brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    Why do we do codes?

    [ATTACH=CONFIG]24916[/ATTACH] This is what gets to me. I work on a cardiopulmonary floor filled with congestive heart failure patients and COPD patients (and often CHF patients with COPD as well)....
  2. brillohead

    Why do patients.....?

    For the problem patients, I have them keep their eyes closed entirely -- just relaxed, not scrunched up. Then I drop the med on the medial corner of their eye and have them open the eye. The med...
  3. brillohead

    Crushing Oral Medications...New Regulation

    When I was in nursing school, I had a patient with a PEG tube who had 8-10 meds that needed to be crushed and administered via PEG. My clinical instructor made me crush each one individually and...
  4. brillohead

    Do you make appointments?

    Someone posted an idea here a while back that sounds like it would help with things like this. It was a pre-printed pass where the teacher had to check off the box for the reason for the visit (with...
  5. brillohead

    How do I start my own Private duty nursing?

    Sure, you can PM me if you want. Or just post your questions here in a new topic and get input from lots of people, not just
  6. brillohead

    Rehab, feeding tubes, & constipation

    Colace, Miralax, etc., administered on a scheduled basis (rather than PRN, at which point it's too late) will keep things moving
  7. brillohead

    Too many screening questions?

    I work the floor, at night, and I'm soooooo sick and tired of the intrusive personal questions on the admission process! It seems like these are things that could be either handled by the registration...
  8. brillohead

    What would you think if you saw this patient?

    The only GI-related thing I can think of would be achalasia, which is the loss of myelin sheathing of the nerves of the esophagus, which causes a loss of peristaltic function in the esophagus (stomach...
  9. brillohead

    Charting Bloopers

    Many of our doctors use a speech-to-text program for their progress notes. Many of our doctors are foreign-born, with the accents that come from not speaking English as one's native tongue. Labetalol...
  10. brillohead

    Too much facebook

    Freedom of speech doesn't mean you can say/write anything you want about anybody at any time without any repercussions -- it basically just means that the government can't punish you for badmouthing...
  11. brillohead

    Med/ surg nurse to patient ratio

    Days = 3-4; Nights =
  12. brillohead

    Customer Service and Patient Satisfaction...

    I love this article: The Problem With Satisfied Patients -- A misguided attempt to improve healthcare has led some hospitals to focus on making people happy, rather than making them
  13. brillohead

    Question About Starting Nursing

    I would get the ADN and then do an RN-to-BSN program online. For starters, the ADN is going to be a LOT cheaper than a BSN. (I was able to do a part-time ADN program and still work full-time and...
  14. brillohead

    Nursing school point system

    Have you asked if you can retake the courses you did poorly in to get a better grade to count towards acceptance into the nursing
  15. brillohead

    Tell on yourself, if you dare...

    Or when someone is on contact-plus precautions for "rule out c-diff" when the person hasn't had a stool in 2+ days.
  16. brillohead

    Lice suicide!

    Grab your gear, we've got a body!
  17. Exactly why I suggested what I did. Contracts for narcotics and strict adherence to fluid restrictions and dietary limitations is one way we're coping with some of these
  18. I'm guessing that it's going to have to come from Administration, not from Nursing or Corrections. But my first thought is to make it so that the safety cell isn't a particularly enjoyable place to...
  19. brillohead

    is CA BRN unfair?

    What?????
  20. Have you ever been INSIDE a hospital? Because the Emergency Department is just one very small part of the rest of the hospital. Go look at the floor directory for your local hospital and you'll get...
  21. brillohead

    Witnessing Consent

    I work nights, so this is rarely an issue for me. But we did have an episode once where a day nurse gave the off-going night nurse a hard time for not getting the patient to sign their consent for a...
  22. brillohead

    Orders from hell...

    Oh, man, what I wouldn't give for this order most
  23. brillohead

    Do you think nurses get special treatment?

    My dogs' veterinarian put a note in their files that "mommy is an RN". I don't get preferential treatment, per se (I still pay full price, etc.), but it lets the staff know that they don't have to...
  24. brillohead

    Anyone know about Labor Laws?

    Our company's policy is that you can only use PTO for five weekends a year -- any other weekends off must be switched with someone else. But that's just how our company handles it, not because of...
  25. brillohead

    PICC Lines - To clamp or not.

    I had a patient who got blisters from the adhesive on the Statlock that the "wings" of the PICC snap into. His dressing changes were weekly, and I moved the Statlock each time, because the skin...