKno

KneKno

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  1. not sure where to post this ?..pregnant?

    I'd rather take care of the patient already in isolation. It beats coming back next week and finding out that you "should have" been wearing a
  2. Chief complaints that made you laugh?

    My contribution: "staff infection" "bone coming through gums" in a 5 month
  3. Has there been an ethics consult to discuss his wishes with the family? Or, has a hospital chaplain been involved? Maybe the decsion-makers need to discuss options with a 3rd party. My prayers are...
  4. Educational nightmare

    Hospital wide skills days include: restraint use and charting, glucometer use, PPE, time outs (we do at bedside for cental line, PICC placement), conscious sedation (slightly different focus for m/s v...
  5. Is it a sin to want a day off?

    How much extra do you work? I'd guess you're at the top of their list to call cause you probably go in! After you say no several times, you'll drop down a bit on the list. Everyone deserves time off...
  6. Please help me with this paper

    References: check out AACNs Healthy Work Environment Initiatives and information about the Beacon Award (sort of like a Magnet Award for a single unit). Can't you just write "as an observer" about the...
  7. Injection last Saturday--a little sore, especially with lying on it. No other
  8. My scheduling moved away from every other several years ago. We did the math (days weekend is Sat/Sun, nights is Fri/Sat)--8 weekend shifts, # of staff, required number of staff neeed per shift. We...
  9. Somewhere to rent in Morgantown/around WVU?

    The housing is more affordable if you don't mind a 30min or so drive, an not living right in town--Fairmont, or across the border into Pa. Even those living in town can have a 30-45 min
  10. Hourly Rounding

    Sorry if I missed it, but what do you do when the pt is asleep? I work nights, and try to "bundle" care so that the pt's get a least at couple of uninterrupted hours of sleep whenever possible. (Whicn...
  11. Most Useful Non-Nursing Course(s)

    Creative writing--helps writing a narrative after the crisis is over, when all you have is five 2 or 3 word notes and two times written on a paper towel. And, from that, have to figure out what you...
  12. Is This Possible??

    Maybe the initial weight was
  13. Question on a test for employment

    Safety first--I'd go for frequent observation. If he has decided on a plan, and successfully implements it, any discharge planning will be pointless. A caution with anti-depression meds--when they...
  14. Using Last Name Only- HIPAA Violation???

    I don't know the "rules" for your question, but could you bypass the problem by using the patient's med record number or facility account number? I work in a hospital, and the med rec number is used...
  15. mon general?

    I know the place well--PM or email me with any
  16. I found a link to this blog site at The Covert Rationing Blog. An RN blogger has deconstructed the language of the Advance Care Planning section of the bill, then adds in some historical perspectives....
  17. What's going on???

    Try telling the happy people that they will be receiving a survey, and you would really appreciate it if they would fill it out. While personal comments to management are important, they don't take...
  18. Since it is a "home administered" medication, could you suggest that someone she sees more often (is more readily available) be taught by the prescribing physicians office to give the injection to...
  19. Silly reason for ER visit?

    A dislocated great toe fracture Friday night, scheduled to work Sat, Sun and Mon nights sent me to the ER for the "time off" slip. I knew what it was, I knew what to do, but place of employment won't...
  20. You will have an ASN as entry level, and will work as an RN while then completing your BSN online? For acute care, I think more weight is placed on entry level education and experience. If the BSN...
  21. oxygen question

    A quick google search looks like the term is used in regards to Australia. My interpretation would be that it is oxygen used in the home (a person's domicile). Home O2
  22. Sure signs your pt. is sick

    Cold and sweaty always gets my
  23. ACLS question

    Does your hospital have any standing orders to cover these situations? Most of our tele- and ICU patients have a signed "Arrhythmia Orders" form in the chart, based on ACLS--pretty much covers the...
  24. Bolus IVP followed by IV infusion

    integrilin, natrecor,
  25. good sites for CEU online

    here's my reference list, mostly free http://www.northwoodceu.com/index.aspx http://www.rn.com/ 1 free ce/month. register, it's free...