dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

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

    dudette10 replied to Emergent's topic in Emergency

    I disagree. Into the ER c/o sob with an RR of 24 will appear in distress, if even only mildly. Not saying this is you, but I've run into more than a few nurses who couldn't spot respiratory distress...

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

    dudette10 replied to Emergent's topic in Emergency

    I don't get why anyone wants to hold the lasix for any reason. When the labs come back, is the doctor going to say, "Don't give the lasix?" Nope. The patient must be diuresed. It's a classic CHF exac...

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

    dudette10 replied to Emergent's topic in Emergency

    4+ pitting edema, crackles, RR 24, c/o SOB....and discharge ready? You must have a high readmission

  4. Possible Dx breast cancer should I try to go to nursing school?

    dudette10 replied to MeredithG's topic in General Nursing

    Having been where you are, but already working as an RN, living life with the status quo unchanged helped me immensely. I was only Stage 1, but family history required mastectomy and chemo. I was...

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

    dudette10 replied to Emergent's topic in Emergency

    What would be the purpose of the drug screen at this point? Couldn't that be done as part of the admitting orders so withdrawal could be managed on the floor? Seems a bit early for it and certainly...

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

    dudette10 replied to Emergent's topic in Emergency

    Pretending that there is nothing more to the story than what has been given, she's presenting as CHF exacerbation. Give the lasix. She's on high doses at home, but she ran out. If she was still taking...

  7. Best way to ask visitors to identify themselves

    dudette10 replied to shopaholicRN's topic in General Nursing

    My go-to line is, "How do you know [patient's name]?" which allows for friends and family members to

  8. "Was she one of your patients?" HIPAA, and other inconveniences

    dudette10 replied to ixchel's topic in General Nursing

    Yes, I've had to deal with it, and I did just as you do--don't say a word. I've had as a patient my in-laws' good friend--like she was at my childrens' baptism and stuff. In nursing school during...

  9. I got reported to HR

    dudette10 replied to katie92's topic in Patient, Colleague Relations

    Excuse me? Where the hell did this come from? Who are you to stereotype all American white people? Oh, I know. You're the white person with a healthy dose of white guilt going on. In your world, it's...

  10. Reasons patients turn on their call light

    dudette10 replied to diamondp17's topic in Patient, Colleague Relations

    This indicates a need to assess why pain continues to be a problem and to intervene based on the assessment. It was clear by the thread title what this thread was for. No need to come in to tell us...

  11. Reasons patients turn on their call light

    dudette10 replied to diamondp17's topic in Patient, Colleague Relations

    I had a patient hit the call light multiple times in a row because he wanted to know what the ringing was. It was his call light..and he was very forgetful of what I just explained to

  12. How to deal with rude coworkers

    dudette10 replied to nicenurse819's topic in Patient, Colleague Relations

    As much as I hate to say it, people like that are testing you, and you can only get them off your back by showing them that you can't be pushed around. They are usually not very smart, will try to get...

  13. This week I have learned (6/20, a day late)

    dudette10 replied to ixchel's topic in General Nursing

    I learned that families know when the nurse has worked hard to facilitate an eagerly-awaited discharge, even when the nurse covers for the docs who delayed it for hours because they were punting doing...

  14. What would you suggest to your preceptor if..

    dudette10 replied to Libby1987's topic in General Nursing

    I don't know why she didn't know it was difficult, seeing that she worked as a CNA on that floor. I did notice that she had a lot of "downtime" when she was a CNA. Quite frankly, I wouldn't have hired...

  15. Please don't call me Dude

    dudette10 replied to Emergent's topic in General Nursing

    Present,

  16. What would you suggest to your preceptor if..

    dudette10 replied to Libby1987's topic in General Nursing

    Not really. It's anxiety, frustration, fear of failure, fear of hurting a patient....and a little bit of role shock. One of the floors I work on just hired one of the CNAs as an RN. The preceptor she...

  17. Don't talk bad about your patients

    dudette10 replied to BrendaH84's topic in Patient, Colleague Relations

    A blow-by-blow account with no solutions is unhelpful and wastes time. Mentioning it and providing information about what works to diffuse situations is appreciated and

  18. Treatment by respiratory therapist/inner cannula difficulty

    dudette10 replied to sistrmoon's topic in General Nursing

    Can I just say how unprofessional it is when another nurse or department makes pointed comments about the care given by the primary nurse? Where I work, PT/OT are the biggest offenders. I finally had...

  19. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    dudette10 replied to Jessica Quigley's topic in General Nursing

    Nope. My hospital is Catholic affiliated, and we get loads and loads of LGBT patients. It's the location of the hospital that determines the patient population, not the affiliation. Also, we won't...

  20. This week, I have learned..... (6/13)

    dudette10 replied to ixchel's topic in General Nursing

    Punting responsibility for discharges is a sport often played by attendings and consults when they decide to make a patient non-teaching, and nurses become unwitting referees to said sport. When you...

  21. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    dudette10 replied to Jessica Quigley's topic in General Nursing

    Heh. I'm an atheist, so I think 90% of the human population is completely off their rockers. Surrounded by the crazy, I

  22. This week, I learned..... (6/6/15)

    dudette10 replied to ixchel's topic in General Nursing

    Really? Oh, then RUE. I checked the AHRQ when I got home thinking I was buying into a nursing myth. Standards are for head to be turned away or pt to wear a mask. Yeah, if it was a femoral, I...

  23. This week, I learned..... (6/6/15)

    dudette10 replied to ixchel's topic in General Nursing

    The member? Oh, I could see the urethral opening, but the cath would only go in one inch and then stop. Lube that sucker up and turn it this way, turn it that way, up, down, all around. No bueno....

  24. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    dudette10 replied to Jessica Quigley's topic in General Nursing

    What I get from this is that you feel by calling a transgender person the name and pronoun that he or she identifies with, you are hurting them psychologically and helping them to destroy their life...

  25. Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    dudette10 replied to Jessica Quigley's topic in General Nursing

    Absolutely, but it won't happen overnight. I think some understanding within the transgender community to discern between accidental name confusion--if I see John Smith on my paper, and I walk into a...