rngolfer53

rngolfer53

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All Content by rngolfer53

  1. can the family reverse a patient's decision?

    rngolfer53 replied to DNM-BSN's topic in General Nursing

    What happens fairly often is a relative who's not been involved with the Pt now comes into the picture and wants to run things....................no matter what the Pt may actually want. If the DPOA...

  2. People you "know "coming to your unit for care

    rngolfer53 replied to anewday's topic in General Nursing

    If you think that being assigned someone you know would detract from your safe, professional care of him/her or your other assigned Pts, then go to the charge nurse and ask for a change.......you...

  3. Are there nursing jobs or not?

    rngolfer53 replied to Lala27poodles's topic in General Nursing

    Oh, I think there's always some exaggeration, be it in good times or bad. The region you're in makes a difference. Some are in tougher shape economically. Obviously, if you have family obligations,...

  4. Nurses Are Professionals? Oh Really?

    rngolfer53 replied to PMFB-RN's topic in General Nursing

    I agree with you that it's appropriate and effective to have a "message" that is consistent between staff members, but it's silly, unless you are dealing with a Pt population that is entirely nitwits,...

  5. Follow up to Narcotic question

    rngolfer53 replied to gsstover's topic in Hospice, Palliative

    I check to make sure the Pt has enough meds on hand, or if I need to get the pharmacy to deliver more. Some families are good at keeping a log of what's given, others less so. We document the amount...

  6. Calling Doctor to START end of life Med.

    rngolfer53 replied to powerflash's topic in Hospice, Palliative

    My agency has standing orders for Atropine, with a nurse's assessment, but starting Roxanol, Ativan, Haldol takes a TC to the Dr, and an order. If the Pt is actively dying, or close to it at...

  7. military time?

    rngolfer53 replied to ArwenEvenstar's topic in General Nursing

    A number of years ago, I was in Calgary in Sept on business, staying at a downtown hotel. The clock radio woke me as planned, and said the temp was 7 degrees. HOLY COW! I looked out the window, in my...

  8. military time?

    rngolfer53 replied to ArwenEvenstar's topic in General Nursing

    I'm "bipolar." When I get in my car to go to a Pt's home, I use imperial, cause we get reimbursed by the mile. When I get to the Pt's home, back to metric for drug dosages, wound measurements, etc....

  9. military time?

    rngolfer53 replied to ArwenEvenstar's topic in General Nursing

    I see the same thing where I work, although our computer documentation is on military time. If you can't count to 24, you probably shouldn't be in

  10. Change has hit... and it ain't good.....

    rngolfer53 replied to jschut's topic in General Nursing

    I haven't read past the OP, but unless I'm badly mistaken there will be a litany of similar complaints about the night shift. Humans and bovines share that view of the grass on the other side of the...

  11. Is it really worth getting my RN to BSN?

    rngolfer53 replied to silentRN's topic in General Nursing

    I can't answer your question straight out, because I don't know your circumstances, desired career path, etc. What is happening to nursing as well as many other jobs is an increasing demand for formal...

  12. what do you do when a patient cries

    rngolfer53 replied to lalalalexi's topic in General Nursing

    I'm a hospice nurse who does after hours calls. I see more family members in tears than patients, but I think the response is similar. Yes, I sometimes, make that often, feel awkward. Being male...

  13. Being a preceptor blows

    rngolfer53 replied to RoyalNurse's topic in General Nursing

    Agree that the nurse needs some "seasoning" on a less demanding unit and the manager needs to be involved, but I think now rather than later. From what the OP said, Pt safety sounds like it's already...

  14. How Will This Impact the Nursing Profession

    rngolfer53 replied to newtress's topic in General Nursing

    The devil is always in the details and no one knows what those are...........and whatever they are now will be altered in some midnight conference. There will be unintended, and unforeseen,...

  15. If healthcare reform resulted in salary caps of $40k for nurses would you stay?

    rngolfer53 replied to keithjones's topic in General Nursing

    Most wouldn't be able to drop nursing with the speed of light, but given the age of many nurses now, retirement is a serious option, and I'll guess that many would take it. That said, it's pretty...

  16. If healthcare reform resulted in salary caps of $40k for nurses would you stay?

    rngolfer53 replied to keithjones's topic in General Nursing

    While there's no need for fearmongering, pollyanna stances are just as dangerous. What does "likely" to retain salaries at current levels mean. First, if costs exceed projections--check out the...

  17. If healthcare reform resulted in salary caps of $40k for nurses would you stay?

    rngolfer53 replied to keithjones's topic in General Nursing

    I doubt if one would see actual salary caps on nurses, unless there was some idiocy like the wage/price controls of the 1970s.....which did very little to dent the inflation that was their supposed...

  18. Petite Nurses

    rngolfer53 replied to Littlemisslizzie's topic in General Nursing

    Wow, you've been 5'2" all your life? I bet your mom absolutely hated

  19. Petite Nurses

    rngolfer53 replied to Littlemisslizzie's topic in General Nursing

    I'm not petite, and I'm a guy, but I'm also over 50, so back injury is something I'm more prone to now. Yoga, a couple days a week, really helped me with flexibility and core strength. For me, a class...

  20. Is it possible to get into an accelerated BSN program without taking Chem?

    rngolfer53 replied to Ted D's topic in General Nursing

    Chem was a pre-req for my accelerated BSN program. I was not looking forward to it, but I had a first-rate prof, who made all the

  21. Hygiene More specific facial hair

    rngolfer53 replied to benr98's topic in General Nursing

    The schools have to follow the guidelines of their strictest clinical sites, which is why, I think, that they have what seems to be really restrictive

  22. If healthcare reform resulted in salary caps of $40k for nurses would you stay?

    rngolfer53 replied to keithjones's topic in General Nursing

    One of the ways proposed to keep costs down is reimbursement cuts, or at least lack of increases, to doctors and hospitals. So, if there's less money coming in, it doesn't take much to figure out...

  23. Question about Pain

    rngolfer53 replied to abundantjoy07's topic in Hospice, Palliative

    n (emphasis added)Also sad to say, there are families who won't press the button at all, because the Pt is "too sedated".....as though they're going to carry on a conversation with a loved one who is...

  24. Promotional Items that suck

    rngolfer53 replied to boomer 233's topic in General Nursing

    If that were true, Apple would be much bigger than

  25. is nursing theory important to nursing practice

    rngolfer53 replied to precious nikz's topic in General Nursing

    I guess a good indicator of one's side in this debate is the quality of the nursing theory instructors in each nurse's school. We had a couple, one of whom was quite good and well-regarded, while the...