oldiebutgoodie

oldiebutgoodie RN

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All Content by oldiebutgoodie

  1. Should I become a CNA before school starts?

    oldiebutgoodie replied to pumpkin1984's topic in General Nursing

    It is probably a good idea. I changed careers at age 50, went to a BSN program that was very theoretical, and graduated pretty clueless about the basic operations of a nursing floor and patient care....

  2. Disrespect of LTC nurses by acute care (even though BMs neglected in hospitals)

    oldiebutgoodie replied to FireStarterRN's topic in General Nursing

    Well, while we're on the subject, I DO hope you are aware of the Bristol Stool Scale, which gives you a nifty way to classify your or your patient's stools:...

  3. Digoxin and Coumadin

    oldiebutgoodie replied to ORNurseAngie's topic in Patient Medications

    Well, Lasix can deplete potassium. Hypokalemia can potentiate digoxin toxicity and arrhythmias. http://www.umm.edu/altmed/drugs/digoxin-042200.htm So, before you give your Lasix, check your K...

  4. Disrespect of LTC nurses by acute care (even though BMs neglected in hospitals)

    oldiebutgoodie replied to FireStarterRN's topic in General Nursing

    I think that "time management" is preached to nurses too much as: 1. Justification for giving nurses too many patients ("You just need to work on your time management") 2. An excuse for skipping...

  5. Disrespect of LTC nurses by acute care (even though BMs neglected in hospitals)

    oldiebutgoodie replied to FireStarterRN's topic in General Nursing

    I am a wound and ostomy nurse, and recently had a patient who had hard stool throughout her entire bowel, which, of course, then perforated, and now she has a colostomy. So, keep on keepin' an eye on...

  6. Med/Surg nurses floating to telemetry

    oldiebutgoodie replied to MissingMyErica's topic in General Nursing

    I personally think every med-surg nurse should learn how to read EKG strips. In our hospital, every single bed can be monitored, so you can get plenty of practice. Take a class through your hospital,...

  7. Merry Christmas Eve

    oldiebutgoodie replied to MiaKeaRN's topic in General Nursing

    Thanks to everyone here on AllNurses, and thanks to Brian, our fearless leader. To everyone working holidays and missing or postponing their holiday celebrations, God bless you! To anyone with a...

  8. I said "No Way, No How" would you?

    oldiebutgoodie replied to DutchgirlRN's topic in General Nursing

    NO WAY would I have started an IV on this person. As other people have said, the patient might have decided to do a little premedicating with that nice venous access in place!

  9. Retire by 30, thanks nursing!

    oldiebutgoodie replied to ThePrestige's topic in General Nursing

    But keep in mind that there are also low fee mutual funds, such as the Vanguard family of funds.

  10. Do you think some schools are turning out nurses too fast?

    oldiebutgoodie replied to pumpkin1984's topic in General Nursing

    There are 2 issues in this thread: 1) Are the schools cranking out nurses too fast? 2) There isn't enough clinical work. These issues can be related, of course, in that clinical time is reduced to get...

  11. DNP Article

    oldiebutgoodie replied to prairienp's topic in Doctoral Nursing Degrees

    Yep, it would be amazing if the PAs and NPs could get together and design a midlevel curriculum. Of course it will never happen. But whether anybody likes it or not, midlevels are here to stay. I...

  12. DNP Article

    oldiebutgoodie replied to prairienp's topic in Doctoral Nursing Degrees

    Or on the PA forum, either. They also have spirited discussions about which profession is better. Guess what they think!

  13. The importance of RN to BSN?

    oldiebutgoodie replied to wasabiRN's topic in General Nursing

    It really depends on you. The first year of nursing is very stressful, so you may want to wait to get acclimated to being a nurse before starting on the BSN. The other option is to "keep on trucking",...

  14. How many times did you switch jobs as a RN?

    oldiebutgoodie replied to RNroseshea's topic in General Nursing

    Been an RN for 2 1/2 years. Hospital #1: stayed 4 months due to various issues (like the unit was insane). Hospital #2: Been there 2 years, but have had 3 different positions there. Finally found what...

  15. Preventing Pt Falls and success rate

    oldiebutgoodie replied to Advocate1's topic in General Nursing

    Ooooh! Ooooh! Where do you get those wrist bands?? We put magic signs outside our patients doors. Unfortunately, restraints is one of our weapons. Our hospital recently eliminated sitters, and yet...

  16. New RN already ready to quit!

    oldiebutgoodie replied to RNroseshea's topic in General Nursing

    You could have written my story! I also started on more acute floors, wanted to be cutting edge, did great in nursing school, etc. etc. and was eaten alive once I hit the unit as a new grad. Finally...

  17. Advice to a new nurse wanting to quit...

    oldiebutgoodie replied to rnang123's topic in First Year After Licensure

    Don't let the peer review comments get you down! My floor also had "peer review", in which a committee selected by our boss got in a room to do "peer review", which seemed mostly to involve handing...

  18. New RN already ready to quit!

    oldiebutgoodie replied to RNroseshea's topic in General Nursing

    Well, she's a really bad preceptor if she won't even let you chart on the computer without telling you what to do. I have had a few preceptors like that. It would be nice to change preceptors, but if...

  19. Retire by 30, thanks nursing!

    oldiebutgoodie replied to ThePrestige's topic in General Nursing

    Good heavens, people! A young person posts an optimistic plan, and so many jump all over him! Frankly, if I was the OP I don't think I'd ever frequent these forums again. I'm sure the OP with modify...

  20. Retire by 30, thanks nursing!

    oldiebutgoodie replied to ThePrestige's topic in General Nursing

    I would like to commend the OP for thinking about her financial future at age 21. When I was your age, I was drinking a lot of beer and fancy drinks (anybody remember tequila sunrises? Harvey...

  21. DNP Article

    oldiebutgoodie replied to prairienp's topic in Doctoral Nursing Degrees

    Well, you can post comments on the Forbes

  22. DNP Article

    oldiebutgoodie replied to prairienp's topic in Doctoral Nursing Degrees

    It certainly doesn't give the DNP any credibility. And over on other forums, (PA and student doctors) the wagons are circling ANTI-DNP (and by extension, anti-NP), which can't be good for our...

  23. DNP Article

    oldiebutgoodie replied to prairienp's topic in Doctoral Nursing Degrees

    What concerns me is that some of the DNP programs aren't clinical, they are aimed at administrative/business skills. Why not just get an MBA? And I agree with the others, the DNP needs to be...

  24. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    I'm afraid I'm not following you. The issue we are debating, I think, is the value of the NANDA nursing diagnoses. To submit to medicare, you submit the diagnosis, such as 707.03, Decubitus Ulcer of...

  25. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    A question: Are you saying that an APN can submit a bill to Medicare with a diagnosis of "Impaired Tissue Perfusion" and get paid? My (albeit) uneducated understanding is that Medicare pays for ICD-9...