diane227

diane227 LPN, RN

Management, Emergency, Psych, Med Surg

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All Content by diane227

  1. I wish sombody would have told me......

    diane227 replied to Xcited 2B-N-RN's topic in General Nursing

    There was not much that surprised me when I graduated because I took the opportunity to work part time as a CNA while I was in school. I was fortunate to work with a great bunch of nurses who allowed...

  2. What would you do?

    diane227 replied to Hystericka RN's topic in General Nursing

    The past is 20/20 but the bottom line is that this information was place in an open forum in your work environment. PLEASE DO NOT ever trust ANYONE in your work environment, not even your manager...

  3. What do you say?

    diane227 replied to tokmom's topic in General Nursing

    1. Offer an apology and determine what you can do to assist them now. 2. Speak to the oncoming charge nurse and assure that this patient is not assigned to the same nurse. I might also speak to the...

  4. Legal/ethical question

    diane227 replied to NewnurseNYC's topic in General Nursing

    Please consult your state rules and regulations for nursing professional practice and it will guide you though what you should report. I can tell you from experience that this type of issue must be...

  5. Curious about sedation

    diane227 replied to AnewerRN's topic in General Nursing

    It is variable according to patient condition, weight and tolerance of medication. However, the issue that you should be concerned with is the ongoing assessment required after a con sed procedure....

  6. Can RN's moonlight as LPN"s?

    diane227 replied to haitianrn's topic in General Nursing

    You are always held to the standard of practice for the highest license that you hold. You can work as a CNA for CNA pay if you want, but you are still and RN and if something is amiss, you will be...

  7. Joint Commission

    diane227 replied to silentRN's topic in General Nursing

    Joint Commission is hired by the hospital for the survey process. Most hospitals obtain the survey as a way of demonstrating they have met a certain standard of care. Those visits are scheduled and...

  8. how many nursing jobs have you had/how long have you been a nurse?

    diane227 replied to HappyNurse2005's topic in General Nursing

    I have been a nurse for 32 years. I have had a number of different jobs but some have been promotions at the same facility. I have worked in three different

  9. abuse or just a mistake

    diane227 replied to nassir's topic in General Nursing

    The post does not make sense. If the patient is about to undergo anesthesia the foley can wait until the patient is put to sleep. Why is this patient in

  10. Medications of the same class, prescribed to one patient

    diane227 replied to Lady_sigrid726's topic in Patient Safety Issues

    Call the

  11. No wonder we are getting nursing students who are only in it for $

    diane227 replied to JDougRN's topic in General Nursing

    Your going to find people who do excellent in school, have a 4.0 GPA but they are unable to do perform at the bedside. They are simply unable to put what they have learned to good use. You then have...

  12. No wonder we are getting nursing students who are only in it for $

    diane227 replied to JDougRN's topic in General Nursing

    It really depends on the area where you live. I make more here in the Seattle area than I made in Texas but the cost of living here is high. I don't know about nursing being a calling or having to...

  13. Lung sounds and breasts

    diane227 replied to ObstreperousYoungLad's topic in General Nursing

    1. Listen to the posterior chest. Have the patient sit up and cross her arms in front of her to place the scapula out of the way. You can then have her lie back and you can listen to the lateral...

  14. A Beautiful Nightmare

    diane227 replied to acaitan29's topic in General Nursing

    Wonderful!!!! I remember back in the dark ages when I took boards. We sat in a hugh room for two days, all day, taking paper and pencil exams. I really did not study much. I figured that if I did...

  15. New RN, New to Houston, and No Job

    diane227 replied to Liss RN's topic in Texas Nursing

    Where do you live in Houston? I lived in Houston for most of my life. If you want to get a job as an ER nurse you have to do a couple of things first. First, you need to get a staff nurse job on a...

  16. Newer nurses with TOO much confidence?

    diane227 replied to kidnurse98's topic in General Nursing

    This is what I recommend. You should take her aside in private and tell her in plain language what you have observed and ask her 1. Does she need help, 2. Is she trying to learn something new, 3. Is...

  17. NEED HELP regarding patient assignments in the ER

    diane227 replied to babygirl0024's topic in Emergency

    I have worked in three ED systems from a very large level I trauma center to a community hospital that was a level II trauma center. In each system nurses were assigned by areas or zones. In the...

  18. Is APN realistic at my age?

    diane227 replied to Mudwoman's topic in Nurse Practitioners, NP

    I attended an education session tonight at the University of Washington regarding the ARNP program there. I have a couple of deficits that I would have to correct before I can apply. My GPA has to...

  19. Need help on a math calculation anyone good at dimensional anlysis?

    diane227 replied to guess?'s topic in General Students

    This is an easy problem but I am not sure that the question is. Are you asking how much fluid to give in addition to the ensure or are you calculating the total volume that the patient will receive...

  20. Hearing loss and nursing school

    diane227 replied to teapot289's topic in General Students

    You might also want to think of purchasing an amplified stethoscope. I have one and although they are not cheap, they work really well. Mine cost me about

  21. As a nurse, how do you tell your PCP you want anti-anxiety meds?

    diane227 replied to squatmunkie_RN's topic in Health, Stress Management

    From reading your post it sounds like you might benefit from some additional orientation. I would discuss this with my manager and see if it can be arranged. Second, you should get yourself a good...

  22. Today someone told me something that changed everything.

    diane227 replied to vhern246's topic in General Nursing

    Sounds lie the kind of person that any of us would love to work with. She is a true inspiration to others. She should write a

  23. Does the hospital have to give us these records?

    diane227 replied to RevolutioN2013's topic in General Nursing

    The person who is the legal next of kin can obtain her medical records but the medical records department may want proof that you are the next of kin. Once you request the records they will copy them...

  24. Does Upper Management Even Have a Clue?

    diane227 replied to Teamlangston's topic in Emergency

    I do think that management has a clue, sometimes. It is essential that management assures that new staff have an adequate orientation and hopefully support for new employees. If you are having...

  25. Bad eval

    diane227 replied to evolvingrn's topic in General Nursing

    Take my advice: respond to what is written in your evaluation with your own assessment of your skills and behavior and formulate a corrective action plan if necessary. Dispute, in writing, any...