merlee

merlee

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All Content by merlee

  1. Multi-shift problem discovered during hand-off.

    So ultimately no harm has come to this patient, and the communication was not missed on your most recent shift. Do not take responsibilty for things that 'may have happened'. Take care, and best...
  2. Dear Cindy, Please reread your post, and rethink your situation. You may be very unhappy for the wrong reasons. You have a job that requires critical thinking skills and it seems like you are not...
  3. Careplan at work

    It's a NURSING plan of care. Nurses are supposed to do
  4. Working with student nurses

    My perception is that the instructor's license might be on the line if the student is not properly supervised. I loved having students, but I think it was probably having to do with 'growing up' in a...
  5. Should i be a nurse?

    Don't ever become a nurse if you have to
  6. Enough!!!! I think we have beat this one to death!!! We are all mired in our own opinions, and no one is likely to change. Each of us needs to do what is right for our individual situation and not...
  7. Please for the love of God.............

    Due for an outpatient procedure, among the instructions - - "Please shower the night before if your procedure is scheduled in the morning, or in the morning if you are scheduled for afternoon. Use an...
  8. Interview for ER/ school conflict

    Don't make a big deal out of this - mention that you are in school, they will ask you about your schedule. Many, many people go to school or have some recurrent appointment that needs to be...
  9. 1 year decision: contract job vs perm, need advice

    ALWAYS take a permanent job over agency with less than 2 years' experience. Any agency-type job requires you to be able fit in very quickly, with minimal orientation. Get grounded, get experience....
  10. I'm worried about my job

    Believe me - - they already know about this employee. You have probably not been the only one to say anything, despite what you were told. You were not 'gossiping' - that would involve other...
  11. Nurses, perception difference and education

    The comment about exams being very easy or extremely tough made me chuckle. When we sat for our boards, 34 years ago, it was a 2-day event. Some of us were relaxed, went to dinner, socialized. Some...
  12. Blackcat - - please do not use 'dumped' when describing placement into a nursing home. My parents went to great lengths to find a nursing home for my grandmother. She was not 'dumped'. Further, my...
  13. This is all total ********. My mom kept my grandmother at home as long as humanly possible, including hiring live-in help. She just became total care, and impossible to maintain in her own home....
  14. Confused about Per Diem work -Operating Room

    In most places, YOU have to ba available for 'x' hours, but if you are per diem, THEY may not have to guarantee that you will be given those hours. Be very careful what you sign, make sure you...
  15. Nurses, perception difference and education

    Okay. How much time is wasted on actual nursing care issues??? The pt is SOB, has moderate pedal edema, crackles in the lungs from just below the shoulder blades. Do different nurses have different...
  16. Nurses, perception difference and education

    1. There needs to be a policy on what to do with the EtOH. Most places do NOT have appropriate places to secure bottles like this. 2. Is there no one to give this stuff to? No...
  17. Does this make me an "RN snob"?

    I am always annoyed when the term 'nurse' gets used to refer to anyone who works in a medical or dental area. I make it a habit to ask the person who is taking my vital signs if she is a nurse. If...
  18. Is it legal for a nurse to work 24 hours straight?

    The error here lies in not being relieved at 7pm. Period. Where was that nurse??? And if the pt had been admitted who was going to do all that care?!! And if you had been scheduled to work the next...
  19. I have been in NHS II, and I am proud to be a part of this important research. Just do
  20. I am a Scrub Nurse. I badly need your help.

    You may need help with your anxiety. One week is rarely enough time to know about the physical environment of a new position, let alone adjust to it. You haven't stated what is so upsetting. What is...
  21. Pt told me... why didn't anyone else?

    Many home health agencies have computer systems - - netbooks, blackberries, laptops. Information can be easily transmitted. I would no longer work for a company that was not online in some manner....
  22. Pt told me... why didn't anyone else?

    Why are you accepting oral reports?? You should be on a computer system, and everything needs to be disclosed. Ask your supervisor to make certain you are being given a full
  23. improving staff responsiveness

    Communication is the most important issue here. We need to tell our patients what they can expect from us. "I will be in with another patient for awhile, what else do you need before I go?" "I will...
  24. I&D vs. I&D

    Incision and drainage - - not the same as debridement, which is the mechanical removal of debris, hence debridement. I&D is used when the area is fluid-filled; could be purulent fluid. Also,...
  25. Yes to nursing renewal termination

    Did your renewal go through? Have you heard from anyone? Many, many people get terminated - - you didn't divert meds, or abandon your patients. You were not neglectful. Most facilities do not...