BluegrassRN

BluegrassRN

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All Content by BluegrassRN

  1. I'm taking a research class, and as a final project we need to develop a research study. I have pretty much everything I need: question, sample, environment, review of lit, all of that. What I...
  2. Depends on a lot of factors. In an opioid tolerant pt whose baseline is the scheduled oxy, who is in with something that increases pain, yes I would consider giving them together. It would depend on...
  3. what do you say to patients...

    Just say "No need to apologize. It's our job to help you when you're ill, and we're happy to do it." Be matter of fact and cheerful without being creepy. Move on to next topic; you can get an...
  4. what do you say to patients...

    Lighten up, it was a joke. It was
  5. Medication administration vs Patients wants

    In general, don't leave meds at the bedside. There are exceptions to this rule, of course. In our hospital, you can get a physician's order that the med can be left at bedside. We do this primarily...
  6. Pyxis report question...being falsely accused!

    I have investigated discrepancies in my former position. Let me tell you, not wasting immediately but rather after the fact is a big red
  7. Pyxis report question...being falsely accused!

    That could mean up to an hour or more wait for the pt in my facility. The pt needs 4mg of morphing, which comes in 1' 2' and 5 mg doses in our pyxsis. So I would have to send a request to the...
  8. Med passing question from a student

    Standard at my facility is to take meds into the pt room, scan them, and as you're opening them, to tell the pt what they are: here's your doxycycine, that's the antibiotic for your infection, here's...
  9. Would you be insulted by this?

    I don't know if "insulted" would be the word I would use. If the $10 was at or below the cost of the printing and tshirt, then I don't think that's a bad deal. If the shirts came in colors and a fit...
  10. Peer review evaluations

    Well, we're doing them, but they aren't anonymous...we have to put our name on them. At each yearly eval, the person being evaluated fills one out, gives two to other staff to fill out (one on day...
  11. Movies about Nursing Homes/Long-Term Care Facilities

    Are you looking for documentaries, educational resources, or fiction-yet-realistic movies? For educational, check youtube. For a documentary, I like "Young At Heart", which does not take place in a...
  12. Is there something wrong with me?

    1) Seek out a counselor who specializes in interpersonal skills. This can be hit or miss, you may have to try a couple of therapists before you hit the jackpot, but once you do, you'll learn so...
  13. AIDS during the 80s

    We had a nurse the other day who seemed out of sorts that her admit had HIV. Everyone was a little incredulous that it was an issue for her, and there were several comments such as "This isn't the...
  14. You will probably get some unfortunate responses, but for the most part, if your work environment isn't incredibly toxic, I think you'll find that most people won't be phased. Even here in the...
  15. AIDS during the 80s

    I am too young to have been a nurse back in the 80's, but have two stories from family with personal involvement. My great uncle died of the disease in a larger town in the Midwest,sometime in the...
  16. Jeez, that was long! The "too long, didn't read" version is: Omega 3, multivit with C, and D3 supplements. Food, activity, and mood journal. Avoid processed foods. Avoid meat. Make own meals. Take...
  17. I recently read "The Depression Cure" for a friend of mine (he was going through the classes and needed some support). It was a surprisingly reasonable and research based book, despite the title, and...
  18. Workout Music

    Musical taste is so individualized; whatever gets you energized or inspired is what you need. My workout playlist has everything from music from the 80s through the present, in 4 languages (only two...
  19. We don't do self scheduling, but our schedules and timeclock are in Kronos. I have never worked with any other software. I don't know how horrible or awesome it is. I feel like I wasn't well trained...
  20. Is nursing killing me :/?

    I left the floor for a while for an administrative position. Went from walking 12k plus steps a day to barely clearing 3K. My stress level was through the roof. Went back to to the floor. Lost 5...
  21. Venipuncture - gauze vs cotton ball

    Cotton balls come in a large container that is open for weeks/months. They are typically stored in smaller containers where they are exposed repeatedly to different hands and therefore germs. 2x2s...
  22. Have you ever had a patient smoke in the room?

    First, I always make sure the pt is actually aware of the smoking policy. Second, I explain the reasons why they aren't allowed to smkoe, including the fact that we have a lot of critically ill...
  23. The flip side of this is that, when you have a. Fellow coworker whose pt has coded, you should touch base with them and ask what you can do to help. If your charge doesn't take pts, they absolutely...
  24. Precepting students

    We had this issue with our students, and a lot of us complained. There was no guidance as to what the students were capable of, expected to already be a proficient at, etc. Our ed department met wih...
  25. Potassium replacement while on clear liquid diet?

    Our hospital rarely worries about the color of the clear liquids. If I'm concerned about a bleed, I'll limit it myself, but if there isn't any concern for an active bleed, it shouldn't make any...