HamsterRN

HamsterRN ADN, RN

Psych/CD/Medical/Emp Hlth/Staff ED

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All Content by HamsterRN

  1. Bedside Reporting

    HamsterRN replied to OttawaRPN's topic in General Nursing

    There seems to be some confusion about the difference between "walking rounds" and "safety checks". Many have responded that they like walking rounds in terms of checking drips, dressings, equipment...

  2. maybe I wasn't being nice.....

    HamsterRN replied to hearthelper's topic in General Nursing

    Does your Rapid Response Nurse have the ability to initiate ACLS (and push drugs) without an MD order? If not, that sort of defeats the purpose of many of the ACLS algorithms which is to avoid...

  3. How much IV fluid to give?

    HamsterRN replied to brownbook's topic in General Nursing

    I've never worked in outpatient surgery but I would think there should be orders/protocols that would define this sort of thing. It's not at all unusual on my floor to get patients from inpatient...

  4. maybe I wasn't being nice.....

    HamsterRN replied to hearthelper's topic in General Nursing

    Being ACLS trained and being allowed to use ACLS by your facility are not one in the same. I wouldn't expect a med-surg nurse to push adenosine on an otherwise stable patient without the assistance...

  5. post-baby boom generation and nursing theory

    HamsterRN replied to lxpatterson's topic in General Nursing

    For those with a science focused background, Nursing "Theories" cause an understandable amount of aggravation and annoyance. I find it helps to not think of them as scientific theory's, but as...

  6. ....and they had Dynamaps in every room!! (a nurse has gotta dream!)

    HamsterRN replied to Walden-Puddle, RN's topic in General Nursing

    We used to have this problem but now our Dynamaps sit in a closet and are only used as an occasional temporary replacement for a continuous pulse ox. We only use manual BP's now, I can't say I miss...

  7. Question on urinary incontinence.

    HamsterRN replied to dudette10's topic in General Nursing

    I agree with the bedside commode suggestion, either in the room or placed over the toilet to avoid the toilet clogging issue. If she insists on using the actual toilet, which is understandable, you...

  8. HIPAA Violation? What counts and what doesn't in Nursing School?

    HamsterRN replied to brainysmurfette's topic in HIPAA Challenges

    If nothing is divulged that identifies the identity of a patient then there is no HIPAA

  9. From new student nurse to new RN...nursing diagnosis?

    HamsterRN replied to Frazzled_One's topic in General Students

    I don't think there is any push to totally do away with care planning, just the use of NANDA terminology, and NIC/NOC is still used frequently. One of the strengths of Nursing is that we see...

  10. From new student nurse to new RN...nursing diagnosis?

    HamsterRN replied to Frazzled_One's topic in General Students

    We also had to pull out any NANDA terminology during out last Joint Commission survey. The requirement for this was in their "compliance binders", which you have to pay for. I don't remember an...

  11. From new student nurse to new RN...nursing diagnosis?

    HamsterRN replied to Frazzled_One's topic in General Students

    "things I thought I was sure about...I'm not" - That's actually a typical and even beneficial mindset as a new grad. If anything, nursing school teaches you how much you don't know. If your...

  12. I need two people to respond to this question about nurses and attire.

    HamsterRN replied to Spikey9001's topic in General Nursing

    While all white uniforms on women nurses imply "nurse", I've noticed that when men wear all white it seems to imply "psych-ward

  13. is fmla detrimental to companies/hospitals?

    HamsterRN replied to johnnyDoGood's topic in General Nursing

    There are clear requirements to claim FMLA and birthday parties/weddings don't apply. Aside from that, if FMLA leave is so regular and consistent, it really shouldn't be that hard to make...

  14. Giving injections question....

    HamsterRN replied to AprilRNurse's topic in General Nursing

    I'd avoid Lippincott whenever possible, Moseby's Nurse consult, or for that matter any person off the street is a better source of nursing information than

  15. shared goverance? who uses it?

    HamsterRN replied to lmwnnicurn's topic in General Nursing

    Shared governance is a way for staff nurses to become involved in the decisions that affect patient care, particularly decisions that involve direct nursing care. It usually involves some way of...

  16. Giving injections question....

    HamsterRN replied to AprilRNurse's topic in General Nursing

    I was also taught that the main concern is coring when entering the vial, which is the advantage to blunt, "non-coring" needles when accessing a vial. Accessing a vial using a regular needle the...

  17. Medication Shortages

    HamsterRN replied to registerednutrn's topic in General Nursing

    We're finally getting IV lasix again, apparently there was only one manufacturer in the US and the factory burned down. We've also been using 10mg morphine carpujects for every 1 or 2mg morphine...

  18. Giving injections question....

    HamsterRN replied to AprilRNurse's topic in General Nursing

    The policy where I work is to use a "non-coring"/blunt needle to draw through a rubber stopper to reduce the chance of injecting bits of rubber into the patient, a filter needle would serve the same...

  19. General IV Filter question

    HamsterRN replied to mlbdestined's topic in General Nursing

    All standard IV primary tubing should contain an in-line particulate filter. Add-on filters are typically used for filtering air, not particulates. Our policy is to place an add-on air filter for...

  20. Hippa question

    HamsterRN replied to sprintin08's topic in General Nursing

    I know it drives you nuts but accusing someone guilty of the very common "HIPPA" mistake of being incompetent or unprofessional seems excessive. Unless you live in Hawaii, the double P keystroke is...

  21. Hospital/SNF and hyperglycemia

    HamsterRN replied to anticoagulationurse's topic in General Nursing

    As you point out, high starch / simple sugar foods are cheap, but they are also what Americans like to eat. As hospitals become more consumer oriented, they seem to shift to providing the same diet...

  22. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    I certainly don't argue that no state allows an RN to practice outside of their scope and I haven't made that argument, nice straw man though. What I and others have questioned is what is...

  23. Compatibilities of IV piggybacks

    HamsterRN replied to fsaav's topic in General Nursing

    Keeping a closed system is best practice, and multiple secondaries, even incompatible ones do not justify opening a closed system. Medications that form a precipitate when combined form that...

  24. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    Mainly just the hornet's nest part. I think we all benefit from thinking through the things we do, even to the point of monotony, rather than just blindly doing them, even if it makes no difference...

  25. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    As I pointed out earlier in this very thread, I have a feeling it is wise not to divulge identifying characteristics in this forum including your home state. I'm not usually that paranoid but the...