mappers

mappers

Med/Surg/Tele/Onc

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All Content by mappers

  1. Dog on the floor, what do you think?

    mappers replied to mappers's topic in General Nursing

    I'm not really fighting any battle as some of you have said, or trying to control anything. I'm just thinking out loud in this thread. Haven't you ever seen a situation that makes you stop and go,...

  2. insulin drip protocol for mixing/priming: how do you mix it?

    mappers replied to TraumaJunkieRN's topic in Patient Medications

    One thing I haven't seen addressed with all this talk of wasting insulin. We now have a "black bin" policy at our hospital. Certain medications have to be disposed of in special black bins so that...

  3. Ever take care of a patient for a while to later find out...

    mappers replied to wanderingRound's topic in General Nursing

    Our micro department calls us with any positive cultures, so the nurse who has the patient that day would know. Then we are supposed to call the doctors. They'll call us with preliminary results and...

  4. Family Members With Nothing Better To Do.

    mappers replied to Honeynurse's topic in General Nursing

    Had a pt who had a seizure and low blood sugar. Ended up doing a cardiac workup on her because of elevated tropinin. Son comes in after patient had been there all day pitching a fit that they are...

  5. This unhealthy dependency relationship some pts have w/ the Doctors needs to stop!

    mappers replied to cameroondiva's topic in General Nursing

    I had a patient once who had a colostomy that was several years old. I asked him why he had the colostomy to begin with. His answer was something like he had surgery. ???? Never did find out why....

  6. Turning q2h, any ideas?

    mappers replied to smarti15's topic in General Nursing

    We have turnclocks too, but they aren't universal. You can't say at 5:00 everyone in facing the door, etc. for example. Pts with a stage I or II might be on a side to side schedule where they are...

  7. Took out wrong person's IV

    mappers replied to jess17's topic in General Nursing

    I don't disagree with you that if asked by another nurse to do something, always check the chart yourself. But how often have you seen an order to take out an

  8. Cannulation Blood in the Flashback Chamber

    mappers replied to Carol Mary's topic in General Nursing

    I'm not following you. I stick the needle into the vein, I see flashback, then I know if I can advance the cannula and withdraw the needle. There is no way to attach tubing or fluids without...

  9. can an unlicensed nursing assistant empty foley's?

    mappers replied to believeallispossible's topic in General Nursing

    Response to serveral posts.... Interesting thoughts about the assessment. That is true, but I can empty it once and do my assessment. I don't have to empty it everytime for that, unless there is a...

  10. Cannulation Blood in the Flashback Chamber

    mappers replied to Carol Mary's topic in General Nursing

    What other way is there? Can't really answer your question since I know of no other way to know if I'm in the vein. So if you designed a cannula where I could tell without blood, and it worked...

  11. Uninterrupted breaks

    mappers replied to tele jelly's topic in General Nursing

    Really?? Every shift that happens? What type of floor are you on? I admit there are days like that, but not every shift. We have some patients who only have one MD and they come in once a day. So...

  12. Is this common practice or was I in the wrong??

    mappers replied to Sassylil14u's topic in General Nursing

    What's a

  13. Is this fraud?

    mappers replied to Poi Dog's topic in General Nursing

    MosIt may not be fraud, but it is certainly illegal. Even if you are an indepedent contractor, the company sends you a 1099 a the end of the year and reports the amount of money you earned from them...

  14. Low blood sugar, juice or D50?

    mappers replied to mappers's topic in Diabetes, Endocrine Nursing

    Just as an FYI, the patient had been off the floor for awhile. She left frequently to get "fresh air". She had eaten a full dinner before she left (I saw her eating and saw her empty plate.) The...

  15. Low blood sugar, juice or D50?

    mappers replied to mappers's topic in Diabetes, Endocrine Nursing

    PS....are you in KY (Bluegrass and all)? If so, me

  16. Low blood sugar, juice or D50?

    mappers replied to mappers's topic in Diabetes, Endocrine Nursing

    Her BS was going to be rechecked. It just wasn't in the timeframe yet. That's why I went to tell the other nurse what I'd done, so she could re-check her in a few minutes. I wasn't unsure of what...

  17. Port a Cath ?'s

    mappers replied to ilovenursing2009's topic in General Nursing

    Does the bag have a Y-site? When we infuse chemo, IV push, we usually have a free flowing bag of NS and push the chemo through a Y site. We check for blood return every 2-3 minutes of the

  18. Who does this stuff? Really, you can't make it up!

    mappers replied to ShayRN's topic in General Nursing

    For the family members, right?

  19. Drawing a Blood Glucose for a high accuchek

    mappers posted a topic in General Nursing

    Our P&P on accuchecks says that if an accucheck is greater than 500, need to draw a stat glucose and notify MD. We have protocols for insulin, low, medium, and high that docs can order if they...

  20. Is it legal to call yourself "Nurse" when you in fact are not?

    mappers replied to LoveMyDaughters's topic in General Nursing

    What chaps my hide even more is when a patient, or worse a family member, says they are a "nurse", usually as a way to try to either intimidate or get what they want. You can tell, within a short...

  21. Transfer my RN license from IN to KY

    mappers replied to fernandatripure's topic in General Nursing

    You can apply for a license in KY without taking the NCLEX again and have them in both states. In KY, new grads have to have worked 120 hours as an RN Applicant before they can get a KY license. You...

  22. I feel like an absolute fool!

    mappers replied to Pepper The Cat's topic in General Nursing

    How many times has anyone mistaken a daughter for a sister or vice versa? It seems in these days of longevity, a young looking 90 yo patient with a family member that looks 70. Is it her daughter?...

  23. Why do we need a TB skin test?

    mappers posted a topic in General Nursing

    Yesterday, I was looking at some teen volunteer opportunities for my daughter to do this summer and noticed one required a TB skin test (at our zoo). She is deathly afraid of needles and loves...

  24. Walking rounds and HIPPA

    mappers replied to tokmom's topic in General Nursing

    As long as you ask the patient's permission to do report in front of them, you are not violating HIPAA. If you say, "Mrs. Jones, this is Sue and she'll be your nurse tonight. I'm going to give her...

  25. Pulled to another unit by unit manager

    mappers replied to Ms.RN's topic in General Nursing

    From your second post I'm guessing your in LTC? I'm not very familiar with LTC, but maybe there is a reason she picked the unit she did, like there is a problem employee who she wants to keep an eye...