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SweetLikeSugar's Latest Activity

  1. SweetLikeSugar

    Anyone ever have a famous person as a patient?

    I once took care of a local sports personality. He was really needy. REALLY needy!! He didn't bring an entourage with him, but his attorney was with him the entire time. He told everyone that he was the patient's attorney EVERY SINGLE TIME someone entered the room. Really annoying.
  2. SweetLikeSugar

    3 Hots and a Cot to boot.

    I just posted a link to this story on my facebook page yesterday. I feel so sorry for him. It's really a shame that our country's healthcare system is such a freaking mess that this has to happen.
  3. SweetLikeSugar

    If a MD says "Don't Call Back"- do you write that as an order?

    I had a surgeon tell me that once. I was calling about his fresh post-op patient regarding uncontrollable nausea/vomiting and he was so mad that he was called in the middle of the night that he refused to give any orders and told me not to call him again and to let all the other nurses know not to call him about n/v for this patient. The easiest way to let everyone know is to write an order so it shows up on everyone's nurse order sheet. So I wrote it as an order. I heard he had a temper tantrum the next morning when he came in and saw it, but I never heard about it from management. I ended up having to call the house physician to get something ordered.
  4. SweetLikeSugar

    Sunrise Senior Living

    The 2 times my grandfather stayed there he ended up in the ER. Once after a fall down the steps and he suffered a head laceration from that. The second time, he fell backwards into the bathtub and my mother found him. We have no idea how long he was laying there like that. Hmm, maybe the nursing staff was too busy waiting tables to perform nursing care....
  5. SweetLikeSugar

    Drug Legalization

    So you feel that heroin, crack and crystal meth should be legalized?? Seriously???
  6. SweetLikeSugar

    New graduate job offer in a surgical floor.

    I worked as a graduate nurse on a med-surg floor until I passed my boards. I worked with another RN during my orientation and then I was on my own for a couple months until I became an RN. I guess some states don't allow this...I don't know. I have been working on a surgical floor for 5 years now and I love it! You'll learn so much more than you would on a regular medical floor. We do a lot of dressing changes, monitoring output and drainage, TONS of teaching, lots of experience with foley cath's and NG tubes, PEG tubes, chest tubes, IV insertion. Some of our patient's are on heart monitors. The best part is that the patient's don't stay too long and you can see their improvement and healing process within a matter of days. There are a lot of admissions and discharges, so you'll learn time management skills pretty quickly. I think the particular unit I work on would be great for a new grad and I'm sorry I didn't start out there when I graduated. Someone mentioned the surgeon's being miserable individuals and while some of them can be a pain in the a** to deal with, our surgeons aren't that bad and generally know and trust the staff on our floor. Many of our surgeons have been known to call our floor while they're still in the OR and request a bed on our unit because they don't want their patient to go to another unit. It's nice to have that level of trust! Congratulations on your new job!
  7. SweetLikeSugar

    Difficult Doctors...Vent

    We have a urologist that hates to be called after 10pm. I had to call him a few months ago for one of his surgical patients. I made the mistake of calling at 10:15pm. He yelled at me for calling that late saying that "this is something that could have been addressed hours ago." Well, yeah....if the problem had presented itself hours ago!! He then came in the next morning and came up to me and said "some of you nurses just don't understand how hard we work. We get up at 6am and see patients and do procedures all day and it's very hard to be called that late at night." I smiled and nodded and told him that I was also very tired after my 7p-7a shift and unfortunately patient care isn't a 9-5 job. He replied that he didn't want to talk about it anymore.
  8. SweetLikeSugar

    Doing a favor vs. being an RN

    I have a neighbor that asked me to do a dressing change for her after her spinal fusion a few years ago and honestly, it never occured to me to tell her no. But, it was just a 1 time thing.....she called and told me that her husband was out of town, she had a fever of about 102 and just generally felt like crap. I took over some gloves and 4x4's from a camping first-aid kit and removed her dressing. When I saw that there was a ton of purulent drainage from the wound, I just covered it with the dry dressing and told her son to take her to the ER. Turns out she had a staph infection and required about 3 months of IV antibiotics from a home care RN. She was so grateful, I can't even imagine telling her that wasn't in my scope of practice. Maybe I'm too naive or too trusting, but I really just saw this as doing a favor for a friend. And I would do it again. Now when I lived in my apartment, one of my neighbors found out I was a nurse and kept knocking on my door or stopping me in the parking lot asking me questions or for medical advice.. I repeatedly told her to consult her own MD.
  9. SweetLikeSugar

    Things that patients say that make me smile!

