rngolfer53

rngolfer53

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All Content by rngolfer53

  1. is everyone who is dying in pain? wondering if i did the right thing,

    rngolfer53 replied to jrowmom's topic in Hospice, Palliative

    Good question! Nursing programs and instructors spend lots of time on opioids and Pt safety, and rightly so. They fail, from what I've seen, to make much mention of the role of opioids, or much else...

  2. How often do nurses have sex in the hospital?

    rngolfer53 replied to curiousstudent5's topic in General Nursing

    Much if not most of what you see on TV or in movies has but the most tenuous contact with reality. The people who produce them are interested in attracting an audience in order to make money, that's...

  3. Morphine gtt/Comfort Care

    rngolfer53 replied to NurseyPoo7's topic in General Nursing

    I can't add much to what other nurses have said, except my praise to you for keeping your Pt comfortable, which was the purpose of the orders. Good

  4. 25K sign on bonus

    rngolfer53 replied to lamplight_RN's topic in General Nursing

    I doubt it. If you find one that does, you should ask yourself why the employer needs to use such a fat carrot to find and retain

  5. New grad with no clinical skills

    rngolfer53 replied to malone2192's topic in General Nursing

    We passed meds our first or second clinical day, and with my first Pt, I managed to drop the PO pain med on the floor while putting it in the little cup. My clinical instructor and the staff RN had to...

  6. I can't even believe that this recall even made the news....

    rngolfer53 replied to BabyLady's topic in General Nursing

    He won because the plaintiff attorneys look for the dumbest people on the jury pool to hear the case. They identify naturally with stupid people and so vote to reward their stupidity, hoping they can...

  7. What's the best way to resign?

    rngolfer53 replied to southlandrn's topic in General Nursing

    Write a letter, stating that you are resigning to take an offered position that has always been an interest of yours. Find something positive to say about Vlad The Impaler Hospital and the people...

  8. New grad with no clinical skills

    rngolfer53 replied to malone2192's topic in General Nursing

    I know that time is important in training/orienting nurses to a unit, and being able to perform tasks/skills quickly and proficiently is a big part of that. It's difficult to understand how someone...

  9. Would you say this nurse has a ' problem?'

    rngolfer53 replied to IMABSNRN's topic in General Nursing

    (emphasis added)There is physical tolerance built up toward opioids, so one can expect that the user will need increasing doses as time progresses, even without psychological dependence. Where will...

  10. Would you say this nurse has a ' problem?'

    rngolfer53 replied to IMABSNRN's topic in General Nursing

    My : As to "Does she have a problem?", I'd say yes. She's risking her job and license if there's a random drug test. That strikes me as using a med despite at least the possibility of adverse...

  11. Husband wondering about nursing school failure/dropout rates

    rngolfer53 replied to hubby73's topic in General Nursing

    My BSN was through an accelerated option program, and though we lost people, most of them were dropped during the first few months of the program. Of the 80 odd who started the class, less than 10%...

  12. Small inpatient surgical center question---(afraid to ask in interview!)

    rngolfer53 replied to nervousnurse's topic in General Nursing

    Nervous, I don't think your questions are bad ones at all. I wouldn't be afraid to ask them. As to the economics, many surgery centers are privately owned, so financial information isn't available....

  13. Nonverbal symptoms of pain

    rngolfer53 replied to redheadedvixen's topic in Hospice, Palliative

    I always do my PainAD assessment with the family, to educate them, get their input--Grandma's brow has been deeply furrowed ever since eldest son bought the Harley-- and let them know I don't just...

  14. Falls in Assisted Living

    rngolfer53 replied to debblynn13's topic in Hospice, Palliative

    Happens in the home setting as well as ALFs, and because CGs get exhausted, the "staffing" issues aren't all that different. A while ago, I visited a Pt who, a family member told me, had fallen a...

  15. Ever had a premonition?

    rngolfer53 replied to 86toronado's topic in General Nursing

    Being a hospice nurse, I see a lot more death than many nurses. Families report these premonitions quite often. What I'd like to know, but don't ask of course, is if they've had similar episodes when...

  16. fallen into the trap

    rngolfer53 replied to annyoklie's topic in General Nursing

    It is pretty much DIY for advocacy, which means hiring a lawyer with expertise in working before the BON. Given what's at risk, your license and livelihood, the cost of an attorney is small

  17. Have you ever had to supervise your friends?

    rngolfer53 replied to Scrubby's topic in General Nursing

    The situation is a very difficult one in which to win, or even break even. Pretty much two things can happen, both lousy: First, you have to bring shortcomings to the attention of your friends, with...

  18. Can Someone Be a Nurse Without Jean Watson??

    rngolfer53 replied to Q.'s topic in General Nursing

    I'm kind of in a similar situation, in that I'm a hospice nurse who does after hours in-home calls, usually for symptom management and time of death. It's rare that I see a Pt more than once, and...

  19. CNAs always at risk for getting terminated

    rngolfer53 replied to Ms. Nurse Assistant's topic in General Nursing

    Just as the jails are populated almost entirely with innocent people, unemployment lines are full of people who were all fired for "no reason at all." Hiring and training new people is expensive in...

  20. In need of advice- discrimination???

    rngolfer53 replied to 2010NewRN's topic in General Nursing

    Could the hospital have mistakenly thought that the information you posted about yourself was about a Pt instead? It might be worth your while to contact a lawyer used to working with ADA issues to...

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

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

    unfortunately, you can sue for any reason, and because we don''t have "loser pays" it will cost you thousands of $$ if you do get sued. (happened to me over something unrelated to work, and the...

  22. Worried about new job

    rngolfer53 replied to Halinja's topic in Hospice, Palliative

    Finding and keeping night nurses is a challenge. So, perhaps the CMs get to fill in when there are vacant night positions open. The schedule when there is full staffing can be very different than the...

  23. Nurses Are Professionals? Oh Really?

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

    By all means, if you or a family member is a Pt in a hospital where scripting is used, make a fuss about it. If nothing else, it'll add a little reality to their

  24. Got interview email...no one called! What to do :(

    rngolfer53 replied to NurseDevonL's topic in General Nursing

    I agree that it's very un-professional to not contact you, but sometimes, heck often, HR is the least professional part of an organization. The manager you work for will have much more of an impact...

  25. Bragging Rights?

    rngolfer53 replied to NewNurse16's topic in General Nursing

    I was lucky enough to get some very good advice many years ago when I got my first real job out of college (in a different industry): Be quick to praise others and slow to praise yourself. At least...