merlee

merlee

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All Content by merlee

  1. In this electronic age, unless the MD is unable to type, like if s/he is driving, or during a procedure, there is almost no excuse for giving verbal orders. We can work around HIPAA by using medical...
  2. Is this woman for real??

    Why is this posted here at
  3. Concerned! Need Some Advice

    Be careful if you count narcotics with this nurse. Otherwise, if you can't personally witness something then keep your mouth shut and do not spread any
  4. Shift change incident--Who's responsibility?

    This was not a 'loose end', it was discovered by someone on the next shift. It was AFTER report, so it is the responsibility of the oncoming
  5. There should be an educator at your facility. Ask
  6. why???

    Smily - - this has been discussed before. Check the archives. Also, why ask this type of question on a forum designed to help each other not bash each other? Many surveys show that nurses are highly...
  7. med-surg..the "trailer trash" area of nursing??

    Med-surg is the APEX from which everything else flows. Solid experience with a broad base is the crux of the best of the best. I am thankful for every shift I ever did on med-surg units, not one...
  8. What is a Women's Health Unit?

    I worked in a true 'women's surgical unit' for a while in the early '90's - - no maternity stuff. Hysterectomies, reversal of tubal ligations, lots of laser surgeries esp for infertility. We actually...
  9. Can they do this?

    Is this a rolling 4 weeks or a calendar 4 weeks? Please check on this again. Best wishes, and take
  10. vancomycin

    Gave a lot of Vanco when I was in acute dialysis. Never saw seizures, but did see Red Man more than a few times. We then gave aceto/diphenhydramine on the spot, and as a premed whenever those pts...
  11. feel like an idiot

    You've never dropped a piece of something, say an M&M, on the floor and then picked it up and ate it anyway??? Kids do it all the time! Yeah, not the most sanitary thing to do, but not worth...
  12. Background check can't locate employment history

    Most employers only go back a couple of years or a couple of employers! My background is so checkered - 5 states, a foreign country, etc., etc., they would go nuts trying to track it!!! I wouldn't...
  13. Drug Screen Question

    Take the bottle in with you. And stop
  14. need tips how to measure BP on really obese patients

    I have used an automatic battery operated wrist cuff for many years. It is surprising accurate. And if you are consistent - same cuff, same wrist - then the results will tell you what you need to...
  15. Medication/Pharmacy errors...

    You are not kidding. Sometimes it can be a simple error - last week I picked up my refill of furosemide. I take 60 mg/day. It comes in 20 mg. They gave me a two month supply, but the bottle didn't...
  16. Licensure Renewal

    Call the Board in the state where your license is. It doesn't matter if it's by endorsement, it's still your license. It should just be a regular renewal. I've moved multiple times, and renewing is...
  17. Renewal/Licensure Question

    Many states now ask if you have ever been fired, and why. Answer truthfully. They may ask for more details. I have been fired, answered truthfully, and not been denied my renewal. Best
  18. Angel at work, monster at home....help!

    Before you enter your home, take a few moments to decompress. Some deep breaths, calming thoughts, allow your pent-up misery to release. Also, seriously consider contacting your EAP for some...
  19. Patient smokers!!

    Most places have a policy about allowing patients off the floor. Find yours. And many require a doctor's order. If the patient is adamant about leaving the floor unescorted, they may be ready to go...
  20. New nurse... Dressing change?

    Once daily is just that. Your facility should have a policy about when they want it changed. Sometimes it may be determined by which unit they are on. And the dressing should be dated, timed, and...
  21. I have a good friend who is an executive that has been stood up twice just recently for phone interviews. People are becoming increasingly
  22. Hiding meds in food: illegal?

    The nurse should have been in touch with the doc as soon as the first dose was missed. There should have been a 'mix with food' order if that is what Mom was doing before. Best wishes, mom, take good...
  23. New to med field and Afraid of the unknown

    As you become more knowledgable, you will gain more confidence. You are unlikely to see protruding bones unless you work in the ER or OR, or one of your kids has a very bad fall/accident. You may...
  24. When is a patient your patient?

    Stargazer - - you said it better than I did!!!
  25. Pre-employment exams (medication / med-surg)

    I've been a nurse for over 30 years and they still make me take all of the exams..... They have to be able to show that the employees are truly qualified. (What do they think I've been doing all this...