    We had a 92 year old man on our unit about a year ago. He was so cute but soooooo confused. He kept calling the nurses into his room and telling us that we had to call his mom because she had no idea where he was and she was probably worried sick about him! We all commented that he must have been a really good boy when he was young to be so concerned with his mother's worries. :redbeathe
  10. SweetLikeSugar

    On the frontlines

    My parents put my grandfather in respite care at one of the many many LTC places in our community so they could go on a vacation for a few days. My grandfather was about 89 years old with dementia. When he had stayed there before, he was always placed in the locked alzheimers unit. This particular time, there was no bed available in the locked unit. The director assured my mom that the nurses didn't have high patient loads and that the CNA's would have no problem checking on him every 15 minutes throughout the night. My mom fell for it hook, line and sinker. I told her repeatedly that that most likely wouldn't happen, that they just wanted to fill a bed and get the $$$. But she assured me that the director "promised her. And she seems really nice." My parents left for their vacation the next morning and after about 2 hours on the road, they got a call from the director herself that my grandfather was found at about 6am at the bottom of the stairs covered in blood and was being sent to the hospital for a head CT. They had no idea how it happened. When the director was asked by my parents about the q15 minute checks, she had absolutely no answer. She did however continue to call my parents every week for about a month checking on my grandfather's condition.
  11. SweetLikeSugar

    Call light response time policy and procedure

    at the hospital I work at, we are timed on how quickly we answer the call lights. A timer was installed at the nurses station and as soon as the patient hits the call button, the timer starts. The timer doesn't stop until we physically go into the patient's room and climb behind their bed and press a button to cancel the call light. Pie charts are displayed in our break room letting us know the results of our timeliness. :icon_roll
  12. SweetLikeSugar

    A cold-hearted manager

    On the last unit I worked on, one of the nurses came up to our floor after her aunt passed away on the oncology unit downstairs. She informed our nurse manager that she would need 2 bereavement days for that week and our manager's response was "Oh s**t, you've got to be kidding me" She did later apologize to the nurse for saying that, but come on....use your brain before you open your mouth.
  13. SweetLikeSugar

    Pick and choose policy

    This is an issue on the floor I work on. Usually it's regarding overtime pay. Our NM will pitch a fit if a stand-by RN who works 8 hours a week is there 15 minutes past the end of her shift. Doesn't matter if she had 2 rapid responses and 3 admissions during her 8 hour shift and is catching up on her charting. She's cutting into the budget!!! But there are several full time nurses who "milk the clock" and purposely put off doing their charting until after they've passed off report to the oncoming RN and that's no problem. One of these nurses recently told me she had almost 15 hours of overtime on one of her recent paychecks. On my unit, it just depends on who the manager is friends with outside of work.
  14. SweetLikeSugar

    Favorite "Lay Terms" for diagnoses.

    When I was a fairly new RN, I had a direct admission come in from her GI doc's office. Direct admission = no H&P, no orders, nothing. The patient states her doctor told her she would be "PON for her ursupp the next day." WTH?? I literally started sweating because I had no idea what she was talking about. It took me a minute or two to figure out that she was to be "NPO for an ERCP." She had a relative that had recently had a CABG and heard the nurses pronouncing it "cabbage" and she thought that all abbreviations were just pronounced phonetically.
  15. SweetLikeSugar

    All Scripts

    We have had handheld devices for passing meds at my hospital for years now and I haven't heard of any stories of anyone stealing them. They're just kept out at the nurses station on the charging docks. They get dropped occasionally, but they're pretty sturdy. A lot of us were against getting them at first, but now I really like them! We also have computers in every room and about 12 computers at the nurses station and 4 computers in the hallways. I don't have any information about All Scripts....sorry!
  16. SweetLikeSugar

    Unsure of my dad's doctor...

    I'm going to start out by saying that I'm not asking for medical advice, I just need some opinions here. My parents have been seeing the same PCP for about 15-20 years now and they really like him but I am starting to wonder if this doctor is kind of blowing off something that could be more serious. My dad recently had an x-ray for lower back pain and the radiologist saw an "abnormal widening of his aorta." That was then followed up with a sonogram and his PCP called him back and said that the radiologist was wrong and that there is "nothing to worry about." He did confirm that there is a widening of his aorta but it doesn't require a follow-up of any type. My dad is beyond giddy with this result as he hates to go to doctors. About 5 years ago, my dad had some episodes of angina over a few weeks and saw his PCP for it. He requested a consult to a cardiologist but his PCP refused to refer him to one. My dad then asked him if he could have a stress test done and still the doctor refused. My parents ended up finding a cardiologist anyway and he sent my dad for a stress test and a few other tests which showed that my dad had had a prior MI. I suggested that they run, not walk, away from this PCP. And with this latest episode, I'm extremely frustrated with this PCP. My parents are very reluctant to leave him because "he'll just call in whatever prescription we want without even seeing us in the office...it's so convenient!" I don't know if I'm overreacting because it's my dad, but it's MY DAD!! I'm not quite sure what I'm trying to get at with this post, I just needed to vent my frustrations to some other nurses!! Thanks for listening!

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