masonRN

masonRN

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About masonRN

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  1. The nurse going off, who knew the patient, should have called the report. Verbal/written report is NO replacement for 4-12 hours of actual contact/interaction with the
  2. What's the craziest order you've ever seen?

    Not so much a funny one, but memorable: Medical cards floor, rarely getting surgical patients. A colleague got an order "Straight cath Q1hr." Straight cath without a bladder scan, palpated bladdder or...
  3. She really said that? Yep, it's gonna be a LOOOONG residency

    Interns sometimes need a good "breaking in." While I'd never advise someone to prank a new MD with a poor attitude, I'd have to plead the 5th if interrogated about my own past. It sounds like there's...
  4. NO LUNCH? NO BREAKS? Is that common in nursing?

    This is a very good example of apathy. It is a primary component of self-fulfilling wage slavery. It is sad, but for some it is a facet of their existence they've chosen not to contest. Put another...
  5. Do you round on your patients every one hour?

    A program like this was piloted on my unit late last year. We are a telemetry floor/cardiac stepdown with 64 beds. On nights, we have 16-18 RNs and 2-4 techs. We were supposed to inquire about: pain...
  6. The situation you're posing looks this way to me: if the patient is not only oriented, but fully understands the medication's purpose and the likely results of taking and refusing, and chooses to...
  7. When I was but a lowly (but very hardworking) butt scrubber, I had many opportunities to care for a street-walking prostitute. She occasionally (monthly) came in with mild to moderate trauma, and was...
  8. Doctors' Chart Bloopers

    At nearly every institution I know, the magic number to transfuse is HGB (hemoglobin) under 8.0; of course, this will vary per specific pt needs, but this is a common baseline. Given that a HCT...
  9. Things Patients Have Taught Me NOT To Do

    I had a patient last year, who taught me in an absolutely clear manner, that removing your own foley by hanging the bag on the doorknob and simultaneously kicking the door shut and leaping away from...
  10. Doctors' Chart Bloopers

    A few orders I encountered this past July: Transfuse PRBC as necessary to maintain HGB > 24 PVR: ISC if > 25 Dilaudid 4mg IVP; per pt request, give over 5 seconds. MS Contin 45 mg TID. Instruct...
  11. Let me offer a few opinions: Regarding the respiking of the blood...it's not ideal, but blood is not a plentiful commodity, and someone likely gave of their time and their body for the benefit of your...
  12. Regarding ER: While traumeas can be an awesome test to your knowledge and skills, keep in mind that a large number of your patients are likely to be: Narc seekers People with common ailments and no...