merlee

merlee

Member

  • Content

    1,246

  • Visitors

    15,685

  • Followers

    0

  • Likes

    31

All Content by merlee

  1. Signing out medications for my manager.

    merlee replied to OlaHospiceRNBSN's topic in Patient Medications

    No. No. NO. NO. No. No access? No meds. Just that simple. This IS a time that your license could be at risk. NO. NO. NO. Run away when this person comes near you at the cart. Best

  2. BID strictly every 12h or just twice a day?

    merlee replied to krg8089's topic in First Year After Licensure

    BID of 'regular' meds is usually 9A & 5P. So there should be at least 8 hrs between those doses. Ask for

  3. Is My Nursing License At Risk?

    merlee replied to TheCommuter's topic in Nursing Professionalism

    I agree with commuter - the vast majority of disciplinary actions have to do with actual illegal actions - from diversion to passing bad checks to dui's. Falsification of records is now being caught...

  4. PT Pulls out their NG tube...boss says I need to fill out an event report?

    merlee replied to mindlor's topic in General Nursing

    Unless it was sutured, it seems extreme to write an 'event' report. Get your docs to write a 'replace NGT prn until further notice' order. This should cover you, and avoid the need to write up event...

  5. One lead off

    merlee replied to CAnurse2012's topic in First Year After Licensure

    What?

  6. How does a hospital patient who is NPO react to a Flu shot?

    merlee replied to Samian Q's topic in Nursing Student Assistance

    I did a bunch of flu clinics, and never told anyone to drink anything extra. Don't know how it relates. Please

  7. Woundvac help!

    merlee replied to kansasredneckwomen's topic in Nursing Student Assistance

    The foam should fill the wound/cavity, and the film should protect any intact skin. I have seen some huge wounds shrink down in amazingly short periods of time. And I once had a patient who...

  8. Home Health RNs: mileage reimbursement?

    merlee replied to iridium54's topic in Home Health

    No, no, no. You want mileage reimbursement for sure. Every penny. Preferably in a separate check.

  9. My appearance being an issue

    merlee replied to CNAEB's topic in Patient, Colleague Relations

    I've known a couple of nurses with different colored eyes, and never heard any issues. I think most people really don't care, or may be mildly curious. I went to school with a woman with the...

  10. I want to be a nurse with a 9-5 job w/ weekends and holidays off

    merlee replied to Joe V's topic in Nursing Humor

    Why am I NOT

  11. Nursing: Then and Now

    merlee replied to tnbutterfly - Mary's topic in General Nursing

    Going back to whites would not be all bad. But no caps - they didn't get cleaned often enough, and men don't wear them. Clean shoes would be

  12. Nursing: Then and Now

    merlee replied to tnbutterfly - Mary's topic in General Nursing

    - Blood pressure devices (sphygmamonometers) had real mercury in them - Aides got on-the-job training - Nursing students eventually worked all three shifts - The class before mine was the last class...

  13. Help!!! Caught btw rock and hard place--Instructor sending students home early...

    merlee replied to meatballgirl's topic in General Students

    My concern would be two-fold. One, that you would all be dismissed immediately when this was discovered, and it will be. Or, two, that you will be expected to repeat the entire clinical experience,...

  14. Alert,oriented LTC patients who refuse routine nightly insulin?

    merlee replied to Blackcat99's topic in Geriatric, LTC

    What are her AM fasting sugars running? And her evening sugars? That is very important here. Can she be changed to a 24 hr insulin? I hate sticking myself - the injections, that is. But my morning...

  15. Anyone else think HIPAA rules are getting out of hand?

    merlee replied to BrandonLPN's topic in HIPAA Challenges

    My former MIL is in an LTC, and I am still friendly with my ex. He is POA, and signed papers giving them permission to talk to me. He prefers that they call me and give me info, and then I call him....

  16. Do strict uniform policies convey professionalism and promote happiness in patients?

    merlee replied to victoriachojnacky's topic in Nursing Professionalism

    I still remember when we wore white dresses! Oh, and caps! Then I worked in an ICU, in scrubs, but still wore that darned cap. I say white scrubs/uniforms for all nurses, seperate colors for...

  17. Need to vent...being volunteered by someone else to do overtime...WHAT?!

    merlee replied to uRNmyway's topic in General Nursing

    Saying 'no' ocassionally should not jeopardize your job. If you have other plans, tell them. Ask for double time, or time off during the week if they think they may need you over the weekend. Don't...

  18. Need help understanding insulin affect on colonoscopy procedure

    merlee replied to fl.bunny's topic in Nursing Student Assistance

    It has nothing to do with the colonoscopy per se, it has to do with the fact that the pt is NPO. Although 2 units isn't much, and I am surprised the pt is receiving anything for that BS, if the sugar...

  19. Can't stand dialysis

    merlee replied to Tfunke25's topic in Dialysis, Renal, Urology

    Are you doing chronic, outpatient dialysis? I hated that, too, but LOVED inpatient, acute dialysis. A completely different animal! Start looking for an inpatient job, in a big busy hospital....

  20. Dropped pills

    merlee replied to mandaaRN's topic in Patient Medications

    If this person was AAO, and picked them up by herself, then this is a non-issue. She was offered clean pills and refused them. That's it. I have certainly picked up my own pills from the floor! Be...

  21. Medicare fines over hospitals' readmitted patients to begin on Monday Oct 1,2012

    merlee replied to kcmylorn's topic in Activism, Healthcare

    The Nurse Navigators for cancer patients have nothing to do with the Medicare issues. The issues here are limited to CHF, MI, and pneumonia. And the readmission has to be related to those issues, as...

  22. When a patient states "something isnt right..."

    merlee replied to turnforthenurse's topic in Patient, Colleague Relations

    I had to beg for a cardiac cath. Terribly fatigued, no other symptoms. Surprise! Three blocked arteries - 2 stents later, feeling like a new person. Said to the doc later "Told you I was sick'....

  23. How long shall I give this job?

    merlee replied to Britrn04's topic in School

    Every school is different. Email the particular enrollment person to send you a current class roster, or at least any enrollment changes as they occur so you can keep up-to-date info on all student...

  24. MAR error

    merlee replied to paulsab's topic in Patient Medications

    Just because they say they will contact the board doesn't mean that they will. It's frequently used as an intimidating process. Go apply for unemployment. But everyone should learn from this. Do...

  25. When a patient states "something isnt right..."

    merlee replied to turnforthenurse's topic in Patient, Colleague Relations

    I have called codes on 2 patients who were still AAO when the team arrived - but both ended up being intubated within minutes - 1 was going into anaphylaxisis, the other had 2 units of blood and was...