imintrouble BSN, RN

LTC Rehab Med/Surg

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All Content by imintrouble

  1. imintrouble

    sneaking meds in food

    COPD pt who can barely breathe and talk at the same time. That's their baseline. Pt refuses the routine Ativan......I don't even remember the reason. Without the Ativan they eventually progress into...
  2. imintrouble

    Do you find this article insulting?

    "Gait training" for a pt who hasn't been out of bed or spoken for more than a year. A real life pt that I took care of. I'm not sure which disgusts me more. The MD who ordered it. Or the physical...
  3. imintrouble

    EHRs stink!

    Thanks for being positive. The med errors occur because the system still has lots of bugs. Orders get dropped for no reason. Times are changed on the Mar............who knows? BID gets to the...
  4. imintrouble

    You Can't Be a Nurse Without Love

    I considered your interpretation. "You can't be a nurse without love" kind of made me dismiss
  5. imintrouble

    You Can't Be a Nurse Without Love

    :)Hogwash!! I don't love any of my patients and I think I'm a fine nurse. I like some of them. I respect some of them. There are even a few I wouldn't mind having lunch with. But love? Nope. Not...
  6. imintrouble

    Documentation is your friend.

    I'm not as good at documentation as I should be. The only thing I absolutely chart in depth is the conversations I have with Drs. What we discussed, when we discussed it, who was a witness, and what...
  7. I'm a night shift nurse. "I didn't recognize you with the light
  8. Whenever there is a lapse in procedure, there is the potential for disaster. Policies are created to ensure the safety of the pt. I'm not advocating mindless adherance to policy, when there is an...
  9. :yeah:
  10. If a nurse, or anybody really, believes that their working conditions are unsafe, they have three options. 1) Report and risk losing that job. 2) Continue to work in an unsafe environment. 3) Come...
  11. imintrouble

    What has been your worst nightmare about work?

    Worst nightmare? Killing someone. Can't get much scarier than
  12. imintrouble

    Be a nurse or not?! HELP ME PLEASE!

    On any given day I am a cook, a waitress, a mechanic, a counselor, a mediator, a housekeeper, and yes, a janitor. I am not demeaned by any of those jobs. I guess it's just the way you look at
  13. I thought our hospital was the only one who admitted pts so the care giving family could go on
  14. We only see a few days/weeks of family relationships that can span 50, 60, 70 yrs. We don't see what went on in ANY family during those 50 - 70 yrs. Because we don't know what kind of relationship...
  15. imintrouble

    This radio ad ENRAGED me

    Medicine has become a customer driven industry. The ad doesn't surprise me. I guess I'm so used to saying and doing anything to keep the customer happy that the above no longer outrages me. I find...
  16. imintrouble

    Number of patients you care for?

    Med/surg. Depends on what the acuity and little calculator tells the supervisor. Lots of wiggle room with staffing, when someone who doesn't know anything about the pts on the floor, decide how much...
  17. I'm a night shifter and that 45 min to 1 hr nap would only make me feel more sleepy. I'd go with the stay awake/coffee
  18. imintrouble

    Obvious violation of hippa

    It wasn't a lab result as posted? Maybe just a seriously sick
  19. imintrouble

    Obvious violation of hippa

    Why would a dentist have an HIV lab
  20. imintrouble

    How do you pick your vein for an IV?

    If the choice is not obvious, I sometimes ask the pt where I'd have the best
  21. imintrouble

    Has anyone done this?

    I'd like to know that doctor. Simple things. Who'd have
  22. imintrouble

    Perception is reality (Long)

    If perception is reality, and I think it is, then the reality is we promote the idea that NOTHING is more important than the needs and wants of the pt. They only have to ask and it will be done. And...
  23. imintrouble

    Your Most AWKWARD Nursing Moment

    You'd think I'd learn, but I've done the following over and over. "Is this your mother?" "No, I'm his wife." I don't know what make me feel worse, the look of anger or the look of hurt on the woman's...
  24. imintrouble

    need some advice purty please

    Ditto to what everybody else has posted. Just because you didn't do anything wrong, doesn't mean you can't be
  25. imintrouble

    I just can't do anything right.....

    You won't always be the new nurse. Just an observation: What you wrote about the nurse giving you trouble as being one of the best you've ever worked around. It speaks volumes about who you are as...