chenoaspirit

We were told we couldnt ever put a 0 as a frequency, ever. I agree with the others on how to write it.

Our instructor who teaches this works on a psych ward and uses it often. However, about a year ago she was attempting it and the patient took HER down and it broke her hip. She had to have emergency surgery. I think it can be very helpful, but not in all situations.

a scotal support strap to elevate it? Not sure. Does he have a f/c?

A nurse in ICU here gave 150 units of insulin SubQ. This patient was on an insulin drip so I have no clue why she would give any insulin subq, let alone 150 units. When you have to draw up more than one syringe, thats reason to question yourself. That incident created a new protocol....2 nurses have to check off insulin before its administered. The patient did make it, thank GOD.

One of the MAJOR cons is the paperwork. An OASIS is long and it has to be completed correctly so the agency will get their money. A pro, for me, is the flexibility with my time.

Rather than go to the DON yourself, why dont you all go together (nightshifters). I think you can get more done if you stick together and be firm.

And also with IV administration...you have a risk of crystals forming when mixing noncompatiable meds...not a worry with administering PO meds into the gastric system. Ive never seen anyone do it seperately, it would cause alot more fluids to be admin, especially on one who is on fluid restriction. But whatever the hospital policy states, then thats what should be done. But I do not compare this to IV meds.

My husband and I were just talking about this the other day. He wasnt feeling well, I wasnt as considerate as he felt I should have been. We began talking and we realized that beginning after about the second year of nursing, I began to change. If my husband has a stomach ache, I have no compassion. If he isnt puking blook or doesnt have bloody stool, I just feel he should suck it up. I know thats BAD BAD BAD, but I cant help it. I saw so much when I worked at the hospital, I just know how bad it CAN be. I know what you mean. Im the same way as you. I wish I wasnt, but I honestly cant help it.

Well, I NEVER type on here in "text-style". But I got slammed for saying "ya know", which to me was a bit too far. Now, Im finished with this thread and on to the important ones. If someone doesnt like how I type, then skip over it, plain and simple. I will however have typos and an occasional "ya know" or "gonna". That is NOT text-type. I just found it rediculous to point out that "ya know" is grammatically incorrect. I dont disagree with the OP, but some of you have taken it way too far. Now Im done.....

However I do agree that we all need to type so that we all can understand, but if everyone is gonna (going to) slam every little typo, lack of comma, etc, then this place will not be very pleasant. It WAS nice to come on here and relax, not worry if I spell everything correctly, use EXACT grammar, and cater to the grammar police. Actually, I find it funny that some people are so picky and are lacking the ability to loosen up a bit.

Thank you. I had no clue.

Ok, what is "BB". If you want to get technical, then why are YOU using shortcuts? I seriously do NOT know what 'bb" is.... yes I said "ya know", geez. If Im gonna get slammed for every little typo or shortcut on here, then I will just not come on here anymore. This is rediculous. "ya know" is simple to understand, not too hard. I spend all day making sure I write/type everything correctly, but on here I thought I could be myself. I used to LOVE this site, but lately its becoming childish. If you dont like shortcuts, then dont use them yourself.

I agree, but whew, it feels good to be on here and not worry about "killing someone". ya know?

I would count that as 25ml? Anyone else?

They all get mixed together in the stomach when swallowed anyway... :shrug: I mean, they get all mixed up when taken

You got on here and asked for advice. When you do so, expect many different opinions from many different people. People took the time to respond to your post in an offer to help you, because YOU started this thread. If you didnt want that, then maybe you shouldnt have started this thread. We all need to be respectful of each other.

I dont see the big deal myself. Its not like people use ALL abbreviations, just maybe a few shortcuts. I guess I can understand how it may bother some, but I couldnt care less. Im just glad to have allnurses.

I understand how its nice to have a pet in the hospital room with you as a patient, but my concern would be the germs the hound is packing in its fur and on its feet, not to mention the right of other patients who are allergic to them. A hospital just isnt a place for dogs (unless its truely a service dog). If EVERY patient were allowed to bring their pets, imagine the chaos. If you break the rule for one, you will have to break it for the rest because people talk!

Shame on that nurse. Maybe she will be placed in a situation where SHE is the patient and may change her attitude. Im so sorry you went thru that. I hope you feel better.

I agree, be professional/mature and answer the phone and explain this to the caller. YOU have to set the boundaries. Spare your family of having to listen to your language and having to listen to a phone ring but unable to answer it. Im assuming this is their home? Its YOUR place to deal with it, not your family's. This person may continue to call if you dont deal with it. From now on, cover your last name on your badge so no one else can do this (I know this person knows you from school and it wouldnt have done any good in this situation). Step up to the plate and deal with it.

If that agency does paper charting... have a box with hanging folders that are labelled, with additional papers you may need, such as nurses notes, wound sheets, transfer packets, progress notes, etc Have another box to keep all your patient charts in, with each labeled on the front so you can quickly find which one you need. As you see patients, at the end of the day, complete the paperwork for that day so you dont get behind. I keep a stack of extra admission packets in my back seat and a drug book, my lab tray, etc. I also keep each chart organized so I dont have to search for labs, diagnoses, etc. As you go along, you will find your own system that works for you.

11pm is not the norm. But for an infusion, it can happen. Sometimes an infusion is scheduled for certain times and therefore will need to be done at whatever time it is ordered. But this is RARE where I work. I once went out and did a steroid infustion at 9 pm. I once admitted a pediatric patient at 10 pm because they were discharged from the hospital late and went home with tube feedings and needed teaching on it. I usually get finished by 5. Sometimes Im finished by 2, depending on how early I get started and how many I have for the day.

This needs to be addressed, not ignored. Yes, you can avoid this person, but obviously her bad behavior will continue. She needs to be called on it and the sooner the better. Your nurse manager also needs to take her aside and explain her nursing etiquite. If this continues, the patients will be uncomfortable and fearful, while the staff continue to be her target. Shame on her!

Stop doing the unit secretary's job. Seriously, you lose respect and people will begin to EXPECT you to do more than your assigned duties, because you have made it clear that you will. Focus on your job duties and let the others do theirs. It sounds like you are an excellent nurse with a very positive/caring attitude. Dont give up on nursing altogether. There are many different areas that you can go into...areas that are very rewarding. It doesnt sound like you have much support from your manager. A manager is supposed to encourage and assist when a nurse needs assistance with learning. He/she should never make you feel "low".

we provide disposable stethoscopes, bp cuffs, and thermometers in the homes of mrsa patients. We take nothing in the home with us, not even our bag or nurses note for them to sign. Then we sanitize ourselves after caring for them. it would probably be better to see the non-mrsa patients first, then the mrsa patients.