OldnurseRN

OldnurseRN

ED, Med-Surg, Psych, Oncology, Hospice

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All Content by OldnurseRN

  1. Would you ever own a motorcycle? YES or NO?

    I own a BIG motorcycle. I have been riding for 40 years and when I'm too old to hold it up I'll convert it to a 3-wheeler! My husband I ride together and I also have a girlfriend that I take bike...
  2. IV forms of Zofran and Decadron given PO???

    We give IV Decadron PO in the ED. Have not done Zofran but would have no
  3. need tips for easier NG placement

    Sometimes placing a nasal trumpet first then passing the tube through that will work
  4. IV piggyback

    We get our antibiotics ordered IV. The only time a distinction is used on an IV product is to write IVP for some medications. Otherwise we use our nursing judgement ....primary line present? It's a...
  5. Automated Email after and Interview and Shadow?

    Exactly ...part of the same system. But, though we are part of the same system our pay is substantially lower, our staffing is much lower and we are frequently so low on patients that we are given low...
  6. Automated Email after and Interview and Shadow?

    I apply for every open job at the "parent" facilty of our small critical access hospital. Before my application and resume has time to even be reviewed I've received an email telling me I'm not in...
  7. Queezy...help!!!

    I work ED, too. I hate wounds, too. I stand by the patient and focus on them instead of what the doctor is doing. I've already prepared the suture tray etc. and they don't need me at their side...
  8. Name a situation that is not your responsibilty...

    " I won't go or allow any aides to pick up residents from the hospital. I've had a dew run INS with the er staff over this before. " You send them to my ED with 'pain' (analgesics on MAR but not...
  9. i hope i know when to hang up my stethoscope,

    We all have bad days and situations that drive us nuts. I think the thing to remember is that when we vent (and we ALL do) we should limit our vent to those situations and not to the people. We only...
  10. What do we talk about when we talk about dying?

    I make rounds with the doctor and before he has a chance to leave the room I ask the patient and the family if they understand that the doctor has told them ..... and I para-phrase back what he/she...
  11. Patient doesn't know he's terminal

    It's been years since I worked for hospice but, the main tenet of the program back then was that the patient had to be aware of their prognosis and terminal status. Hospice was a fairly new program in...
  12. I am sorry to hear of the passing of your friend. My sincere sympathies. As to those criticizing your "warning" as being harsh ... it's semantics, folks. Give her a
  13. I feel so DUMB!!

    Without a specific order to turn off the dilaudid I would not have turned it off, either. We have policies in place called "TO/RB" that translates telephone order READ BACK. Sounds like that is what...
  14. First time you put your stamp on the world as "RN"

    Like the OP I was hired for an oncology position upon graduation and we signed GN. The hospital had RN after our name on our badge already and it was taped over and inked in with the GN. My nursing...
  15. Plane Tree Model

    I can only speak for the Panetree facility I worked at. One LPN (there were 4 total) who was an excellent NURSE with a perfect 17 year attendance, asked when she could expect an opportunity to go to...
  16. Well I DID come in to nursing at close to that but how many years ago and what was the cost of living? That was "good money" then and 10 years later WAS making over $17.00. In todays economy, however,...
  17. Plane Tree Model

    Having worked at a Planetree facility in the past I wouldn't do it again. I give great "service" to me my patients without a philosophy directing me how! I take exception with the power given to...
  18. Patient doesn't know he's terminal

    If it were me I would hope my family never loves me that much that they would withhold my prognosis from me. Perhaps I will have things I want to clear up, finish, or "make right". Maybe I will have...
  19. IV Therapy Certification/Training

    I actually meant to say it's a huge asset to have IV cerified
  20. "Do most people here still Draw up insulin in an actual syringe?" I assume this post refers to insulin pens.. Personally, if someone comes in with their own insulin pen I still draw the dose out with...
  21. ED night staffing

    Are you dedicated to the ED only? We are a small rural hospital and we are responsible for the ED and the floor patients. If inpatient census allows we have 3 nurses for the entire hospital. Possibly...
  22. IV Therapy Certification/Training

    Our state allows LPNs who have taken the IV course to start IVs. The only requirement is they must have at least 2080 hours working as an LPN. They are not allowed to hang the first antibiotic, give...
  23. End stage COPD

    One new thought is to give the oxygen they need to provide them comfort. As a former respiratory therapist we were taught 'normal' people breathe to get rid of CO2. COPD patients breathe to get O2....
  24. Comfort Care -- End of Life

    After years of hospice (inpt and home care) plus oncology, I must say it IS about staying ahead of the pain. Maybe your patient IS comfortable at that 2 hour check but then it escalates. Keeping ahead...
  25. My Mom just passed.....

    I am so sorry. Your sorrow wiil fade. You will be in my prayers