corky1272RN

The hospital system where I work is starting a program called the "Super user program". It is specifically targeting frequent flier pain seekers, but can also include patients coming in to the ER frequently for other issues. The patients ar...

The patients shouldn't be coming to the ER for a Rx refill , but if they are taking tramadol at home for back pain then they aren't going to get dilaudid in the ER . If they injure themselves that is a different story . Seekers usually don't f...

Why was this relative being told anything to begin with? If they are within earshot when the VS are being communicated out loud then that is one thing, but to come and specifically ask... The patient stated he/she didn't want to know what the BP wa...

How fast did you give it? I have never had anything happen like that but it might have just been an adverse drug reaction.

Someone can backprime all you want, the spike still has the previous med on it. Are the backprimers looking up compatability or just assuming since they backprimed it is as good as new? At my facility, if I heard that someone was using the same lin...

CapeCod Mermaid, I couldn't stop laughing at your post. It sounds like something that could happen on my former unit.

I had a pt that had PO and IV pain meds ordered PRN. The order comment included by the MD was "only give if pain not relieved by PO". So when the pt asked only for the IV, I informed him that the PO had to be given first then the pain would be reas...

To me it also depends on what the pt is in there for. I had a pt that was in the hospital for SOB, she was stable respiratory wise, but there were some other issues. She started refusing her IV solumedrol, definitely something to call the physician...

All the time, any nurse that has worked in the hospital has seen this time and time again. What is your question?

The nurse has to rely on her/his critical thinking and assessment skills. You cannot be forced to give narcs if you think it is inappropriate. Go to your charge nurse if the pt starts hollering that she isn't getting it. If the pt is asleep when i...

It should be ok to take the plastic pitcher out of the pt's room to refill unless the pt is on isolation. I don't understand what people are talking about cross-contamination since it's touch-free, the mouth part shouldn't be in contact with anythin...

In my hospital oral anti-hyperglycemics are not held just because they are in the hospital. The pharmacy takes in account diagnostic tests that require contrast and will profile or hold based on that. The physicians keep an eye on it, the radiology...

Believe me that Magnet status has nothing to do with it!

Some facilities do use filters for lipids but not all. I used to work at an LTAC that used a bigger filter for the lipids (the TPN had it's own filter seperately), but at the hospital that I work at now, the lipids are not filtered. Maybe it is th...

Baggage is one thing, but what am I supposed to think when the family is bringing a large box fan? The pt is definitely expecting to stay!

You just started nursing school, so you have plenty of time to figure things out. Nursing is great because it has so many areas to choose from. You may think right now that you want the ED but once you do clinicals, you figure out that just isn't ...

Thanks for sharing! It sounds like you had a very interesting night! I was able to picture each person as you told the story.

We only give it IVPB mixed in 50ml NS over 30min, even if it is 12.5 mg.

Just because a person is labeled a seeker doesn't mean that the nurse will deny pain medicine to the pt. If the physician orders Tylenol, then that is what you give, "just following orders" as another poster mentioned. Sometimes we advocate for the ...

My ER always calls with report, I just find that strange that some don't. I don't know that it is optional at my hospital or considered a courtesy. I believe that as a hospital, all departments should work together to better serve the patients. ...

This is a good topic. I have worked Med-surg at my hospital for 3years. There is a lot of grief between the floor nurses and the ER staff. The floor nurses (my co-workers) don't always say it to the ER staff but will talk amongst themselves. Ther...

I don't know why there are always people that think everything is about race. I know there is racism in this world but not everyone or everything is related. In my hospital, the majority of nurses and techs are either white or fillipino. If you loo...

Is there any in-facility form that can be filled out, like an incident report? You may not be able to do anything about this particular incident that happened but if you bring it to the attention of management it might not happen again. At my facil...

Has anyone heard anything about the GN positions? I know someone who is hoping for a Conroe Regional position!

thanks for the heads up!