rngolfer53

rngolfer53

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All Content by rngolfer53

  1. Night Shift Neglect.

    That is all too common. I was at a hospital-connected nursing facility the other night. I was there for a bit over two hours for a hospice Pt. Three CNAs never moved in that time, and there were...
  2. Nurses & Emergency Scenes

    Probably not a bad idea to keep a shirt in the car that says: I'm NOT with Stupid. To be donned only in
  3. Yeah, that's right, it's my fault.

    You don't suppose this is the same guy who wrote the article about how nurses should work selflessly, do you? Personally, I think he's just senile. It's pretty easy to determine how much nursing care...
  4. Arguments Disfavoring Hourly Rounding

    Good idea. I was in a nursing home last night for about 2 hours. For the first hour and a half, three CNAs were sitting at a table, and never moved. Ooops, I take that back. One of them was eating ice...
  5. Advice needed re: narcotic addicted coworker...

    As others have said, document everything and report it. Then start looking for another job. The place you're at likely has other dangerous practices besides the drug
  6. Nurses & Emergency Scenes

    I used to be an EMT and am now a hospice nurse. So, now I'm likely to reach for the Roxanol. While holding the hand, of
  7. What grade did you achieve in Chemistry and/or Anatomy?

    If there are extra study sessions available, take advantage of them. In chemistry, work all the problems in the book, and any that the instructor gives out. For A&P, I got a 8x10 dry erase...
  8. Sick time and confidentiality

    The practice noted in the original post comes about because sick leave is regularly abused by a certain percentage of employees. So, it makes some sense as a blunt instrument to bring social pressure...
  9. Think there's a nursing shortage now? Wait until they fire all the MRSA + folks running
  10. Arguments Disfavoring Hourly Rounding

    Certainly, hourly rounding takes time, as does filling out the log sheet. The payoff is supposed to be less use of the call light, since the Pt will not be in pain, have to pee, or need position...
  11. Nurses & Emergency Scenes

    Perhaps you mistake confidence for arrogance. EMTs have to operate under far less than ideal conditions, have little to no support from physicians, no IV teams, code teams, and none of the other...
  12. Define critical thinking.

    I guess I would describe it as being aware of the entire process of your Pt's condition: Apply your knowledge base and the nursing process to ask "What is going on here, e.g. why is my Pt's BP...
  13. Medicare Probe

    Don't forget that many nursing homes use hospice for staff, so their employees can get their sleep during the night shift.
  14. Pain is NOT subjective

    The real problem is that while pain is subjective, a few people will lie about their pain level in order to get meds, and we have no accurate way to ascertain who is lying and who isn't. It sure seems...
  15. Nurses & Emergency Scenes

    Before nursing, I was also a FF, EMT in a small town. I've experienced the want-to-help nurses and doctors. Some are great, and some are a big safety headache. Some seem to just want to show off. We...
  16. How do you manage to get to work in snow storms ?

    Buy AWD, or 4x4, and have good tires. That's worked for me for years, in states with heavy snowfall and long winters. You do have to leave much earlier than normal. Ice storms are a different...
  17. Missing something when doing chart checks

    Bring it up on your own to your manager, and ask for advice on how to limit those mistakes. That can make a good impression, since the manager likely knows or will find out anyway. It shows you are...
  18. I think the realization that first jobs are often less than ideal is key. You may very well have to work nights, in an area that isn't your real interest, etc. But you can usually move on from those...
  19. HELP NEEDED!! Do you reuse bedside supplies?

    I'm a hospice nurse, and I do home time of death calls regularly. Besides unopened meds, families want to give back chucks, diapers, oral care kits, etc. Their harts are surely in the right place, and...
  20. HELP NEEDED!! Do you reuse bedside supplies?

    (emphasis added)They are great for squirting
  21. How to deal with nasty LPNs.

    If they refuse, say "OK, since you're refusing, I'll ask the charge nurse to assign someone else." BTW, this has nothing to do with LPNs in particular. It happens with RNs CNAs, SWs, etc. It might be...
  22. Do Nurses eat their....lunch?

    Sorry, but the clinical instructor's "advice" is exactly why nurses are treated as doormats so often. Lose the martyr and/or supernurse attitude. (Speaking of the instructor, not you, Katie) No...
  23. NEED ADVICE! I quit my job and now I regret it.

    The employer isn't necessarily at fault here. They have to have staffing up to snuff to open, yet they do not control the licensing agencies pace of work........which can be glacial. They have...
  24. Disruptive families in acute care settings

    I'm with you Angelfire. When did being upset, grieving etc become excuses for adults to revert to childish behaviors, or worse? Regardless of the reasons, and regardless of the nursing response, the...
  25. The end of C-diff testing??

    Look at the bright side. If enough nurses carry c-diff home to family and community, more patients actually will arrive at the hospital with community acquired infx. Reimbursement problem sol-ved, as...