dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. In the old days, 10 patients on med/surg?

    dudette10 posted a topic in Medical-Surgical

    You gotta explain something to me about the ways things used to be. I see posts all the time about having an astronomical number of patients to care for "way back when." What was different then than...

  2. It's not my job to pray with you.

    dudette10 replied to kickatthedark's topic in Spirituality, Religion

    How would you respond to a Buddhist who wants you to chant or a Jewish or Muslim person who wants you to pray with them? (Although, I have to say, only Christians have ever asked me to pray with...

  3. What I learned this week (7/4/15)....

    dudette10 replied to ixchel's topic in General Nursing

    Yep, no one knows really why it can happen when someone has been on an ACEI for a long time. Because it's not a histamine-mediated reaction, steroids and Antihistamines usually have minimal to no...

  4. Weird meds

    dudette10 replied to Naomimillerrr's topic in Patient Medications

    Does anyone else feel like their freshly washed or gelled hands are cleaner than wearing gloves? I often feel as if I'm going from clean to dirty as soon as I put on gloves. How many people have...

  5. Weird meds

    dudette10 replied to Naomimillerrr's topic in Patient Medications

    PO meds go from package to cup, and I don't wear gloves for that. I don't glove for drawing up meds for IV, IM, or SQ, but I do for administering them. The only exception is chemo precaution meds...

  6. Why don't you just read the chart?

    dudette10 replied to Guest219794's topic in Patient, Colleague Relations

    Your last sentence really should be qualified with "based on the setting." I give and get report from a variety of settings--ICU, ER, PACU, GI lab, cath lab, IR, SNF, rehab, medical, surgical.,...

  7. Why don't you just read the chart?

    dudette10 replied to Guest219794's topic in Patient, Colleague Relations

    Report yesterday from ED solidified why verbal report is important. It was a very screwed up medical and nursing plan of care due to the family. The ED nurse and I didn't talk about IV site,...

  8. The Wisdom of Lurking

    dudette10 replied to Ruby Vee's topic in General Nursing

    I have seen the "valued member" defense be trotted out in hot-button topics. That's all I'm gonna say about that... I have a different perspective that is closer to nurse56's. We get to "know" each...

  9. What I learned this week (7/4/15)....

    dudette10 replied to ixchel's topic in General Nursing

    That helping a patient take a good **** is strangely satisfying. That properly introducing yourself to interns, shaking their hands, and saying "Welcome to St. Elsewhere" goes a long way for...

  10. The Hotel Phenomenon

    dudette10 replied to Jacqueline.Damm's topic in General Nursing

    I'm beginning to think that all departments have a role in customer service and patient safety, and I really wish the PTB would reinforce this expectation. Let me give you a few examples. Would it it...

  11. New Grad drowning in LTC

    dudette10 replied to anonomous's topic in Geriatric, LTC

    You LTC nurses rock! I've never seen a thread by an overwhelmed new grad that was full of so many seriously helpful

  12. Notes in 3rd person style

    dudette10 replied to MunoRN's topic in General Nursing

    BTW, that part of the nursing textbook you (Muno) linked was referring to academic writing, not charting. Do your risk managers not understand the concept of

  13. Notes in 3rd person style

    dudette10 replied to MunoRN's topic in General Nursing

    Another thing: What I don't get is why this lawyer for this case is attacking this nurse based on the way she (and millions of others of nurses) have charted for decades. This is a completely new...

  14. Notes in 3rd person style

    dudette10 replied to MunoRN's topic in General Nursing

    Now I'm totally confused. They want passive voice without reference to the writer? This is what passive voice looks like: "Pt was educated on medication dose, route, frequency, timing, side effects,...

  15. Why don't you just read the chart?

    dudette10 replied to Guest219794's topic in Patient, Colleague Relations

    As a day shift tele nurse who has had receiving floors for transfers request the night shift to get the patient due to staffing issues, I have given shift report to my fellow tele nurses (including...

  16. Why don't you just read the chart?

    dudette10 replied to Guest219794's topic in Patient, Colleague Relations

    Tell me why they came in, what the working diagnosis is, what you've done for them, response to the interventions, imaging done and results, neuro status, ambulation status, heart rhythm. For...

  17. Diluting IV meds

    dudette10 replied to wanderlustnurse88's topic in Patient Medications

    I always go with the drug guide. Davis' Drug Guide for morphine states: Davis's Drug Guide |

  18. What I learned this week (6/27)...

    dudette10 replied to ixchel's topic in General Nursing

    I learned that after nearly 20 years of marriage, I'm still in love. That is all I needed to learn this

  19. Another Case Study For Your Learning Pleasure

    dudette10 replied to blondy2061h's topic in General Nursing

    Being an acute care nurse, derm is rarely seen inpatient. However, my son is currently in outpatient derm treatment for acne. So I only have his treatment regimen to go on. PO abx is probably the next...

  20. What would you do in this situation? (If you know it all ;) )

    dudette10 replied to Emergent's topic in Emergency

    i will posit that your line of thinking and Emergent's line of thinking is the basic difference between ER and ICU nursing. I'm a floor nurse, but the difference between the two specialties is evident...

  21. What would you do in this situation? (If you know it all ;) )

    dudette10 replied to Emergent's topic in Emergency

    Good point. It may not do anything, but you would still give it in the ER environment, then eval response. Remember, this is a frequent flyer based on the OPs description, so I would hope CKD would be...

  22. What would you do in this situation? (If you know it all ;) )

    dudette10 replied to Emergent's topic in Emergency

    I love these threads, btw. Forget the arguing over netiquette and NETY and crap like that. This is what nurses need to talk

  23. What would you do in this situation? (If you know it all ;) )

    dudette10 replied to Emergent's topic in Emergency

    Chronic kidney

  24. What would you do in this situation? (If you know it all ;) )

    dudette10 replied to Emergent's topic in Emergency

    But this patient does not because she came into the ER. It is clearly not her

  25. What would you do in this situation? (If you know it all ;) )

    dudette10 replied to Emergent's topic in Emergency

    I have to go back to the basic question then: what are you waiting for that would change the order to diurese her, given her presentation and brief history? Do you think the diagnosis is