diane227

diane227 LPN, RN

Management, Emergency, Psych, Med Surg

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All Content by diane227

  1. Allergic to Benadryl?

    It is important to know when a patient states an allergy to a medication what exactly they consider to be an allergy. Often side effects are mistaken by the patient as an allergy. In addition, it...
  2. What is the least amount you would work for as a RN?

    What I am working for now, which is $48.00/ hr. I think THIS IS too
  3. To those that have a long commute

    I have just changed jobs and my commute is an hour each way, mostly because of traffic. In the morning I am OK. But at the end of the day, especially when the traffic is not moving, I find myself...
  4. Would you cut your hair for your career?

    The only thing I can say about this is that you should clarify this with the facility at interview. And be up front about the question. The most common reasons for hair requirements/ restrictions...
  5. Have you ever been audited?

    Keep a binder or a file with copies of everything in it and keep it in a safe
  6. To digitally disempact or not?

    It absolutely depends on your facility and what is wrong with your patient. Some facilities require a physician order. Some do not. But you are still responsible for using sound judgment. A...
  7. what do u say to pts when they ask where u live?

    For me it has always depended on the person who was asking. I also lived and worked in a small town for a while and it was a common, harmless question. I would just give them a general idea. Now...
  8. Help! How do I stop blowing very good veins?

    You don't say what age patient you are dealing with here but from my experience, with people who are quite elderly and have fragile skin, I don't use a tourniquet. I use gravity. I have them hang...
  9. A bit off topic I suppose but I had a friend once who worked as a cruise ship nurse. She told me once that the holidays were the worst times for them because the "kids" would get together and give...
  10. Lied on at work....

    This type of thing happens all the time at work. Supervisors have a lot to keep up with and unless you have ever done staffing you cannot imagine what a nightmare it is. Write a quick note to your...
  11. Another nurse bites the dust due to facebook

    In this particular situation, you bet it got her fired. And the main reason for that termination I would suspect is because she must have given indication that she worked at that particular facility....
  12. is this considered a fraud?

    There are federal guidelines that mandate social worker coverage and requirements for long term care facilities. These rules can be found on the CMS web site (as can all rules for nursing homes). In...
  13. If you could rewind and do it over again...

    Rules and regs for PA's vs ARNP's are different. In most states, ARNP's have full prescriptive authority but PA's do not. ARNP's are able to function at a more independent level. What would be the...
  14. Dumb question about overtime

    It totally depends on your facility policies. The labor law only says that you must be paid overtime after 40 hours. You should clarify this question with your HR department or your manager. I know...
  15. How to teach an experienced nurse

    When was her last hands on experience and in what type of area? Was she at the bedside or in management? Once you determine this, you need to tell her that from now on, it is your show and I am not...
  16. And someone made an important point. The more automated we become, the more we nurse machines rather than patients. I HATE
  17. I am a very computer literate "OLD" nurse and I have had great difficulty with some of the computerized documentation systems that are out there. Each of us were taught a certain way to complete an...
  18. WHY!!!!

    LTC is an extremely difficult area to work in. Also, since you are new and I am sure feel a bit uncomfortable about your experience level, it is more difficult. I suggest the following: 1. Get...
  19. Are some states really laxed on their surveys?

    I am currently in my training to become a state nursing home surveyor/ complaint investigator for the State of Washington. I can't speak to other states but I can tell you that complaints surrounding...
  20. OMG will I get sued if I continue to work here?

    I would strongly suggest that you not work at that facility again. It appears that they have some system wide problems that can cause immediate danger to the residents there. I suggest that you make...
  21. A nurse that needs agnger management

    Her having an anger control problem is something that should be addressed NOW. Because when she gets into the real world of nursing, having a problem with anger management may result in her being...
  22. Pressing charges on a psych patient?

    You can try but I will tell you that from my experience, you won't get anywhere. It is very common to have cases like this thrown out. A better option, and in fact one that is required under the law,...
  23. How far would you be willing to travel for a job?

    I just started a job and my commute is 29 miles. But it is through heavy traffic. It takes me an hour to get to work. It is a major pain in the butt. I almost fell asleep on the drive home twice...
  24. OUCH!!!! Ampule issues. Anyone else have problems?

    I use a 2x2 sponge to open vials. It gives you a little more padding in case the edge is
  25. Is that even legal?

    It is legal. It would be a requirement of that job to have attractive staff because that is the business that they are