dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. How do you sign your name?

    First, middle, last initial illegible squiggle,
  2. Easter??

    Call me a cynic (thank you!), but swapping Easter for Good Friday in Christian- based facilities is a way to get around time and a half on a weekend differential while still being able to say, "Hey,...
  3. Easter??

    Easter is the holiest day in the Catholic calendar, and last year, another Catholic health system in town removed it from their holiday pay list. I love
  4. Dear Doctor

    More accurately, nurses can prevent harm to a patient by alerting the physician to errors in medical management. Physicians and nurses are the only healthcare workers that see the complete picture of...
  5. Patient with Dementia's Right to Refusal

    That is a care planning problem that needs to be
  6. Caring for morbidly obese bariatric Pt

    Most bari pts are highly motivated and very compliant with the plan of care. In my opinion, they are some of the easiest patients to care
  7. Get off the phone

    Hold up. If they don't get off the phone when you want them to, you document refusal and go about your business? Really? I hate the customer service mentality with a passion, but patients also need...
  8. Should Nurses know procedural costs?

    I just searched for my health system's pricing list on the website. I'm not at work, so I don't have access to the intranet. Know what? The hospital website states that actual price charged has...
  9. Should Nurses know procedural costs?

    No, I figured it out for myself. Another patient on Medicare told me of her rules for her shot, but I'm not sure how she found out. What one of the PP's suggested was that we should know the costs of...
  10. Should Nurses know procedural costs?

    Do you think it's your responsibility to know the cost of a Neulasta shot and all the insurance plan rules about administering it? Why or why
  11. Should Nurses know procedural costs?

    I'm with elkpark on this. Procedure billing has too many variables, and there are hundreds of thousands of things that have costs associated with them. This example I know about because I had to take...
  12. Who takes the med error hit?

    I wonder if the hospital RN faxed a med list printed from the hospital EMAR (it had narcs and lovenox on it) prior to med reconciliation for discharge. I bet the two lists were formatted very...
  13. Where's the infection?

    What was her skin like? Did she recently have an invasive procedure? Pain anywhere? What was her
  14. Students who get As are bad bedside nurses

    There is so much wrong with extreme statements, as a previous poster pointed out. It is an individual thing. Average students can become great nurses, as can exceptional students. And the opposite is...
  15. Thanks for the
  16. I don't mean to make it sound funny, but there is just no other way to describe it. The men are usually obese with dependent edema, the scrotum is very large, but the member is nowhere to be found,...
  17. What is your average amount of shift cancellations

    I'm "scheduled" float pool to six different units, so the chances of me getting cancelled are nil. I haven't been cancelled in a year. If they end up not needing me where I'm scheduled, I get floated...
  18. Patient's family requesting pain medication

    This is true with a patient actively dying--unable to verbalized, eyes closed. You don't want to get behind on properly medicating for comfort. I received a hospice patient with supraclavicular...
  19. New Dietary Guidlines?

    Ask the dietitian for copies of the research on restricted diets. And, I never take the word of anyone when they mention the ACA--I look it up myself. When one of the QI nurses (someone who really...
  20. The implementation of this has been terrible for you guys. Bedside report has slowly, ever-so-slowly grown on me, where I actually see the benefit of it to my work and to the patient. Your facility...
  21. Need Advice, Pato Nurse Relations

    Do you go to the same ER with your flare ups? Are there veteran nurses there who know you and know that you are knowledgeable of and instrumental in your treatment? If you end up admitted, ask your...
  22. Spin off: patients with phones

    My patients have always been very nice about their phone usage, and I empathize with their desire to talk to a friend or family member. If they are on the phone when I walk in, I mouth, "I'll be...
  23. Peer review evaluations

    Peer reviews have been around as a management tool for decades, and they have NEVER worked out right. My first one was in the mid-90s in a different career. Lasted one review cycle and never...
  24. Giving Lovenox to emaciated patients

    On emaciated patients, I've seen two places where I can get an adequate amount of subQ tissue, where there are fat pads that are the bane of workout queens everywhere: the posterior love handles...
  25. Being fired five weeks in...something is going on, and I don't know if it's JUST the preceptor. Multiple complaints from patients? What were the complaints about? With your being a new grad, I'm...