HamsterRN

HamsterRN ADN, RN

Psych/CD/Medical/Emp Hlth/Staff ED

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All Content by HamsterRN

  1. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    I don't see how making a potentially acutely hypoglycemic patient find their way to the ED without checking their BG is prudent or legally safe. In my state it is lawful according to my BON and our...

  2. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    The scenario I referred to as ridiculous did not include any medication, but was the one you posed about refusing to check the blood sugar of a visitor who said they were diabetic and felt dizzy....

  3. Are nurses allowed to wear "doctor-like" lab coats?

    HamsterRN replied to lalalalexi's topic in Nursing Professionalism

    While it's not uncommon for nurses to wear white lab coats, it's not considered good practice anymore for MD's to wear them which we should take into account: Why do doctors wear white coats? - By...

  4. 39 and just starting?? Am I crazy?

    HamsterRN replied to collegegirl209's topic in General Nursing

    Of the students currently starting nursing school, more than half are going into nursing as a second career. There is certainly no disadvantage, either in Nursing School or in looking for a job, in...

  5. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    I won't argue that without taking into account specific state laws and facility policies we're unlikely to come to a firm conclusion and I certainly don't think I know the textbook answer, but there...

  6. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    That sounds ridiculous, I don't even know where to begin on this one, even ignoring the supposed tylenol/hemorrhagic stroke connection. I can't imagine coming to work everyday just hoping to not get...

  7. Giving tylenol to a family member.

    HamsterRN replied to Tiaj72187RN's topic in General Nursing

    I had a similar situation once; a patient's wife asked for a tylenol since she usually takes one at night for her arthritis. We had no policy and nobody knew the answer, the house manager decided the...

  8. Why just part time?

    HamsterRN replied to netglow's topic in General Nursing

    Where I work new grads are actually required to work a 1.0 for a year (it was 1.5 years until recently). There are definite advantages to hiring new grads as full time, the biggest being having them...

  9. Am I expected to give medicine from unlabeled home cassettes??!!

    HamsterRN replied to lashuna1028's topic in General Nursing

    I use "magic expiration date finder 2.0 for Mac" (just kidding) While the expiration date of pills in an organizer is unknown, there isn't any way of knowing for sure that a med brought in the...

  10. Am I expected to give medicine from unlabeled home cassettes??!!

    HamsterRN replied to lashuna1028's topic in General Nursing

    Definitions and requirements for dispensing could vary by state, but in my state this is not dispensing since the drug is not being packaged and labelled for a patient to self-administer. Even if it...

  11. Am I expected to give medicine from unlabeled home cassettes??!!

    HamsterRN replied to lashuna1028's topic in General Nursing

    Commonly available drug identification resources which will tell you the medication and

  12. Tube Feeding Question

    HamsterRN replied to CoastMedRN's topic in General Nursing

    That was actually my point; it's not just the rate of infusion that needs to be considered due to the stomach contents, which is why the policy where I work is that it is to be off for 30 minutes...

  13. Am I expected to give medicine from unlabeled home cassettes??!!

    HamsterRN replied to lashuna1028's topic in General Nursing

    It's really not that difficult to ID medications with a decent resource. I'm not sure that it's better nursing practice to un-medicate a patient than just identify and label the meds. It's not...

  14. Tube Feeding Question

    HamsterRN replied to CoastMedRN's topic in General Nursing

    The rate is only one factor. If you had just started the tube feed when the patient is laid flat, then only the amount infused during that time would be the amount in the stomach that could aspirate....

  15. Am I expected to give medicine from unlabeled home cassettes??!!

    HamsterRN replied to lashuna1028's topic in General Nursing

    We do give these where I work after we have identified them. We use micromedix for identification and this is done either by nursing or pharmacy. We are required by CMS to allow "patient's own" meds...

  16. Tube Feeding Question

    HamsterRN replied to CoastMedRN's topic in General Nursing

    While it would be nice to see more research on everything we do, the rationale behind this is pretty strong. With a feeding tube in, the sphincters that normally prevent stomach contents from flowing...

  17. suspended until further notice

    HamsterRN replied to gettingbsn2msn's topic in General Nursing

    Is banning internet access common in other hospitals? that seems really irresponsible given the amount we use the internet as a resource for patient care where I

  18. Mens scrubs

    HamsterRN replied to bargraphix's topic in Scrubs, Uniforms, Gear

    I have to admit I wasn't sure what a scoop neck was exactly, my wife told me "they're for showing off your boobs", which doesn't sound very manly, although it does sound like you've chosen an...

  19. Clients? Are they no longer patients?

    HamsterRN replied to bassadict69's topic in General Students

    Another way of looking at these terms: A "Client" is a participant is a financial or business relationship. A "Patient" is a participant in a therapeutic relationship. The terms we use to describe...

  20. Clients? Are they no longer patients?

    HamsterRN replied to bassadict69's topic in General Students

    "Client" is no longer the preferred term for the general patient population. In 2000, the ANA decided to try the using the term "client" as a way of empowering patients. This turned out to be more...

  21. Toprol and MI?

    HamsterRN replied to fabi_guerra22's topic in General Students

    Giving a beta blocker to an MI patient is a core measure, unless they have a history of CHF. The reason for this is that multiple studies have shown a significant decrease in cardiogenic shock...

  22. Incident Report Documentation

    HamsterRN replied to khagerman's topic in General Nursing

    Incident reports are privileged quality assurance documents and are therefore non-discoverable (protected from subpoena). Confirming the existence of an incidence report does not change their

  23. New RN Grads in Hawaii

    HamsterRN replied to NewGradRNHawaii's topic in General Nursing

    Hawaii is a particularly tough place to find work as an RN. There are a large number of military personnel in Hawaii, many of which received their RN through a service. When their commitment is up...

  24. Port a Cath for IV fluids

    HamsterRN replied to kaybrn's topic in General Nursing

    At least in my hospital, we can use a port-a-cath in the place of a peripheral IV with an MD order, we usually would not use a

  25. medication time regulations

    HamsterRN replied to KittykeeperRN's topic in General Nursing

    The new CMS guideline is 30 minutes on either side of the scheduled time. ISMP is strongly opposed to the new guideline has just put out their most recent protest of the rule: CMS 30-minute rule for...