dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. How to learn to start IVs?

    dudette10 replied to Momma1RN's topic in General Nursing

    You're only going to learn through practice, and you don't have an opportunity now, so don't worry about it. If you move to a facility that doesn't have an IV team, you'll learn. It's that simple. So...

  2. Feedback desired orienting new nurse

    dudette10 replied to Rnwithwings68's topic in General Nursing

    I don't think your expectations are too soon. She will, however, require a sit-down outside of patient care duties. I hope you can arrange that. Not necessarily a tough-love sit-down, but yet a...

  3. What is your dream unit?

    dudette10 replied to guest769224's topic in General Nursing

    I so desperately want to move to PACU. I am becoming less genuine with my patient interactions on the floors. It saddens me, and it is emotionally wearing me out. I never want to have to plaster a...

  4. Are care plans valuable?

    dudette10 replied to Nurse Beth's topic in General Nursing

    Good notes will be read more often than just CYA notes. Just as we as nurses know the interns, they know us. If you consistently write good notes--i.e. Informative ones to providers and other HCWs--...

  5. Are care plans valuable?

    dudette10 replied to Nurse Beth's topic in General Nursing

    Many of the docs will include in their notes exactly what was said in the nursing notes, or they will say, "yeah, I saw that in your note." At least they do with mine. Some nursing notes are all CYA...

  6. Are care plans valuable?

    dudette10 replied to Nurse Beth's topic in General Nursing

    Was this an incident in acute care or sub-acute or

  7. Are care plans valuable?

    dudette10 replied to Nurse Beth's topic in General Nursing

    I am still struggling with double-charting because of what people actually look at. They look at the notes, not the flowsheets. Also, it seems that surveyors want to see care plan documentation in the...

  8. Need 30 CEU's now

    dudette10 replied to Guest296136's topic in General Nursing

    On what sites did you do your CEUs? Some of them keep an online record. How frustrating for you! Good luck! Im a member of ANA and ACCN. The memberships are pricey, but you can get all the CEUs you...

  9. Are care plans valuable?

    dudette10 replied to Nurse Beth's topic in General Nursing

    You must work with Epic, from your description. There is a dysphasia care plan and an impaired physical mobility care plan. We don't get orders like that in my hospital...that's a nursing assessment...

  10. Are care plans valuable?

    dudette10 replied to Nurse Beth's topic in General Nursing

    In acute care, they are just another documentation requirement, which takes us away from actual patient care. In LTC--from what LTC nurses have said--they are the bread and butter of nursing care. In...

  11. Where to get these certifications?

    dudette10 replied to nursebabyxoxo's topic in Holistic

    If you just started your first job on a med-surg floor, I suggest that you get acute care nursing down pat prior to seeking cents in the "extras." There are many opportunities to do health promotion...

  12. Off duty RN scope of practice on an airplane.

    dudette10 replied to creativekari's topic in General Nursing

    Some docs don't either. We had a GI doc who just became a partner in a free-standing GI clinic get his ACLS cert for the first time as I was getting my renewal. He was, however, pretty good during the...

  13. Off duty RN scope of practice on an airplane.

    dudette10 replied to creativekari's topic in General Nursing

    The ACLS card should be good enough. ACLS requires the BLS for Healthcare Providers as a prerequisite, so, in a way, your ACLS card proves you are an RN, EMT, medic, or

  14. Elephant in the China Shop

    dudette10 replied to hcworker's topic in General Nursing

    Doesnt it sound more like that guy from Great Britain who works at a boarding school, and whose charges just came back from a debauchery filled trip to France or

  15. Practice questions!

    dudette10 posted a topic in General Students

    I mentioned in a previous thread that I'm in an MSN-ed program, and I had to do a group project in which my partner and I created 10 test items, tested them with 20 people (half of which were nursing...

  16. Unprepared interviewer

    dudette10 replied to armygirlabn's topic in Nursing Professionalism

    Were these nurses currently working the floor and pulled off for the "peer"

  17. Practice NCLEX question

    dudette10 replied to guest769224's topic in General Students

    I see rationales like this all the time in my studies, and they are aggravating. A full rationale would be why the correct answer was right, and why the other choices were wrong. The rationale assumes...

  18. Endorsing to the next shift.

    dudette10 replied to dudette10's topic in Nursing Professionalism

    I think she's inefficient and missed/forgot the orders, not that she has a lousy work ethic or lacks integrity, but missing the orders is even more worrisome, ya know? I went to speak with her...

  19. Endorsing to the next shift.

    dudette10 replied to dudette10's topic in Nursing Professionalism

    "Endorse" is the word I've always heard used at both facilities I've worked in when tasks need to be handed off. Your verbiage may be different. So you're saying that in your area, whatever doesn't...

  20. Why do hospitals continue use the incentive spirometer?

    dudette10 replied to felixis12's topic in General Nursing

    You are my nursing soul sister. I love the patient teaching aspect of our job, and I jokingly refer to myself as "Nurse Nag" with patients re: deep breathing/IS, ambulation/mobility (when medically...

  21. Entry level for new NEs

    dudette10 posted a topic in Nursing Educators, Faculty

    I'm a bit confused about how schools determine the level at which a person enters as a new NE. I know the levels are instructor, assistant professor, associate professor, and professor. I hope to...

  22. Why do hospitals continue use the incentive spirometer?

    dudette10 replied to felixis12's topic in General Nursing

    This made me laugh...and it made me sad. Teaching how to use it and encouraging (i.e. nagging...I'm good at that with the IS) at each round is important.

  23. Why do hospitals continue use the incentive spirometer?

    dudette10 replied to felixis12's topic in General Nursing

    A single RCT with a small sample size in a single patient population in a third world country should not drive changes in practice. Only literature reviews and meta-analyses should, preferably...

  24. Why do hospitals continue use the incentive spirometer?

    dudette10 replied to felixis12's topic in General Nursing

    Huh...? I would actually like to learn more about this study--and a link would be helpful--but to say the question is silly and the OP is trolling is just

  25. Second guessing myself....

    dudette10 replied to RED1984's topic in Patient, Colleague Relations

    I so hate this interpretation of the rule. The inhalers and creams that were given in the hospital and are on the discharge med rec have been lawfully dispensed and labeled by a pharmacist. How in the...