ChristyRN2009

ChristyRN2009

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All Content by ChristyRN2009

  1. Snow- at what point do you call out?

    I live in the mid-south and we just don't see a lot of snow. It flurries once or twice a year, might actually snow once a year but never lasts past noon, and every few years we get a few inches of...
  2. How To Document Sleeping On Night Shift

    I have always charted that a patient is sleeping but easily arousable or not easily arousable, but I had no idea that anyone ever would be discouraged from saying that. It makes sense now that I see...
  3. Ethical Question...

    This situation really sucks and I feel bad for you. My advice, I would address it like a loved one. An intervention and possibly inpatient rehab. BTW, I have needles and syringes in my house, and...
  4. Why are doctors so easily manipulated by drug addicts?

    And another thing, I want to know who are the nurses who give it early? Burns me up when I hear well other nurses have done it. Really, well those other nurses were not me (let alone violating...
  5. Why are doctors so easily manipulated by drug addicts?

    I guess for my hospital there is no main demographic for seekers, because I tried to think back on my favorites and there really was no commonality. It is frustrating especially when you thought your...
  6. Mistakes

    I'm struggling quite a bit with this right now. It doesn't help that I used to work on the perfect shift and now I work on the busier shift that the perfect shift judges harshly. So I know what all...
  7. Was fired today......

    Yeah, I think they did you a favor. I really only mix mucomyst and potassium with liquids. That's it, because the odds of them taking one sip and turning their noses up are high, whereas if its just...
  8. Unreasonable family members in the nursing home?

    Its not limited to LTC but I do feel very bad for LTC nurses when I have to deal with difficult families on a long term basis. Like the one I had in acute care this weekend who called everyone in...
  9. Would you have given the meds??

    I would've given all the meds if her blood sugar was normal, meaning 80+. If I knew she wasn't eating, I might hold something, but you say she is aaox3 and able to follow simple commands, I'd have...
  10. Riddle Me This

    Well if it is truly vaguling down, then fluids won't really hurt. But if you assume that a person is vaguling down when they are really dehydrated, then you risk the dehydration going on unnoticed...
  11. I did a no-no

    To the OP, I think honesty is the best policy. I would just explain in a factual manner to any prospective employer, without putting in any judgements about the coworker or excuses. If you have a...
  12. Pushing Dilaudid?

    We push it and I push it slowly (although probably not over 2 minutes). I don't even think we have 50ml bags of saline on our floor to use for such a purpose. I'd have to order it special from...
  13. Are your Nurse to patient ratios changing

    I work stepdown and we have 1 RN to 4 patients. They staff for it, and we are constantly checking to make sure all nurses have 4 patients. If more than 3 nurses have an open bed, we get "the frown"...
  14. Crazy things pt's do for pain meds.

    I had a patient who stole saline flush syringes out of the trash and drew blood out of their line and put it in a basin (i.e. vomiting blood) so they could seem more sick and get more meds. Of course...
  15. Because I have a sticky personal situation going on in which I fear that false accusations might be made against me to make my life hard. I'm thinking now is a better time than most to get...
  16. How do you Single moms balance work and family?

    I have a similar issue although people at my work seem to be a little more understanding. I also work weekends and on weekends that my children are in daycare, I have to leave at a certain time. It...
  17. Good patient?

    Well to me a "good" patient has meds and interventions that are generally easy to do, and who complies with most or all of nursing instructions etc. Not rude or harassing. I don't even care if they...
  18. my ex made a false report to JCAHO

    I know someone who's ex reported her to the board for a false accusation. She already had a lawyer so I think that's how she handled it. Isn't it so frightening how fragile our license is though....
  19. I'm guilty. It's about the condom catheter

    Well, hard to say how wrong what you did was, but what he did was way more of a sin, so to speak. Is this really so much different than using stickier tape with the goal that a forgettful patient...
  20. I was violated by a doctor

    I agree with some other posters who said to question you once about it was prudent and appropriate, but several times was over the line and most likely related more to the MDs religious views vs his...
  21. Change of shift admissions

    At my facility, we are "supposed" to not have any ER admits between 0630/0730 and 1830/1930. This is our shift change time. Of course almighty ICU can transfer at any time even if they've been...
  22. Got really put down by my supervisor today

    BTW, and don't hate me for this but I think based on your last post you are male? That will present (VERY UNFAIRLY) some problems for you in some work environments. Its a sad fact but a lot of...
  23. Got really put down by my supervisor today

    I had a similar thing happen to me and I know a few nurses who had something similar happen over seemingly small stuff during orientation. I don't want to say its a weeding out tactic but I think its...
  24. Question about ambulation orders

    Your patient has an order to ambulate BID or out of bed to chair BID or whatever specific order there is for activity. You let the patient know they need to do this. They say, not right now, I don't...
  25. straight cathe

    I agree, try to advance it as far as the hub. The second trick I know of that most of the time works with prostate issue caths is to (while the cath is inserted until resistance but no urine return)...