JKL33

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All Content by JKL33

  1. JKL33

    Overworked and understaffed on COVID unit.

    JKL33 replied to TaylorJ's topic in Disaster Preparation

    Whatever they are going to do when you collapse is what they should do now. There are options. They just don't want to do them. If I were you I would certainly factor these things into my...
  2. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    And vice versa! I'm mentally throwing my arms up in the air here (which I would never actually do)....LOL ? Come on, whatever plans, desires and flat out fantasies get dumped on leaders actually...
  3. JKL33

    Pt chokes and turns blue, nurse ignores and calls 911

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Another angle is that when I am told things by a coworker (haven't quite heard anything this bad) which sounds like it could be part of the case here, I always direct that person who is a direct...
  4. JKL33

    New grad from online RN program with ZERO CLINICAL EXPERIENCE

    JKL33 replied to angel1312's topic in General Nursing

    Two things: 1) What comments do you consider negative? 2) I'm not sure what everyone being a little bit apprehensive or scared on some level has to do with this. I will be clear that I...
  5. JKL33

    Paperwork or punches?

    JKL33 replied to LibraNurse27's topic in General Nursing

    Not nitpicking, but let's be clear this is not even a legitimate work-around but rather falsification of a medical record. It also bypasses the opportunity for provider review of the patient's...
  6. JKL33

    HIPAA violation, or just creepy?

    JKL33 replied to TheAppalachianRN's topic in HIPAA Challenges

    Whether or not this is technically a HIPAA matter depends upon whether or not your employer's business qualifies as a "covered entity."...
  7. JKL33

    Reading the note wrong and thought MD note was an order

    JKL33 replied to xmsanta's topic in Patient Medications

    What? They serve a significant purpose. I have no idea why banning notes would be an answer to a nurse acting without an
  8. JKL33

    New grad from online RN program with ZERO CLINICAL EXPERIENCE

    JKL33 replied to angel1312's topic in General Nursing

    I didn't. I asked you a question. It was not meant to be rhetorical but rather thought-provoking. What is the meaning of this? I don't know what you focus on in non-clinical site clinicals....
  9. JKL33

    Lead Clinical Nurse is Dealing with a Negative Nelly, HELP!

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Since I shared some strong opinions before, I want to say that you do sound like someone who is trying to be a great leader. I just happen to think that both sides have a history of quite the "us vs....
  10. JKL33

    Can I survive ED with anxiety and social awkwardness?

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Personally I think there's possibly so much chaos in an ED that you can probably put your head down and do your work just fine. Learn to smile and have a warm introduction and the rest is pretty much...
  11. JKL33

    10th grader forced into nursing by family

    JKL33 replied to Nurse Beth's topic in Career Advice Column

    Response regarding the above quote of the person who sent the question: Don't do it. This profession/line of work does not lend itself very well to the idea of just having a job with little...
  12. JKL33

    New grad from online RN program with ZERO CLINICAL EXPERIENCE

    JKL33 replied to angel1312's topic in General Nursing

    Is it your position that turning out very under-prepared grads is going to help this profession? Also, no. Especially the bolded part. We have not been making strides, in my humble...
  13. JKL33

    Reading the note wrong and thought MD note was an order

    JKL33 replied to xmsanta's topic in Patient Medications

    Why don't you call your manager (or ask to meet briefly with him/her) and just get it out in the open. Just say you are aware of something that you could've done differently and need a second to talk...
  14. JKL33

    Giving 2000ml/hr Fluids

    JKL33 replied to Nikki Smith's topic in Patient Safety Issues

    Well it was probably out anyway because regular infusion pumps can't be set higher, they are capped at 999/hr. Above that you need a rapid-infuser rated pump. Are you a newer nurse? If not, I...
  15. JKL33

    Getting harassed at work and not sure what to do about it?

    JKL33 replied to Jnurse153's topic in Men in Nursing

    Yes. I do think that's possible. That's why I wrote: But if she read into it, I can't say whether her conclusion was that she was actually creeped out (possible) or just decided to use it as...
  16. JKL33

    Giving 2000ml/hr Fluids

    JKL33 replied to Nikki Smith's topic in Patient Safety Issues

    I don't know what I would've done with your medication administration restrictions but generally would either use gravity, pressure bag or else (2) pumps each set at 999. So what actually...
  17. JKL33

    HIPAA Violation? I don't think this is a violation

    JKL33 replied to OneRN50's topic in HIPAA Challenges

    This doesn't have anything to do with HIPAA whatsoever. Because it has nothing to do with a patient or anyone that any of you treated. There is no "patient" and there is no "PHI" [Protected Health...
  18. JKL33

    Why be a floor nurse when they don't care?

    JKL33 replied to NursesDontNeedChairstoChart12hrShift's topic in Disaster Preparation

    I feel for you. You've seen behind the curtain. No you aren't beloved and you never were. You are not thought of as a hero by them, either, and never were. Even if they did run...
  19. JKL33

    Diluting Ativan?

    JKL33 replied to Guest838984's topic in Emergency

    There's an old (1998) FDA approval for lorazepam labeling available online, it's tough to read, but it instructs on the need to dilute even the pre-filled syringes. The described procedure was to...
  20. JKL33

    Covering 1:1’s in the ER

    JKL33 replied to Ryan William's topic in Emergency

    Step 1 based on experience/observation is to use actual discretion in who gets a 1:1, who can be covered with video monitoring, how can patients be positioned differently so that even 1:2 could work,...
  21. JKL33

    Polite way to deal with AWOL CNA’s?

    JKL33 replied to Beepbeepbeep's topic in General Nursing

    That's very true but trying to manage incorrigible nursing assistants without support is something that will turn ugly very fast. Really ugly. Well, one way or another the answer to...
  22. JKL33

    80% BSN by 2020: Where Are We Now?

    JKL33 replied to J.Adderton's topic in General Nursing

    And then many of them have such a miserable work environment and impossible demands that the first thing people (now) seem to want to do is get the H out of there if they went to the trouble to get...
  23. JKL33

    Diluting Ativan?

    JKL33 replied to Guest838984's topic in Emergency

    Well, that's just weird. It sounds like too many nurses heard that things don't need to be diluted in many situations, so they just went with that mantra instead of looking it up. It's right in the...
  24. JKL33

    80% BSN by 2020: Where Are We Now?

    JKL33 replied to J.Adderton's topic in General Nursing

    Interesting comments, Muno. Well that and the fact that portion of curriculum found in BSN programs and "missing" in ADN programs just doesn't have jack to do with (better) assessing patients,...
  25. JKL33

    80% BSN by 2020: Where Are We Now?

    JKL33 replied to J.Adderton's topic in General Nursing

    Well.... IMO: The selling point (having supposedly better-educated RNs at the bedside to care for sicker patients) has been shown to be a complete ruse in my mind, as evidenced by:...