CathyLew

CathyLew

MSP, Informatics

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All Content by CathyLew

  1. MDG medical pharmacy system

    CathyLew replied to CathyLew's topic in General Nursing

    Oh, did I mention our QA dept said we have a 300% increase in med errors since we started MDG? oh let me check that for typos...... nope, THREE HUNDRED PERCENT ERROR INCREASE once we went with the...

  2. MDG medical pharmacy system

    CathyLew replied to CathyLew's topic in General Nursing

    Oh and the ICU tower burned up one night, on a Friday....and they were without the whole system, passing meds out of plastic bins for a week. Oh, and bar code scanners that don't scan. label...

  3. MDG medical pharmacy system

    CathyLew replied to CathyLew's topic in General Nursing

    Interface issues are huge. Patients admited into our computerised system, not showing up in the medication system. Medications not going across the interface. Allergy info not crossing over. And...

  4. was i wrong?

    CathyLew replied to sweet sunshine's topic in General Nursing

    Hey, we had a patient on my floor who was hypothermic (probably due to a stroke or sepsis...can't quite remember) but that patient had a rectal temp below 96 degrees for a week..... and every time I...

  5. In a nursing rut here...need a pick me up

    CathyLew replied to PAERRN20's topic in General Nursing

    see..... I would think if the MD thought there were swallowing issues.... he would order a swallow eval. and if the pt took pills fine...why would you have seen an issue? and in our hospital a...

  6. was i wrong?

    CathyLew replied to sweet sunshine's topic in General Nursing

    Always cover you butt. Unless you have a system that has a place to document "Reported to MD" and what was reported to MD....never assume that the info is passed on. Use this being reported as a...

  7. In a nursing rut here...need a pick me up

    CathyLew replied to PAERRN20's topic in General Nursing

    The way I see it, good Conscientious nurses have nightmares about mistakes.. even minor ones. Crappy nurses can cause harm, have errors and sleep like a baby. So that puts you in a good category to...

  8. I feel like I will never again be able to be a Nurse

    CathyLew replied to justami's topic in General Nursing

    what state are you in? we are always looking, and have had no one with experience, so we have been going to nursing schools and trying to get some of the potential new grads to come apply. Is...

  9. Are there some areas of nursing that are more upbeat than others?

    CathyLew replied to bluemorningglory's topic in General Nursing

    Part of it is of course the area of nursing you work in. No one can expect Hospice nursing to be upbeat....there are good days, bad days, but you know the ultimate end. You work in healthcare....

  10. We are probably going with CPSI

    CathyLew replied to CathyLew's topic in Nursing Informatics

    Your lucky to have a team! (I am the team!) ;-) the eForms look like once you have a couple built, you can work off that group, and they get easier to build because of that. (or so I though by...

  11. We are probably going with CPSI

    CathyLew replied to CathyLew's topic in Nursing Informatics

    djbaker........ have you guys had an computer system in your hosp before? compared to MEDITECH magic forms and NPR reports, the CPSI ones look sooooo easy. yea, will take time, but you said you...

  12. Trying to understand difference between LPN and RN practice....

    CathyLew replied to lovesunsets's topic in LPN, LVN Corner

    I do need to add here.... there are LPN's at my hospital that I would want to take care of me over some of the RN's. the schooling only goes so far. Common sense, experience, etc.... all add up....

  13. Trying to understand difference between LPN and RN practice....

    CathyLew replied to lovesunsets's topic in LPN, LVN Corner

    in our hospital, the LPN can not do an assessment on a patient. They can take down factual information. Height wt, vita signs, medications. But they can not assess a patient or create a nursing...

  14. Nurses as secretaries

    CathyLew replied to SoundofMusic's topic in General Nursing

    if we have a lot of Unit clerk call ins, they will sometimes ask an LPN or RN to come in and do the unit clerk job. The nurses all should know how to take off the orders, put together a chart, ect....

  15. Infiltrated IV lead to infection?

    CathyLew replied to allthesmallthings's topic in General Nursing

    the skin is a natural barrier. Anytime you break that, you have a chance of infection. Any invasive procedure...IV included. Now you have an infiltrated IV. That compromises the circulation, so that...

  16. Afraid of getting terminated after calling in sick a lot?

    CathyLew replied to ARRR10's topic in General Nursing

    I agree with the above posters. You need to contact HR. that is a lot of time to miss in such a short time on the job. Most places if you have doccumented excuses, they can't repremand you. But...

  17. Those who have left bedside nursing (like me...)

    CathyLew replied to Otessa's topic in General Nursing

    I went into Informatics, love it. don't miss the bedside nursing. as for not being a real nurse.... 2 days ago our new urgent care opened, and they needed someone to play a fake patient. I set up to...

  18. The worst code you've seen?

    CathyLew replied to jesshopper12's topic in General Nursing

    ok, Ill lighten it up. Not one I was at, but heard our nursing instructor tell it... Guy codes. Crash cart comes in the room--gets hooked on patients foley, which gets yanked out. Urine on...

  19. Discontinuing IJ turned into a Rapid Response

    CathyLew replied to Manatee111's topic in Patient Safety Issues

    Thats what I was thinking.... your hospital may have a procedure where any Rapid Responce goes to Risk managment. in addition to documenting well in the chart, you can keep a personal log of the...

  20. Nurse with ADD

    CathyLew replied to CarlyAnne11's topic in General Nursing

    yea, Im thinking the drug test they are going to do is the one that is only checking for a few illegal families of drugs. we have Nurse managers with ADD... they are usually the pickiest about...

  21. anyone else?

    CathyLew replied to chillchick's topic in General Nursing

    eat it up while it lasts. yea, annoying when you are the cute young little thing trying to show you are a profesional nurse. Wait till your an old hag like me! When the patients make a comment...

  22. Missed a call for an on-call shift

    CathyLew replied to BabyLady's topic in General Nursing

    The only "cut off" time we have is the guideline that you don't call someone in if there is only 60-90 minutes left in the shift, as it wouldn't be worth it and the next shift will soon be starting....

  23. Missed a call for an on-call shift

    CathyLew replied to BabyLady's topic in General Nursing

    It depends on the facility, contract etc.... Our hospital if you are on call, you are on call all night. I think its more like $50 or something. But they can call you at the beginning of the shift,...

  24. Missed a call for an on-call shift

    CathyLew replied to BabyLady's topic in General Nursing

    yea..... Im pretty sure I didn't say anything about working sleep deprived..... Not sure why you quoted my post...... I think I said suck it up and get a new

  25. Missed a call for an on-call shift

    CathyLew replied to BabyLady's topic in General Nursing

    you have a job where you are on call. Your phone doesn't work. you know it doesn't work. You won't give out your home phone number. the new phone will cost $200. um. don't you make more than...