HamsterRN

HamsterRN ADN, RN

Psych/CD/Medical/Emp Hlth/Staff ED

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All Content by HamsterRN

  1. Fluid restrictions vs Patient rights

    HamsterRN posted a topic in General Nursing

    I have noticed that I don't share the same view on Physician ordered fluid restrictions as most of the nurses I work with. I agree with educating the patient about why they need to limit their fluid...

  2. Would you question this order?

    HamsterRN replied to dura_mater's topic in General Nursing

    I'm not sure what the rationale was the first Doc was using. It's not unheard of to have supratherapeutic INR and a thrombus, since the the thrombus could have formed when the INR was lower and...

  3. Would you cut your hair for your career?

    HamsterRN replied to Claritee's topic in General Nursing

    We have a similar rule where I work but it doesn't group a dreads into the same category. Our policy allow's dreads that occur naturally, such as with AA employees. The issue is with those whose...

  4. If it wasn't charted it didn't happen

    HamsterRN replied to HamsterRN's topic in General Nursing

    Where would you consider it appropriate to draw the line? Do all standards of care need to be charted on specifically? Pt specific standards of care only? Interventions only? How do we define an...

  5. If it wasn't charted it didn't happen

    HamsterRN posted a topic in General Nursing

    At my facility, we are going to be changing our charting system to one that will be truly "by exception" and I foresee some friction from some staff. We currently use an EHR that is essentially "by...

  6. PCA discrepancy (too much med?)

    HamsterRN replied to General E. Speaking, RN's topic in General Nursing

    The pump senses the supposed volume based on the height of the plunger, this can vary slightly and I rarely see it say exactly

  7. Question about staff ratios?

    HamsterRN replied to lag413's topic in General Nursing

    That's extremely unsafe, we can't all be as spoiled as Cali nurses but that's excessive. Normal tele units should not be higher than 1:6, your description of your floors falls somewhere within a...

  8. If it wasn't charted it didn't happen

    HamsterRN replied to HamsterRN's topic in General Nursing

    Being a floor nurse myself, I believe floor nurses should have the final say in how they chart since it's their practice and their license. My personal preference is to only chart what others need to...

  9. If it wasn't charted it didn't happen

    HamsterRN replied to HamsterRN's topic in General Nursing

    Wouldn't every patient have the call light within reach? If so, why chart that was done for some patients but not others. What happens when a patient falls that you didn't see coming and chart...

  10. Skin Integrity

    HamsterRN replied to hkoreenrs's topic in General Nursing

    In our system, we don't consider an IV insertion site or CT insertion site a wound because we chart on the condition of the insertion sites under the assessment of the IV or chest tube. Once a CT is...

  11. why dont you monitor prophylactic SC heparin?

    HamsterRN replied to bennett12's topic in General Nursing

    We check CBC's on day 3 of DVT prophylaxis heparin therapy and every 3rd day after that if they don't already have CBC's ordered. I've been told the reason why we don't monitor PTT's on these...

  12. Scope of Practice Question

    HamsterRN replied to Virgo_RN's topic in General Nursing

    Diagnosing and treating is not outside the scope of practice of an RN, in fact it's the bulk of what we do. The procedures you describe are are not by definition outside the scope of an RN, but they...

  13. Cough related to CCF

    HamsterRN replied to scchalmer's topic in General Nursing

    Coughing is one way the body removes excess fluid from the lungs, lasix helps do the same thing through a different

  14. Missed diagnosis - just a vent

    HamsterRN replied to Nascar nurse's topic in General Nursing

    So they drew blood first and then did the U/S but the blood draw didn't include a d-dimer? That does sound like bad form if they were concerned enough to do the U/S but didn't think to run a d-dimer...

  15. Filter needles...are they necessary?

    HamsterRN replied to fsaav's topic in General Nursing

    While it is true there are no RCT's involving the injection of glass particulates in humans for the final confirmation of a risk, there are also no RCT's that compare jumping out of a plane with a...

  16. Filter needles...are they necessary?

    HamsterRN replied to fsaav's topic in General Nursing

    As much as we all hate them, there are a few reasons why glass ampules still exist. The primary reason is that some medications just cannot be stored in any type of plastic. NTG for instance is...

  17. Night Shift Jet Lag??

    HamsterRN replied to shakedwnst924's topic in General Nursing

    When I first started on nights it was actually easier than now, I think because my system was so confused it didn't know when it was supposed to be asleep and when it wasn't. Now, after years of...

  18. Filter needles...are they necessary?

    HamsterRN replied to fsaav's topic in General Nursing

    The evidence suggests that the chances are closer to 1 in 1, not 1 in a billion. There are more important things to concentrate on than filter needles, hand washing, aseptic technique, documenting...

  19. New Grad with an offer at Magnet hospital

    HamsterRN replied to MsSocalRN's topic in First Year After Licensure

    The rationale can be found here (starting on page 22, it's a long article but there is a summary at the end) http://www.calnurses.org/publications/national-nurse-mag/nn_mag_apr2010.pdf While you do...

  20. Massive changes to 2011 healthcare benefits??

    HamsterRN replied to 2bTraumaRN2008's topic in General Nursing

    I get the same amount deducted from my paycheck for health insurance that it would cost me to get insurance on my own. I know this because my employer dropped coverage of my newborn daughter because...

  21. New Grad with an offer at Magnet hospital

    HamsterRN replied to MsSocalRN's topic in First Year After Licensure

    In this job environment, if you can find a job you should consider taking it. I would base your decision more on the location than Magnet status, since Magnet status does not always produce the...

  22. Range Orders

    HamsterRN replied to HamsterRN's topic in General Nursing

    While 1-10mg is an unusually huge range, sometimes a patient's minimum and maximum pain control needs do not equal a 1:2 ratio; sometimes their pain might be controlled with 1 mg and sometimes it...

  23. Range Orders

    HamsterRN posted a topic in General Nursing

    Now that we're a few years out from the Joint Commission's suggestions on Narcotic range orders, I'm curious what the response has been; How many facilities have done away with range orders all...

  24. Nurse Mentor----can you adopt me?

    HamsterRN replied to Frazzled_One's topic in Nursing Student Assistance

    Mentors by definition are not meant to be instructors. Instructors are often the reason why students need

  25. "Think like a nurse"

    HamsterRN replied to beatrice1's topic in Nursing Student Assistance

    It is sort of frustrating to be taught to think in Nursing Diagnoses and yet to think critically as well, sort of