dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Opinions on online degrees

    dudette10 replied to beatrice1's topic in Online Distance Learning

    As HouTx said, many long-standing brick and mortar schools now offer an online option for RN to BSN. Just do your research and choose

  2. Sepsis Screening?

    dudette10 replied to annie.rn's topic in General Nursing

    Thanks for the info on the abx. Although the OP said this is a "young patient," she refers to him as "this guy" later down, and she said there was a 40 yo lap appy patient on her unit last year. I...

  3. admission/transfers during shift change

    dudette10 replied to treeye's topic in General Nursing

    When you're talking getting someone that late/early in the shift, I always switch to patient safety mode and don't worry about the paperwork. Get them settled, do an assessment, vital signs, put on a...

  4. Sepsis Screening?

    dudette10 replied to annie.rn's topic in General Nursing

    What?! Based on my limited knowledge of abx treatment, cefepime was appropriate as a first-line agent in those with abdominal infections from the intestines. Vanc is also an appropriate treatment...

  5. Bedpan? Why not a Poise pad?

    dudette10 replied to TryVeganToday's topic in General Nursing

    Because you want them to remain continent. Post-catheter incontinence is a documented adverse effect of Foleys on previously continent

  6. Bedpan? Why not a Poise pad?

    dudette10 replied to TryVeganToday's topic in General Nursing

    Aside from infection risk, it adds the need to monitor post-Foley voiding. As a completely continent woman who has had a surgical Foley that had to stay in for a short period of time due to the type...

  7. Job Hinderance vs. Just Annoying?

    dudette10 replied to unbalanced's topic in Nursing Professionalism

    I agree with HouTX. Both you and the secretaries want the best patient care, but there are different perspectives and priorities at play because of the different roles. You can work with them to...

  8. Bedpan? Why not a Poise pad?

    dudette10 replied to TryVeganToday's topic in General Nursing

    I have a funny story about this. I had a patient whose daughter is an RN. I always use "brief," "incontinence pad," etc. She was being discharged but still had moments of fecal incontinence related...

  9. Bedpan? Why not a Poise pad?

    dudette10 replied to TryVeganToday's topic in General Nursing

    With a bedpan, the pt ends up with a wet behind anyway, especially pts on bedrest s/p cardiac cath and fluids going to prevent contrast nephropathy. At least an absorbent pad would wick the moisture...

  10. Bedpan? Why not a Poise pad?

    dudette10 replied to TryVeganToday's topic in General Nursing

    I know what you mean. The cardiac cath pts are so upset when we pull out the bedpan. It's painful, and when we pull it out, their bottoms are all wet, and they hate that feeling. I hope some RNs will...

  11. POLL: Should telemetry techs need to know patient Dx?

    dudette10 replied to mycoholic1's topic in General Nursing

    GrannyRRT, you misinterpreted "none of them require knowing the diagnosis." What I meant was, your examples that I put in parentheses do not require a diagnosis. In fact, they are unrelated to a...

  12. Nurse Abuse & What's the policy Kenneth?

    dudette10 replied to 3degreeRN's topic in General Nursing

    I don't have anything to say about the constantly-evolving policies, but it does suck. Your environment is not supportive of nurses, especially ones that defend themselves. The one about the nurse who...

  13. Advice new to med surg/organizing shift & what gear

    dudette10 replied to nursy1's topic in General Nursing

    Here's a gear suggestion that most people don't have. I started doing it after I made a med error where I gave a whole pill instead of half of one. A pill cutter. In a bedside scanning environment,...

  14. POLL: Should telemetry techs need to know patient Dx?

    dudette10 replied to mycoholic1's topic in General Nursing

    At my old job, we had a world class tele tech with which many of the cardios would discuss strips. She never knew diagnoses. She watched 80 monitors and never missed a thing. All the the points above...

  15. What do you do to protect yourself on floor?

    dudette10 replied to juana15's topic in General Nursing

    Lots of us take care of patients with the flu that isn't diagnosed until later. This year's flu shot was definitely a "miss," and many nurses got the flu where I work. Remember, the purpose of...

  16. Why are preceptors negative towards nurses they are teaching?

    dudette10 replied to nursy1's topic in Patient, Colleague Relations

    Thanks for taking everything here in, retracting your NETY thing (multiple times), and really reflecting on the source of your stress. I had a PATIENT the other day make comments to the charge nurse...

  17. Why are preceptors negative towards nurses they are teaching?

    dudette10 replied to nursy1's topic in Patient, Colleague Relations

    Could you you be projecting your lack of confidence with this new job and position onto her? I had preceptors that pushed me, and my first year was tough. I really didn't like it much, but...

  18. Blue Pigtail on Nasogastric Tube

    dudette10 replied to mikeynizm's topic in Patient Safety Issues

    One more try...the links I found were standards of care documents and book chapters that said to use normal saline to prevent electrolyte imbalance. They were not interventions to treat electrolyte...

  19. Blue Pigtail on Nasogastric Tube

    dudette10 replied to mikeynizm's topic in Patient Safety Issues

    I googled your search phrase, and all I came up with is links for NG tubes for feeding. When I searched "ng tube suction electrolyte imbalance," I came up with a number of links and pdfs which state...

  20. DNR and Hospice

    dudette10 replied to hppygr8ful's topic in General Nursing

    Ok...a little on topic, a little off topic. Why do some of you--who I assume are relatively healthy--have DNR papers already? Are you a DNR whenever you are hospitalized? Or are you talking about a...

  21. Blue Pigtail on Nasogastric Tube

    dudette10 replied to mikeynizm's topic in Patient Safety Issues

    Every link I googled said to use NS with NG tubes to suction, so I'm not sure water is the correct default fluid. I didn't know why, though, which prompted my question. The risk of hypokalemia is...

  22. Advice on creepy doctors?

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

    Also, macawake touched on what it takes to beat up someone, even if you feel like they deserve it prior to the incident. It takes confidence in strength and moves, and it also takes rage and a certain...

  23. Advice on creepy doctors?

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

    Out of all I've read here, this takes the cake. I will try my best to explicitly express why this makes me so angry, because, after all, if I'm "so powerful," I should act like it, right? Your third...

  24. PCA Question

    dudette10 replied to regerterb's topic in Patient Medications

    Think final concentration. All the individual numbers are messing you up. The order 600 mcg/30 mls of fluid. If you draw up 12 mls of Fentanyl (600 mcg) and 18 mls of NS, the total is.....600...

  25. Advice on creepy doctors?

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

    No, it's not. Macawake mentioned that predators feel excited about resistance. The pathology of the doctor is why it is escalating. The lack of adequate response by management is why it is escalating....