blondy2061h

blondy2061h MSN, RN

Oncology

Member

All Content by blondy2061h

  1. Are care plans valuable?

    Do you work at my hospital? Our mock survey said the exact same things and all of the nurses basically said its busy work. You don't need a care plan to know its part of your nursing duty to allow an...
  2. Nurses found out what im making, dont know how ?

    My hospital receives state funds, so all of the employees have their salaries, including the actual amount made with overtime, posted online annually. And no one seems nearly this curious about how...
  3. Any thoughts of USA infant mortality rate

    I think it's also worth mentioning the mothers having babies in the U.S. that would never even get pregnant elsewhere, ie, 60 year olds, people with multiple comorbid conditions- thanks to our...
  4. Any thoughts of USA infant mortality rate

    I would bet no c section is ever billed as totally elective. Take mom's BP a bunch of times til you stress her out enough to get some high readings and call it something like "borderline...
  5. Any thoughts of USA infant mortality rate

    Seeing as I've never cared for an infant on my life, outside of babysitting (which I am proud to say I've never had a child die on my watch there), I have no reason to feel defensive toward infant...
  6. Any thoughts of USA infant mortality rate

    What are other countries defining as a viable infant birth, and thus one that would count toward their infant mortality statistic? What about the U.S.? Get back to me on that. Infant mortality...
  7. Be honest, what pt behaviors do you find annoying?

    "Okay, I have your evening meds here. You're getting Pepcid, acyclovir, ur.." "I know what I'm taking." "Well I should tell you what you're getting because sometimes they change your prescriptions in...
  8. Involuntary Admissions in Inpatient unit

    My current hospital doesn't have an ED, so we don't get this type of patient at all. Another hospital on this area had a locked med/psych unit, which has psychiatric patients that would require...
  9. Be honest, what pt behaviors do you find annoying?

    "My pain mess were due at 2! You're late!" No, your pain medications are as needed, and the earliest I could have given them to you was 2:15 had you asked for them then. Usually this conversation...
  10. Cried at work today.

    Does your facility have patient advocates? Perhaps this could have been a situation you could have punted to the patient advocate, rather than getting in the middle of a disagreement between a family...
  11. Be honest, what pt behaviors do you find annoying?

    Labor pain is pretty variable. I have one friend who had natural labor that she swears was pain free (all about meditation, in her words) and several others that have found it tolerable. On the other...
  12. Patients wants a back rub

    I certainly am not giving 15 minute massages, but I turn and position my patients that require is q2h or at least q3h and rub their backs down with barrier cream with a moderate amount of pressure...
  13. Be honest, what pt behaviors do you find annoying?

    And then there's the other half of the patients that you're asking to please not try and fix their own IV pump when it's beeping, or ignore their IV when it's painful, or to please report that new...
  14. Be honest, what pt behaviors do you find annoying?

    Me to patient: "How is your pain level?" Patient to me: "No pain, I'm feeling well." Physician to me: "How is the patient in room 12 doing?" Me to physician: "They're doing well. No complaints...
  15. Nurses- medical provider needs your opinion!

    I once told a doctor "My patient is having a lot of throat pain, I think they need something IV for pain." He half jokingly said, "Ugh, I'm busy, so give them something IV got pain." I have a good...
  16. Be honest, what pt behaviors do you find annoying?

    "Do you need anything else?" "Yes, I'd like an apple juice please." "Okay, is that all?" "Yep." "I'll be right back." "Here's your juice." "Thanks, do you mind getting me some ice?" *sigh* "Okay, is...
  17. Patients wants a back rub

    Now the last time I was in the hospital I was told I wasn't allowed to shower and was given no other alternative for bathing and had a note left on my bedside tablet explaining that they don't change...
  18. Nurses- medical provider needs your opinion!

    Stuff like this is why all calls should at least be run by the charge nurse before they happen. And to see if there's any other issues that can be called with simultaneously. Even without a "standing"...
  19. Nurses- medical provider needs your opinion!

    Thank God my facility now lets RNs order c diffs across the
  20. Nurses- medical provider needs your opinion!

    They don't want our neutropenic fever patients having Tylenol for fever at all. For a neutropenic patient, a fever is basically their only natural defense against infection and one of your only early...
  21. Nurses- medical provider needs your opinion!

    RN's are not allowed to reorder restraints as a verbal order, yes, even on vented patients, at my facility. This is something the provider must put in themselves and they're supposed to do it after...
  22. Nurses- medical provider needs your opinion!

    Often when I'm calling I KNOW it's for a ridiculous reason. Our controlled substance orders need to be renewed q7d. This is supposed to get done by the primary service during the day. It often gets...
  23. Withheld meds

    Why didn't you just drop an NG for the meds and feeds until the peg got sorted out?
  24. Is This Behavior Inappropriate?

    I will say that my first two to three years or so on the job there was a more experienced nurse who was pretty consistently rude and snide to me. Thankfully for me, she did not take charge, so I was...
  25. Need help resigning!

    How long have you been at the ob job as a