Cuddleswithpuddles

Cuddleswithpuddles

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All Content by Cuddleswithpuddles

  1. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles posted a topic in Patient, Colleague Relations

    I will not go into many specifics but basically I had a critically ill patient who wanted to leave AMA, but expected the nursing staff to help him/her out to a taxi. This person had an unresolved...

  2. Today a patient asked, "Do you know Jesus?"

    Cuddleswithpuddles replied to algebra_demystified's topic in Patient, Colleague Relations

    I do think it's a helpful exercise. Sometimes there are deeper-seated reasons than the breach of professional boundaries. I, for one, have been questioning my own religious beliefs. Depending on the...

  3. ADN to BSN credit by exam instead of papers?

    Cuddleswithpuddles replied to OrganizedChaos's topic in Diploma, ADN, BSN

    Hi there, I doubt that you can test out of a BSN program's courses completely as many if not most ADN-BSN programs emphasize research, projects, discussions and the like instead of rote knowledge that...

  4. Current and former sacred cows in nursing

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in General Nursing

    The hypoxic drive to breathe has been scared into me during nursing school as well. Then I come to the hospital setting seeing COPDers on high levels of oxygen. Why? Well, because they are ill, ABGs...

  5. Current and former sacred cows in nursing

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in General Nursing

    I JUST found out about Trendelenburg today. Oh boy, now THAT is a sacred cow. Heck, I am skeptical myself. If I did not turn my patient on his head, I think a lot of my superiors would be writing me...

  6. Things you tell newbies

    Cuddleswithpuddles replied to JBudd's topic in Patient, Colleague Relations

    I always tell students or new employees training with me that I am human, nothing I say is sacred or absolute, and I am open to questions and discussions about my rationales. Also, most of what you...

  7. an oldie but goodie

    Cuddleswithpuddles replied to amoLucia's topic in General Nursing

    Rubbing alcohol baths for fevers were a staple during my childhood in the Philippines. Were they ever popular in the US and elsewhere? Damn, I still remember that cooling sensation but the fumes. The...

  8. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in Patient, Colleague Relations

    Yes, yes, yes! This topic has been really pinging around in my brain for these reasons. I can look up policies, laws, legal precedents etc. until I am blue in the face but at what point would I,...

  9. Today a patient asked, "Do you know Jesus?"

    Cuddleswithpuddles replied to algebra_demystified's topic in Patient, Colleague Relations

    I think you will appreciate

  10. an oldie but goodie

    Cuddleswithpuddles replied to amoLucia's topic in General Nursing

    Azo and Cystex are two UTI pain relief drugs that have the same effect as pyridium. It's like a sunset in a bowl (or Foley

  11. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in Patient, Colleague Relations

    I am just about to leave the house but I am delighted at all the replies. As for members, at least when someone is being a total rhymes-with-nick, you can safely call them a very valued member and...

  12. What age of patient's are the most difficult for you?

    Cuddleswithpuddles replied to ddane94's topic in Patient Education

    People in their teens and early twenties, particularly those with DKA. I abhor all of the stereotypical adolescent and young adult behaviors that are magnified X 195195718751 when they are sick. They...

  13. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in Patient, Colleague Relations

    Yeah! I am used to walky talky patients refusing care and just leaving. I am new to ICU so this threw me for a

  14. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in Patient, Colleague Relations

    After some reading into AMA discharges, I found this neat article on what constitutes a proper AMA discharge. http://www.medscape.com/viewarticle/770719_2 This paragraph was particularly striking to...

  15. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in Patient, Colleague Relations

    No, I have not read my hospital's AMA form yet. I am at home but I did look up other hospital's published AMA forms. I do not know if the AMA criteria lists I am seeing are facility-specific or in...

  16. an oldie but goodie

    Cuddleswithpuddles replied to amoLucia's topic in General Nursing

    Our pumps automatically connect to the drug database but I do this too! The flags are so helpful if you have to push or connect something new and need to check

  17. an oldie but goodie

    Cuddleswithpuddles replied to amoLucia's topic in General Nursing

    I have not been a nurse for long and yet I remember when Darvocets were the bomb. They certainly were the prettiest pink pills ever made

  18. Critically ill pts wanting to go AMA?

    Cuddleswithpuddles replied to Cuddleswithpuddles's topic in Patient, Colleague Relations

    Patient ended up staying but I just got to thinking about the situation in general terms. It feels like a potentially very juicy ethical and legal

  19. Another reason to take clinicals and preceptorships seriously

    Cuddleswithpuddles posted a topic in General Students

    So I had a super cool moment recently. I ran into my former nursing professor. After some chit chat, she told me that there is now an extensive number of ICU/CCU preceptorship spots available to the...

  20. Drugs to know in the Neuro Icu

    Cuddleswithpuddles replied to AstarteRN's topic in Neuro Intensive Care, ICU

    I recommend familiarizing yourself with tPA. My ICU not only regularly receives patients who have received it for ischemic strokes but we also give it at the bedside. Know the inclusion and exclusion...

  21. Where should I go if I want to start in the ICU as a new grad?

    Cuddleswithpuddles replied to firefly101's topic in Critical Care

    I started off as a RN new grad in a stepdown unit and that was really ideal for me. It allowed me to learn time management, the "flow" of the hospital, get to know the staff etc. without having to...

  22. Overcoming Loss

    Cuddleswithpuddles replied to Hpy_Vly_RNBSN's topic in First Year After Licensure

    I am so sorry for your loss. I do not have much to offer in terms of comfort or advice because I am going through a similar situation myself, albeit more drawn out. My boyfriend has cancer that is...

  23. LVN Programs Inland Empire

    Cuddleswithpuddles replied to wesslyn06's topic in LPN, LVN Students

    LVN jobs are scarce in Southern California. I was a LVN even before the recession and even then it was slim-pickin's. I precepted oodles of of LVNs who said the same thing, and even a dozen ADN RNs...

  24. Philippine Nurses vs. American Nurses?

    Cuddleswithpuddles replied to Hubbalicious's topic in Patient, Colleague Relations

    I am Filipina and the following is a completely biased and unscientific perspective- No one potlucks like Filipinos. No

  25. Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    Cuddleswithpuddles replied to Ruby Vee's topic in General Nursing

    Could have been worse. The doctor could have said she was a sicky