All Content by DedHedRN
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Using Your Nursing Credentials to Validate Anti-Vaxxer Theories
Just trying to be a voice of reason. If you guys want to read more into my post then I’m actually saying or put words in my mouth I can’t stop you. But that’s OK I’m just gonna sit back and watch what happens. I’ll get the vaccine in eight years if it doesn’t cause the illnesses that I think it’s causing already. Well I better get out of this nursing forum before half the nurses here pick up their torches and pitchforks and try to remove my license. Don’t forget though, someone did try to warn you. And maybe in a couple years I’ll come back and tell you that I told you so right here on this very post. Good Luck with your vaccines! I really truly do hope that they are not doing what I think they’re doing.
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Using Your Nursing Credentials to Validate Anti-Vaxxer Theories
To lump every single nurse that raises legitimate concerns about a vaccine into a anti-VAXer category is alarming. I took Microbiology. I was a lucky one and my teacher was fresh out of biological weapons manufacturing. She was a really good teacher and only seven people at a 40 past her class. I was one of the ones who busted their *** to understand Microbiology at a level the only biological weapons engineer could teach. The concerns are real. Experts in the field, Some of the very best experts in the nation are now being portrayed as crazy anti-VAXers. People who spend their entire lives developing vaccines. I understand but the pressure is coming down hard from the president the media, the vaccine companies, those in power. But when have we ever let politicians and presidents tell us what to do in our private patient caregiver relationships? When has forcing medical treatment on someone been acceptable? And when has being cautious about a new untested (barely) treatment been grounds for removal for your license. Last time I checked this vaccine hasn’t even been out for a year. And from last I heard the reason it wasn’t released before now was because it has not been able to be proven to be as safe as it needed to be. But now I guess the loss of thousands of peoples lives that were perfectly healthy is OK with everyone now. Taking away peoples livelihoods is apparently cool now. Nurses who don’t seem to care whose lives they destroy in the meantime. I thought we were supposed to have compassion. Understanding. Open to discussion of scientific ideas. I’m glad to be a nurse with a brain who thinks about things and researches things and listens to people who have opposing ideas. After talking to 7000 people this year about their health, and many of them having an adverse reactions to the vaccines, I’m not getting one. And if any of you care to know why, I don’t mind having an in-depth discussion with you. I’m really amazed at how quickly people have just thrown caution to the wind. So if this vaccine has devastating affects three years from now five years from now 10 years from now, I hope everybody learns a little something about running full speed head first into the unknown. Not a concern in your minds. I hope this isn’t antibody mediated viral enhancement like some vaccine experts are thinking. But that’s OK, you all can shut them down like their big Dumbo’s. I mean I’m sure the politicians and the CEOs of the hospitals the paper- pencil pushers at the CDC and FDA know more than experts.
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Nurses Who Harm Patients
Omg. Way to sow suspicion amongst coworkers. I wouldn't put being a serial killer in the top 100 reasons people get fired. What a way to cast a even more negative light on any nurse who has ever been fired. Now he/she needs to worry about fellow nurses thinking they are also serial killers too?
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Nursing and the Ebola Virus
Texas Ebola patient's friend has been told he can return to work as nursing assistant | Daily Mail Online What do you think of this? Texas CNA family is quarantined, but he is allowed to come and go, to work, as a CNA. While he lives with family, and they appear sick.
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October 2014 Caption Contest: Win $100!
No, I doubt you'll catch his Ebola.
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July 2014 Caption Contest: Win $100!
"I told her I'd watch her patients while she went on a ten min break"
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Holiday Pay-- Anyone else heard of this??
Quit.
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How important is your 'look' as a nurse
When in doubt I tend to gravitate towards the "I'm crazy enough to show the #$%& up every day and keep a smile on my face look". What does that look like you ask? To be honest......a bit like an escaped maximum security psychiatric pt.
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Things you tell newbies
There are days that will make you cry. You will cry on the way home from work. After a while you might even cry on your way to work. Just keep on trucking and eventually it will all weave together to form something sensible. Usually after a year or so.
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Nurses Notes: Guidelines On What Not To Chart
I work with a nurse that likes to write things such as, "Pt says that Nelly RN told her last night to take 15mg of morphine, and this SN informed them that it's actually for 5mg". "They complained that Nelly RN was rude, and they were not happy with the care from that nurse." I have been the recipient of this kind of charting. It infuriates me because, for one, I may have never told them to take that much morphine and have no idea why they are associating my name with saying that, and for two, there may be a lot more around the situation, maybe they are mad that they wanted ativan and the doctor couldn't prescribe it, it doesn't mean that I was rude. So I would add to that list, Don't chart issues you didn't witness!
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OTC medication one bottle-multiple participants
Stupid law. Really stupid. Sometimes I just want to beat my head against the wall and scream at the stupidness of things.
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Non-acute nursing jobs. Suggestions?
If you have a BSN non-acute nursing jobs that are not any of the jobs you mention above will be easier to get. If you have a ASN you might need to be willing to live in timbucktoo.
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Post interview
She was not hitting on you.
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Got a job...then quit the job.....
The hospitals are shrinking and pretty soon there will be more SNF, RCFE, and elderly home patients then ever due to our aging baby boomer generation, with this mass coming of elderly population where did you think most of the job openings would be? I think that most new grads will never see the inside of a hospital and work with the elderly populations in one form or another. Its unfortunate that the bulk of the RN program trains nurses to be bedside hospital nurses, its a bit misleading.
