moia

moia

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All Content by moia

  1. 5 worse things a patient can do ...

    Being a pig...spitting,swearing,peeing on the floor when they have absolutely no excuse for it I once asked a guy(back when I still cared) why had he peed on the floor ...he said he was on the...
  2. Advance Directives Ignored

    It has become the practice here where I work that a DNR with comfort measures is only valid for the hospitalization when the order was made. That is why it is so important to have a legally binding...
  3. Difficult patients and families

    I have used the do the task then give permission for family to do it themselves thing. It only works once...make sure you choose the right thing. If they fluff the pillow they firmly believe they are...
  4. that was absolutely the best thing to do...sometimes just acknowledging the patients pain can be enough. As a patient I know that once someone acknowledges your pain it becomes easier to cope with...
  5. Friend DNRed from nursing home by CNA.

    We had a really really ..REALLY good agency nurse who worked in the ICU...she worked a lot and was always excellent She had a really tough patient who was very ill with a seemingly neverending list of...
  6. refusal of an additional admission- overwhelmed

    I don't think there is a "law" that says exactly how many patients a nurse can care for . I believe the standard is what would a prudent nurse do? Meaning if you put 50 nurses in a room 45 of them...
  7. Grounds for Formal Complaint about MD??

    I am all for reporting her...but what is the charge? Cancelling appointments because she is a scatterbrain? Or "railroading" an adult into a procedure he didn't want or need? I would have to know when...
  8. called BON today looks good

    A twelve year old conviction that does not involve nursing really can't be held against you... I would do something first before you write the exam...ask the BON for that opinion in WRITING and make...
  9. What NOT/Never to talk about at work...

    I guess it was me that said politics,religion and sex shouldn't be discussed in polite company. The problem is the majority of any group can maturely and seriously discuss any topic but there is...
  10. Are u extremely organized and meticulous?

    For me it is the ICU thing that makes anal...I hate hate hate hate a messy bedside...I clean for the first 10 minutes...then I hate hate hate a messy patient..bath time with hair wash and all ALLLLLLL...
  11. Are u extremely organized and meticulous?

    I can be terrifyingly organized at work....I don't mean organized I mean completely anal..everything in it's place and I have that strange ability to change focus on a dime...it freaks people out...
  12. Hairy Situation

    As a CV nurse too I can emphathize with looking after someone we know...very tricky but can be done if planned for. With the EF of 15% I just can't believe he is not having symptoms...I think the...
  13. Legal Issue

    I am always using the patient as my table..in fact I tell them that up front. What other choice is there? Thier unfinished meal is on the bedside table along with their books,glasses and water jug....
  14. ER last night made me mad!

    lets go easy here... I am sure this person will discover quite quickly that the patients couldn't care less about the philosophical gibberings...they want their drugs,docs,bathroom...this person will...
  15. Religion's Place in Nursing

    I thought the question was religion and nursing....seems we have wandered off into the forest here. The ONLY religion that matters in nursing is the belief of the patient...our beliefs should NEVER be...
  16. Good or Evil?

    Why would any nurse bother? The question is ridiculous because the premise is dumb. If you had an annoying patient you didn't like wouldn't any sensible nurse make sure this patient got ALL the...
  17. harrassed at work..need sound advice

    This is how some very creepy managers work...they start complaining about another person and wait for your reaction...if you make the fatal mistake of joining in with backstabbing just once the...
  18. ...I agree that systems need to be in place but it has become ridiculous the extent to which those in the medical profession will go to blame anything and anyone for their error. If we took these...
  19. The belief that administering vincristine intrathecally is an error we should all feel sympathy for is for me a crock. You are absolutely right I wasn't there because if I had been I would have...
  20. Mamma's Boys (vent)

    Because I work with cardiac patients we see alot of this..also because we are increasingly multicultural we have patients that are culturally dependant and speak absolutely no english. I have had...
  21. I have seen both..the nurse that is exhausted and really just wants to get the all the work done and doesn't have any time to stop and talk...I have seen the chatty cathy's that infantilize their...
  22. But it's not there but for the grace of God........it was an idiots mistake....we all have had moments when we couldn't reminder a drug...we ask someone or look it up or look at the MAR...I have never...
  23. strangely....I have absolutely no sympathy for anyone who makes the vincristine error because it was an issue on just about every evening "news" program in the US and Canada about five years ago....
  24. How do you approach doctors?

    Before you approach anyone...doc,family other nurses stop for a moment and think out what exactly is your goal in approaching these people. Be prepared...write down patients name and condition and...
  25. I wish I'd have known....B4 nursing school

    I wish I had known that I would be really good at nursing, I would have really let a few clinical instructors have it. I wish I had known how really sad you can feel when you get to the end of...