RNKPCE

RNKPCE

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All Content by RNKPCE

  1. reamed out for using soft wrist restraints

    RNKPCE replied to newnurse012's topic in General Nursing

    @ emergency nurse You stated you still intubate DNR patient's at your facility, if they haven't "died" yet? I think at my facility a DNR patient would not be intubated if they were desating. We...

  2. ALWAYS called to work on days off?

    RNKPCE replied to squatmunkie_RN's topic in General Nursing

    Feel guilty only when you've done something wrong. Calling in sick when you aren't, yes you should feel guilty. Not working on your scheduled day off, no you should not feel guilty. Hospitals will...

  3. Should family members insist on being present for procedures?

    RNKPCE replied to MG-NotANurse's topic in General Nursing

    We can discharge a patient from a hospital without a ride home if the patient has not had sedation. For instance a patient drives himself to the hospital when having chest pain(stupid but they do it)....

  4. Should family members insist on being present for procedures?

    RNKPCE replied to MG-NotANurse's topic in General Nursing

    Doesn't need to be family but must have a responsible adult sign discharge instructions and drive the patient home or if the responsible person doesn't drive they still sign instructions but both...

  5. Should family members insist on being present for procedures?

    RNKPCE replied to MG-NotANurse's topic in General Nursing

    Some patients in day surgery say they have a ride home and then don't. You can't legally discharge someone unless there is a responsible adult to drive them home post

  6. Full time vs. per diem

    RNKPCE replied to apey08's topic in General Nursing

    What do you mean by primary care setting? I think some people think you are referring to primary care nursing on a medi-surg floor. But you refer to working with a wonderful provider who loves to...

  7. Which unit is an overall better to work on...Pre-Op/PACU or SICU??

    RNKPCE replied to sungrl01's topic in General Nursing

    Pre-op/PACU in a ambulatory surgery center(ASC) would be very different from the same in an acute hospital. The patient's are generally healthy or low to moderate risk in ASC. Early on in your...

  8. CSUS Fall '11 Hopefuls....??

    RNKPCE replied to candyapples88's topic in California Nursing

    I know someone last year who was 39th on the wait list and got an email late June that he was accepted. He had already accepted elsewhere at his first choice school. So even if you don't get in...

  9. Mandatory Overtime?

    RNKPCE replied to ALH2004's topic in General Nursing

    We have no mandatory overtime. Is the mandatory overtime premium pay? Like time and a half? Why can't they hire traveling nurses to cover maternity leave. Like a previous poster said about New York,...

  10. Is "sundowners" a real term?

    RNKPCE replied to purse's topic in General Nursing

    LOL was "little old lady" long before "laughing out

  11. Man Dies While Performing CPR on wife

    RNKPCE replied to Penelope_Pitstop's topic in General Nursing

    So sad. I feel for that couple's family. Maybe Takotsubo disease (broken heart) for the

  12. The 5 things you love & hate about being an RN

    RNKPCE replied to Aly529's topic in General Nursing

    Love 1) when my shift goes off without too many bumps in the road 2) that I can work part time and make decent money 3) the patient's who are sweet and kind and appreciate what you do for them 4)...

  13. morphine sulfate given even though has an "allergy" listed in chart

    RNKPCE replied to NurseLoveJoy88's topic in General Nursing

    How many times have you not been able to read a doctors writing and need another nurse's opinion about what is written in the progress notes. This is not a HIPAA violation. I wish they would separate...

  14. HIPAA privacy question

    RNKPCE replied to nurseandre34's topic in HIPAA Challenges

    My son was on medicine for chronic headaches, I ordered the med through mail order pharmacy. He needed a refill and I went to order the medicine and it no longer showed up on my account for mail...

  15. Another Five Star Management Decision!

    RNKPCE replied to Ruby Vee's topic in General Nursing

    This makes no sense. Did you mean any patient who would require 25# or more of their weight be lifted would require a lift device? Too often I have seen people move total or near total lifts up...

  16. Need Advice

    RNKPCE replied to katy81's topic in General Nursing

    I worked with someone who worked fulltime as a CNA and did a bsn program, don't know how she did it. She got hired on fulltime 8 hour day shift after she graduated which is hard too. But she said...

  17. You, The Expert; Share Your Story?

    RNKPCE replied to Kooky Korky's topic in General Nursing

    It was going slow like lasix and the heart rate was quickly aproaching the

  18. You, The Expert; Share Your Story?

    RNKPCE replied to Kooky Korky's topic in General Nursing

    I agree no expert but seasoned with lots of experience. Attending a rapid response and a nurse a year out of nursing school was pushing atropine for bradycardia and pushing it slowly. I said you...

  19. Questionable privacy violation on public forum?

    RNKPCE replied to kashyyykrn's topic in General Nursing

    If your closest confidant or friend at work did this same thing how would you handle it? go to the board of nursing, upper management? or would you approach that friend and say something? or say...

  20. New Grads ....how long until they can float ?

    RNKPCE replied to DaddyO's topic in General Nursing

    Every hospital is different. Usually it is the nurse who doesn't want to float. However from management's point of view if you hire a new employee there is usually a probation period beyond...

  21. wanted: thoughts on bedside reporting

    RNKPCE replied to SiennaGreen's topic in General Nursing

    We don't have direct hand off, that is all 6 of my patients go to nurse Jack. That is because we have a mix of 8 and 12 hour people, people want their patients back from the day before, or one...

  22. MD orders via computer

    RNKPCE replied to gracedRN's topic in Patient Safety Issues

    There are automatic safe guards in computer charting you can't have on paper. Some of the previous posters gave examples. If I receive a telephone order for a med and I enter a dose lower than...

  23. What is the importance of patient sitting up in chair?

    RNKPCE replied to stellaRN1983's topic in General Nursing

    A patient can breath more deep while sitting up than lying in bed. Have your patient use their incentive spirometer in bed then up in a chair you'll see the difference immediately. In bed their...

  24. Need Advice for New Grad Resigned after 5 months

    RNKPCE replied to Millerstudentnurse's topic in General Nursing

    Every new grad needs a good orientation with adequate support and constant and structured feedback. This is more so in a specialty area such as an ER. Many hospitals won't even hire a new grad into an...

  25. HIPAA help

    RNKPCE replied to 2greeneyes's topic in HIPAA Challenges

    Not a HIPAA violation. You don't work for the surgeon that did it, the hospital in which she was a patient or the insurance company or anyone else involved in the