masonRN

Latest Activity

1. Critical patient @ change of shift, which nurse is responsible??

   masonRN replied to Soulsinfinity's topic in General Nursing

   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 patient.

2. What's the craziest order you've ever seen?

   masonRN replied to ozoneranger's topic in General Nursing

   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 patient complaint? Every hour?! Are you STONED? R...

3. She really said that? Yep, it's gonna be a LOOOONG residency

   masonRN replied to nursejohio's topic in Ob/Gyn

   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 a good team of docs there trying to set her strai...

4. NO LUNCH??? NO BREAKS??? Is that common in nursing?????

   masonRN replied to CleveRN2008's topic in General 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 way: a person who refuses to be a doormat is much m...

5. Do you round on your patients every one hour?

   masonRN replied to LilyBlue's topic in General Nursing

   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 environmental comfort (temp, lights, etc) hunger/t...

6. Ethical Question about NGs and medication administration

   masonRN replied to BeachyRNn08's topic in General Nursing

   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 refuse, any person who administers against the patient...

7. What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

   masonRN replied to yazisizit's topic in Humor

   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 almost always treated for STI during admission. On...

8. Doctors' Chart Bloopers

   masonRN replied to Brian's topic in Humor

   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 (hematocrit) is usually in the ballpark of 3x to 3.5x th...

9. Things Patients Have Taught Me NOT To Do

   masonRN replied to Trixxy's topic in Humor

   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 the door, is a fast track to an enjoyable month in ...

10. Doctors' Chart Bloopers

    masonRN replied to Brian's topic in Humor

    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 pt not to chew. May be crushed and mixed with food...

11. blood transfusion tubing disconnected

    masonRN replied to ARRR10's topic in New Nurse

    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 patient, whom they would never meet. I would be c...

12. Worked Telemetry/ for 1 year, now to the ER or Cardiac ICU? Give me input please...

    masonRN replied to Jomo1994z71's topic in New Nurse

    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 insurance Primadonnas who think waiting 3 days to se...