JKL33

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All Content by JKL33

  1. JKL33

    What does this order permit? In terms of frequency?

    JKL33 replied to Della4's topic in Patient Medications

    "Daily" is the frequency, can be taken to mean once per day. If it were meant to be more than one incident of medication administration per day it would say so. In ancient times "daily" would...
  2. JKL33

    NEED ADVICE

    JKL33 replied to Julie Setzer's topic in General Nursing

    I've only encountered this type of thing rarely. Do NOT bend over backward to defend yourself or succumb to verbal diarrhea. Be very assertive and concise. "NOPE. The ice pack was placed over dressing...
  3. JKL33

    Anyone encountered this before?

    JKL33 replied to Della4's topic in General Nursing

    I think after awhile you might take it personally if residents were making comments thought to be part of their dementia process about your care but someone came around behind you and wrote it all...
  4. JKL33

    Advice / Life Lessons

    JKL33 posted a topic in General Nursing

    I've been getting versions of the same message from the ether this week, related to happiness, self esteem, sense of worth, being optimist vs. pessimist, appreciating what I have vs. complaining vs....
  5. JKL33

    Mid-Life Blues

    JKL33 replied to middle-aged newbie's topic in General Nursing

    Agree, but also a point of contention here. This lateral violence thing got a little too much momentum a little too easily; in my opinion it was because it was something admin was willing to allow...
  6. JKL33

    Two weeks into orientation, constantly terrified. Is this normal?

    JKL33 replied to hollyleaf's topic in First Year After Licensure

    Very unfortunate. But over time you can begin to see things differently. It takes a lot of internal work and it takes a little faith that everything is going to be okay. Right now you are in a...
  7. JKL33

    Something has to change

    JKL33 replied to CommunityRNBSN's topic in Student Nurse Practitioner

    Which semester is this? Is it just ending or just getting started? Are you working in addition to grad school? Is there anything you can think of to add hours? Sorry for all the...
  8. JKL33

    Five Tips for Health Care Administrators to Reduce Staff Burnout and Increase Retention Rate

    JKL33 replied to lilnursewriter's topic in General Nursing

    These are all good/true. They are not actually trying to retain staff, though. I've gone round and round with various posters over the years regarding the issue of what came first in terms of...
  9. JKL33

    Physician Giving Sedation Without Nurse

    JKL33 replied to Udmert's topic in Emergency

    Sorry, I have more to say ? I want to lay out the thinking here because I have seen countless nurses succumb to ED pressures which are mostly related to volumes, staffing and overall feeling...
  10. JKL33

    Physician Giving Sedation Without Nurse

    JKL33 replied to Udmert's topic in Emergency

    Agree with those above. The biggest issue is the unattended CS. Terrible practice and an excellent way to get completely burned. The entire hospital culture around CSs has been very cautious and also...
  11. JKL33

    Burnt Out As A New Nurse

    JKL33 replied to RNa23's topic in First Year After Licensure

    If their big ooops hasn't changed their behavior and they have a pattern of treating people this way then I would start looking for another place to work. Life's too short for that mean-spirited...
  12. JKL33

    Addendums

    JKL33 replied to 0121Mednurse's topic in General Nursing

    That could be; I guess it depends on whether everyone knows there's a problem/what the nature of the resident's behavior really is. OP
  13. JKL33

    Burnt Out As A New Nurse

    JKL33 replied to RNa23's topic in First Year After Licensure

    Why are they doing things this way? What classes? That's a lot of OT. Yes, that's a lot of hours during the learning process and the flipping sleep schedule back and forth twice a week isn't...
  14. JKL33

    Mid-Life Blues

    JKL33 replied to middle-aged newbie's topic in General Nursing

    I vote for being pleasant, professional and helpful when you are in a position to help them. Don't shed a single tear over this. I believe more and more each time I see it that this clique thing...
  15. JKL33

    Addendums

    JKL33 replied to 0121Mednurse's topic in General Nursing

    That does make at least some sense. Wow, though. I still think that if an investigation is needed regarding an occurrence, then just write out an incident report and would then be able to...
  16. JKL33

    Addendums

    JKL33 replied to 0121Mednurse's topic in General Nursing

    So putting this together it seems like they are telling the staff to monitor a known problem but not document anything about it? They're being silly if they think that is going to protect them...
  17. JKL33

    Addendums

    JKL33 replied to 0121Mednurse's topic in General Nursing

    IMO the whole note is better suited to an incident report (I.e. it is basically an investigation of a situation that someone thought could be a legal risk), but the last two sentences are definitely...
  18. JKL33

    Addendums

    JKL33 replied to 0121Mednurse's topic in General Nursing

    Need
  19. JKL33

    Parents Complained About Me To The Attending - Looking For Advice

    JKL33 replied to Nurse12390's topic in General Nursing

    I could be way off base--but I have witnessed this quite a bit so maybe it'll be useful info: I believe there actually is such a thing as too much; trying too hard. I have seen it many...
  20. JKL33

    Is a long commute worth it?

    JKL33 replied to RatherBHiking's topic in General Nursing

    I wouldn't be able to do it at all, for a little bit different reason--I find nothing about that scenario relaxing and wouldn't feel relaxed even if it were a fairly close family member. I get way...
  21. JKL33

    Is a long commute worth it?

    JKL33 replied to RatherBHiking's topic in General Nursing

    I think getting a foundation in a bigger place is a great idea but the commuting plan is not. Agree with Wuzzie it's very unlikely she will always be getting 3 in a row; staffing needs will demand...
  22. JKL33

    IV Push Ativan

    JKL33 replied to Nurse Nonnie RN's topic in General Nursing

    Quite bizarre, that statement of hers. The majority of my experience is in the ED and I couldn't begin to estimate the number of times I've pushed ativan for a variety of situations. Hard to...
  23. JKL33

    Is this a Violation?

    JKL33 replied to Taylors33's topic in HIPAA Challenges

    Not a HIPAA
  24. JKL33

    IV Push Ativan

    JKL33 replied to Nurse Nonnie RN's topic in General Nursing

    Please do not beat yourself up any more. You didn't do anything wrong, in fact you did right, even during your grief of saying goodbye. IV meds do have a relatively quick onset of action. In this...
  25. JKL33

    My Coworkers are Driving Me Nuts

    JKL33 replied to tnbutterfly - Mary's topic in General Nursing

    Ongoing social chatter while people are trying to concentrate. Pleasantries and short banter (personal or professional) don't bother me, that's just part of getting along with the people around you....