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Quit with the rudeness
I personally get a little rude at times, I think its from the constant stress that I have from day to day. I am expected to leave every single pt no matter how mentally unstable feeling like they just stepped into Disneyland. It usually means a lot of bending over backwards to do things way above the call of nursing to make them happy. I have to make people happy when they are at their lowest and most miserable points in their life and even when I try my hardest to make them happy, they often are unhappy and find something to complain about or twist into something it is not. I think I am feeling stress from this constant expectation of perfection and standards that mother Theresa herself would be hard put upon to deliver. Then to add onto it, management that berates and belittles you for everything and never once takes your side no matter how loony toony the complainer is. Low pay, no appreciation. Staff jumping ship like the boat is on fire. And self esteem that sinks lower and lower every time your boss calls you. I have found myself being snappy lately. And honestly, I don't care. I kinda wish they would fire me so I didn't have to go to work anymore and collect unemployment. That being said, I am looking for a new job, and daily wish that I could get out of nursing altogether.
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Urinary cath rant!
These nurses are charting that there is no urine when they insert Foley and leave the home, telling family to call night shift if there is no urine. I get called in later because no urine ever goes into the cath bag. Every single time its because its not placed properly. I have redone probably 25 catheters in the past six months. Every time its because they did not place properly, and when I come redo it, I am always able to get urine output. I wouldn't leave a catheter in a pt if I cant get urine output, but that has not happened yet.
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Urinary cath rant!
Wow, thanks for opening my eyes to how bad this really is. I felt like the situation was pretty bad, but since this is my first job where so many of the RNs do not know how to insert catheters properly, I had no idea that this was not common everywhere. I think it probably comes down to hiring new grads to work in hospice care. They are off on their own case managing, and even in management, without skills far to often. I have run into catheters placed incorrectly three times this week! I will talk to management about it.
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Urinary cath rant!
I feel like ranting a little bit here. I am appalled at the amount of times I come on after a nurse who put in a urinary catheter and I have to do it over. Let me go over the main reasons this happens. 1. They didn't see urine when putting it in. Duh, if there is no urine, its probably not in the right spot. I cannot tell you how many catheters are in the lady parts or sitting somewhere along the urethra track after no urine output. Uh, yes actually I can tell you, how about every time? 99% of pts not in renal failure will have at least 30 mls, enough you can see it in the tubing. 2. Frank blood when inserting. I hate this one the most. If a pt is bleeding frank blood when you put in a catheter, and they never had frank blood in urine before, its probably because you inflated it in his urethra! Deflate that sucker and advance it a little! Better yet, inflate the balloon slowly and watch their face and ask about pain, it it is painful while you inflate the balloon, its probably in the wrong spot, so don't inflate when in pain, and advance it a little, some men have a very long urethra. Please visualize the urethra when putting a catheter into a female, I believe this may be the number one reason people are putting them into the lady parts. Also, if you want control of it, hold it very close to the tip, then you can guide it into the urethra much easier. Also make sure you see some urine for Christs sake! If its not there, then something is not right! Seriously, this is such a easy thing to do, its not that hard for me to come along and do it again, but dang it, think of the pts, those poor poor pts who end up with a catheter stuck in their lady partss for half a day wondering why they are soaking wet! Or the poor guys who now have a 10ml plug in their urethra's! Get it right the first time please!
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My Poor Legs!
I skip the nursing shoes altogether, they hurt my feet something awful. I go to several sports shoe stores, try on every shoe in the store, then buy the pair that is the most comfortable. Last time it was the Nike air. Nike Store. Air Max I feel like I'm walking on marshmallows all day. No pain in the feet or legs at all anymore. This is just what worked for me, might be something else works for you.
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Use of chux cloths to replace facewashers
They might do away with draw sheets, but you can always fold up a flat sheet and make your own draw-sheet, which I recommend that you do if you want to save your back. You can work around anything if you think smarter. No face wipes? Offer them tub of warm water with a washcloth and a dab of soap. I am sure you can think of more ideas if you put your mind to it.
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BG- 74, would you give or held insulin?
I think I smell a student. No, I would not give insulin to a person with a BG of 74, when the order says to give when BG over 140.
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How to deal with negative nurses.
I also found myself doing this. What made me change my ways was a super compassionate nurse who had been working for 20+ years. I would give her report with my usual negative quips, and she would chime in every time with a very compassionate statement about what may be going on with the pt. It made me see what I was doing and strive to be more like her.
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medical director
According to medi-cal regulations even a osteopathic trained person can be a medical director, so I think it would really depend on who you have for a director.
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February 2014 Caption Contest: Win $100!
"Pick me up! Make my bed! Get me some coffee! Don't make me lodge a complaint about you!"
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Most common (+ overlooked) reasons for abnormal vitals?
Lets see, most common reasons for abnormal vitals that I have seen in LTC, could probably apply anywhere. 1. BP taken after pt upset over something 2. BP cuff upside down, to tight, wrong size. 3. BP after pt gets toe ran over by wheelchair, skin tear ect. 4. Pt just drank hot drink/cold drink 5. Pt talking so much they forget to breath 6. Pt holding breath 7. Pt late on getting BP med 8. Pt late on getting cardiac med 9. Pt refused meds completely. 10. Pt spit out meds. I take em twice if they are abnormal and look at the pt, then ask them how they feel, and look for above reasons to see if any apply.