HamsterRN

HamsterRN ADN, RN

Psych/CD/Medical/Emp Hlth/Staff ED

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All Content by HamsterRN

  1. Diet Coke Commercial: Nurses are Extraordinary

    The synopsis from the advertisers themselves: "The sprawling, wordless :60 is a poignant, musically driven portrayal of the iconic soft drink's place amid great acts of art and accomplishment. A man...
  2. Medication Errors and Write-ups

    The Institute for Safe Medicate Practices (ISMP.org) would strongly disapprove of the way your facility handles med errors. Current best practice is that med error reporting should not be punitive,...
  3. Time to call a duck a duck?

    At least in my state, the accreditation requirements in terms of pre-reqs and clinical hours are exactly the same for both ADN and
  4. microteaching on temporary pacemaker

    I'm not sure there is any short and quick way to teach temporary pacemakers, other than to say "If they need to be paced then turn it on / hit the emergency button". Other than that it's hard to...
  5. "CENTI"meter vs "SONO"meter

    There is a difference between pronouncing a word differently and using an entirely different word. Being married to a math teacher, I was asked to point out that the "centi" part of centimeter is too...
  6. Pinched Sciatic Nerve

    I finally got over compressed sciatic symptoms after 6 months of failed attempts to fix it on my own. Ibuprofen, tylenol, and basic stretching did nothing. I finally broke down and saw my Dr, who...
  7. How does your hospital book beds?

    This is a frequent occurrence where I work as
  8. How does your hospital book beds?

    Writing admitting orders and acting as the primary once the patient gets to floor are not the same thing (although they should be). Yes, I am sure that it is the ED docs writing the orders, it is in...
  9. How does your hospital book beds?

    Our do, occasionally the admitting doc will see them in the ED prior to transfer, but typically our admission ordersets are filled out by the ER docs and signed by them. Do you guys not transfer a...
  10. Pharmacy said no, conventional practice said yes

    Assuming you are using a pump, if you hang an intermittent infusion on a primary line and then wait for the pump to alarm when the bag is empty, you leave about 15ml of medication in the line. Many...
  11. Pharmacy said no, conventional practice said yes

    You don't need an order to hang NS as a flush for an intermittent infusion (This should get interesting). And you shouldn't hang intermittent antibiotics as a primary without a secondary
  12. Pharmacy said no, conventional practice said yes

    Flagyl and potassium chloride are compatible, we have 3 different IV compatibility references all of which state specifically that they are compatible. Pharmacists are a great resource and we should...
  13. How does your hospital book beds?

    This is also an issue at our hospital and it is mainly due to the work schedules of the ED docs. They tend procrastinate on writing admit orders until they've got about an hours left in their shift,...
  14. Isolation precautions-nurse server question

    We move the nurse servers outside the room for isolation patients. We bring in what we'll need and don't go back into the nurse server once we've entered the
  15. The idea is to switch from Nursing's care plans and Physician's care plans and PT/OT's care plans to a patient's care plan; 1 over-all care plan rather than 10, thus "patient centered
  16. We just finished accreditation less than a year ago and spent the 2 months before the Joint Commission arrived removing all NANDA terminology from our care plans. Your hospital should have...
  17. Administration of non approved FDA drugs

    Although it probably doesn't apply to your LTC residents, Clobazam was granted "orphan drug" status by the FDA, which means it can be prescribed for specific conditions (no off label use allowed)....
  18. Administration of non approved FDA drugs

    Fish oil and Ginseng are viewed differently than benzodiazepines by the FDA (for good reason). Fish oil and Ginseng are considered dietary supplements, Clobazam is a schedule IV drug. Being a...
  19. Administration of non approved FDA drugs

    US residents are allowed to import a 90 day supply of an FDA approved drug from Canada, this includes "re-importation", and importation of drugs produced outside the US that are exported to both the...
  20. Administration of non approved FDA drugs

    Yes the FDA defines a drug by it's intended use in the diagnosis, cure, treatment, etc., which the example you gave specifically denies that is intended for any of these purposes, meaning it is not a...
  21. Administration of non approved FDA drugs

    There is a difference between giving an FDA approved medication "off label" and giving a medication that is not FDA approved at all. Giving a medication for off label use means you are giving a...
  22. Administration of non approved FDA drugs

    As I pointed out earlier, the FDA defines a drug as something that makes a claim of efficacy, the example here not only doesn't claim any efficacy, but as you point out it specifically denies any...
  23. Administration of non approved FDA drugs

    Ever wonder why it has a disclaimer saying it doesn't work? It's because the FDA has placed this requirement on them, without that disclaimer they would not carry FDA approval and therefore could not...
  24. Administration of non approved FDA drugs

    The FD&C act of 1938 as well as it's subsequent ammendments define the requirements that drugs must meet to be sold or dispensed in the US. It also defines the requirements for homeopathics,...
  25. The End of Men

    The nursing school I went to has a "non-traditional career" grant that provides funding to encourage men to go into nursing among other things. During my last year, I put together a presentation and...