Shellsie

when we went live on the computerized charting we put into place a "PCM coodinator" who does chart audits daily along with teaching class, updates, etc.

ok....let me start off by saying i have 7 tattoos.....when i was hired....i had 7 tattoos....when i am in my nursing scrubs only one is visible ( it's on the back of my neck). i think that any person who gets tattoos/piercings needs to be aware of the fact that no matter how "free" and "equal" our country is people are still judged by appearances...why do you think everyone gets dolled up for job interviews? It's to make an impression. Do you think i would have gotten hired if i had long snake tattoos going down both of my arms? probably not. so yes i think its wonderful to express yourself...but its better to do it on your own time if you want to work in a professional environment.

there is hope! for Meditech nursing module anyways...there is something called CMI (clinical monitoring interface) where the monitors in areas like icu, or and pacu will automatically download the vitals into the computer. all the nurse has to do is verify its a real vital and not the "fake ones" that get taken when the cuff slides down around the patients hand or their leads are off. :)

our meditech system is based on "standards based documentation" which is kinda like charting by exception. it works pretty efficiently i think :)

an RN must do the admission assessment. If the LPN is doing primary care on day shift and is doing the initial assessment for the day an RN can cosign the assessment. on night shift if an LPN does the assessment at night it doesnt have to be cosigned because it is a "reassessment" does that make sense?

does anyone use any online documentation? meditech or otherwise? how is it going and is it helping the nurses?

how about a patient that says they have a "high hernia" (hiatal hernia) hehe or they take their pink pill "twiced a day"

when the patient comes into the triage room the triage nurse applies the band

LPN's take verbal and telephone orders all the time here in florida......matter of fact in most long term care facilities there are very few RN's on the payroll

guys, i think if you get your feelings hurt by someone correcting your spelling you need to grow a little thicker skin......hehe i could care less that i spelled HIPAA wrong and someone corrected it....it's just a message board right?? and for the record i think there are plenty of valid "medical" discussions" going on....ive actually come here to ask all you guys for help finding information :) and i think a little comic relief is needed sometimes ok im done ~jumps off my little soapbox~

wow...never thought my little HIPAA (feel better now?) comment would cause sucha ruckus....hehe and i dont care how its spelled i just know what it means and that i dont wanna screw with it :chuckle

i would like to say i commend you for your actions in calling the doctor for the new abdominal pain. your scenario started out much like one i lived with my family member just over a month ago....my young (47) relative was in rehab following a CVA and his nurse chose to ignore his new pain complaints and just gave the narcotic...... well lets just say that he arrived to the ER with no b/p and wont be with us this christmas... so whatever anyone says to you ....you trust your nursing judgement no matter how new of a nurse you are or if it is in a rehab/nursing home setting. and like i said im behind you and what ive delt with recently has given me a different outlook

HIPPA HIPPA HIPPA hehe i cant tell you if i took care of a celebrity :chuckle

I was an admission nurse for over a year but switched because it got monotonous. admits would get to the floor and id get there and meet and greet and assess and get history and start iv's and give stat meds (if available). it was nice because someone was there right away and if the patient was in any distress coming in as a direct admit i could get them settled. also if things were slow upstairs i would go down to er and ask them which ones were coming up and id go ahead and start their paperwork. i think it was a help to the staff and i could help with other things on slow admit days. i worked monday through friday 12p-8p but i usually came in early to help on the floor.

this is so funny to me....kinda like those sexy little nurse dresses people wear at halloween or in "dirty movies" hehe... first thing i think is "you cant do compressions in that thing!" :chuckle

ive been in your shoes cali..... one day i accidently left my name badge in the car. i work in a small hospital in a small town so i just left it downstairs and went about my business. i went into one patient's room to start an IV no one else could get and they said "youre a nurse??!!!" "NO WAY.....youare way too young!" they didnt believe me....i walked all the way downstairs and got my badge to proove i was a nurse. im gonna take that as a compliment and remember it when people tell me im older than my age

I need some information and references fast! I need to know how long we can leave IV sites in....I know it used to be 72 hours but recently I heard it was now 96 hours.....if someone could please let me know the new standard and a link to where I can go look at an print the information I would greatly appreciate it. We have to ammend our policy to go live on our online documentation project and "Go Live Day" is sneaking up on us! Thanks so much!

you can draw blood on the patient but without giving them a list of rights etc....you just explain "mr. person i am going to take some blood to run some tests ok?" and they stick out their arm and tadah! you need them to sign a consent for HIV testing after they get "counselled" by the doc ( in my hospital) and you can release info to places like DCFS, funeral homes, Organ procurement etc. as long as it is tracked and reported

i have found food and forks in beds but when i worked in the nursing home we had a little old lady with a wander guard on and she used to take her knife from the table and sneak off and try to cut off her wander guard. it was so cute we had this guy in the nursing home when i was a cna and whenever i would put him to bed the seat of his wheelchair was filled with warm cartons of milk, and even a hamburger one nite.....the grossest thing was....he was incontinent of urine ~gags~ and he never wanted me to throw any of it away he would say "DONT throw that away! ill eat it later"

if you stick a vial and pull out the med i really dont think it matters if its one puncture....i mean think about it..the patient is getting stuck with a needle regardless and its gonna be uncomfortable...i bet if there was study done comparing changed and nonchanged needles the person getting stuck wouldnt know the difference (at our facility the insulin syringes have attached needles btw)

ya know i am trying really hard not to get mad because this person is stereotyping all nurses based on what it said on an internet forum..... ill tell you something there are easier ways to make good money than nursing so if someone is a nurse they usually love what they do. not everything here is complaining...i see so many other posts with jokes and funny stories from work, picking on docs..... this board is actually very positive if you ask me :)

we have a doctor that likes to play doctor when its convenient for him....he admits patients to other physicians and "consults" himself. if he ever admits to himself it gets changed the next morning.... then he is consulted bu every other doc "critical care consult" or "cardiology consult". he is usually in the hospital and will give you orders for insulin coverage of pain meds or whatever the patient needs. but dont even think about calling him after 8pm...you will get a "CALL THE PRIMARY!!" > then you call the primary and they say call the consulting and you call back again and he says "it will be ok until morning girl" and im thinking yeah maybe it will be ok for you until morning but my patient having the 6 second pause on tele wont make it that long

i converted to positive ppd during nursing school/working as a cna in the nursing home. i had a chest xray and it was clear so i didnt have to take meds...

i love when patients on tele want to leave the floor and go smoke....they say "im going to go smoke" and what can you say "i cant stop you from smoking because the hospital isnt prison; but i can tell you that i dont reccomend it and the heart monitor doesnt pick up off the floor so we cant see if something happens" then the doctor writes an order "NO SMOKING" and orders nicotine patch... i love when the patient takes the patch off and goes downstairs to smoke and comes back and puts the patch back on!!! a r/o MI patient!! ~yanks out all her hair~

i think if we are gonna all keep placentas until they fall off we could but it and the baby matching outfits...dress it up in a bonnet and everything...make it a part of the family like siamese twins.... then when it falls off you can put it in the baby book like the first locke of hair ;)