blondy2061h MSN, RN

I love working with nurses that have experience from critical access hospitals. They become very self reliant. They're not used to some of the luxaries buffet hospitals have, so they have to become good at things like IVs, drug calcs, and multitaskin...

Sorry Sir, my shift is over so I'm going to have to discontinue your IV and Suzzy will be in in about an hour to try and start a new IV for her shift.

I would add what, if any, IV access was established to your list along with what specifically prompted the ER transfer if it is not immediately evident from the presenting complaint

It sounds like the hospital you worked at needs to implement a formal policy for approving vacation time. At my facility everyone has to request vacations for the entire year in February and managers need to notify in writing in approved or denied in...

I'm really confused by this. Putting the 4 hours they were left out aside, after that they have you on video locking them up, and then 5 days later discover they're missing? How can they blame you for that? Do they think you locked up an empty bott...

How did you guess? 😂

Double post

Yep. At my facility up until vice president level you're in the same union, basically. Aids, secretaries, respiratory therapists are in a different union but every nurse is in the same one. It's a bizarre setup.

I'm in a middle management position right now. I've been there for 2 years. I'm on my 3 boss. The previous 2 were fired. The position above me you loose union protection and it seems to be the first to go as soon as someone is unhappy. No thanks.

Is this someone at the end of life who's allowed to die or someone who is not being allowed to die? If the latter we can talk about around 50 drugs.

The times I've helped patients with laundry they've been appreciative. Expecting it and complaining if the nursing staff doesn't do it is a whole different ball of wax.

My hospital does let visitors order food for themselves, they just have to pay for it. I don't think that's too uncommon. I've done laundry for patients there for extended periods of time. If I were stuck in the hospital I'd be worried about my cat.

It varies

Manufacturer recommendation of before breakfast

That's actually evidence based though (PU prophylaxis).

No way would I EVER connect any tubing that had been in a bed to any type of IV much less ton to a central line. The infection risk is huge here. You get an order to infuse d5 or d10 at the same rate as the tpn, monitor glucose levels, and wait for t...

Your facility should be providing sharps containers in every room AND safety sheilding needles.

Patients having external beam radiation (traditional radiation) are not radioactive so there is no risk to you, you future babies, or anyone else to being around them. If you follow proper PPE while giving chemotherapy and are using modern closed sy...

Does the pharmacy with the less convenient hours they're forcing you to use have delivery per chance? My hospital's outpatient pharmacy has very limited hours and wouldn't be available to nightshift at all but they do deliver.

So many people have VRE in their stool we stopped isolating for it years ago. I bet most nurses have MRSA in their nares too.

Diabetics who take insulin shots 6 times a day at home don't either. And if she was in a room providing patient care she presumably just washed her hands.

Our policy is that they only get changed if they need to be changed. We attempt to change the dressing around them q7d at a minimum of we can without damaging it and the tubing q96 hours but the IV itself can stay in as long as need be. That being s...

First of all- there's a ton of details in here and you may want to reconsider that. Secondly- her 100 days allowed by Medicare of what are expired? It sounds like she needs inpt rehab or assisted living.

That's what I figured but you can bet in the US they'd be on IV something

It's for the same reason you use them on IVs. There's a physical barrier there to prevent bacteria from entering and port into the body. When you want to access it to get a culture you're protecting against inadequate swabbing with alcohol at that ti...