dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Errors--system problem or nursing problem?

    dudette10 posted a topic in Patient Safety Issues

    For our discussion... Your patient is scheduled for a thoracentesis. Pt is on Coumadin. Your assessment reveals mild SOB, but you know the thoracentesis and the Lasix you will give are intended to...

  2. Diluting IVP Natcotics?

    dudette10 replied to _Andvari's topic in Patient Medications

    And....it could have been that the particular nurse was diverting? Davis' Drug Guide states to dilute in AT LEAST 5 ml sterile h20 or NS. Same volume of diluent is advised for

  3. New Nurse Mistakes

    dudette10 replied to Mabesma's topic in Patient Safety Issues

    And they all act like they are doing YOU, the RN, a personal favor. "No, I'm not asking for you to set up MY new home O2...I just want the patient to be able to breathe at home, don't

  4. Errors--system problem or nursing problem?

    dudette10 replied to dudette10's topic in Patient Safety Issues

    Whoops! Thoracentesis for pleural effusion, not a paracentesis for

  5. Errors--system problem or nursing problem?

    dudette10 replied to dudette10's topic in Patient Safety Issues

    ICUmaggie, thank you so much for your insight. I have had a 3rd year say to me that a patient was medically mismanaged by the intern/resident triad of internal medicine. I have had the former...

  6. Other

    dudette10 replied to MissMandy28's topic in Patient Safety Issues

    There is no context here, so I don't know the level of "wrongness." How 'bout starting out by talking to the

  7. Errors--system problem or nursing problem?

    dudette10 replied to dudette10's topic in Patient Safety Issues

    GrnTea, I completely understand what you are saying, and I think all nurses should continue to monitor and advocate for the patient in circumstances such as these. I know I will. But, you also know...

  8. Errors--system problem or nursing problem?

    dudette10 replied to dudette10's topic in Patient Safety Issues

    Thank you for this! I once started a thread about having to be the "mistake corrector" and "nag" for all the ancillary staff and docs, and someone came in saying so self-righteously, "Well, it's...

  9. Dreading bedside report with The Interrogator

    dudette10 replied to sistrmoon's topic in General Nursing

    When someone tries to make herself out to be SuperNurse at the expense of another in front of a patient, it usually backfires! It makes SuperNurse wanna be look petty and

  10. Errors--system problem or nursing problem?

    dudette10 replied to dudette10's topic in Patient Safety Issues

    FWIW, systems error includes nursing, so I expect nursing to claim their part of it. What is distasteful to me is when systems error problems are remedied with a only a reprimand to the nurse. Did you...

  11. Ask a question till reporting nurse can't answer one

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

    I expect the off going nurse to provide me with CC, diagnoses, significant co morbidities, significant events, and discharge plan with social history. If those were the ONLY things I received, I would...

  12. Hand hygiene policies

    dudette10 replied to R5RN's topic in Patient Safety Issues

    The examples you gave are ridiculous. This is why we are treated as know-nothings in some environments. Out of curiosity, what bad thing happened that started all

  13. Medication Error - 53 is this for me

    dudette10 replied to Mindfulone1's topic in Patient Medications

    best response

  14. Diluting IVP Natcotics?

    dudette10 replied to _Andvari's topic in Patient Medications

    Pts don't remeber the name or doses or frequency of their BP meds, cardiac meds, necessary supplements, or anti coags. But when it comes to their sleeping pills, pain pills, or sedatives, they know...

  15. Working in a Teaching Hospital?

    dudette10 replied to License2Heal's topic in General Nursing

    PMFB's statement about getting residents to intervene is a much more accurate description of what we as nurses bring to the table in terms of "saving" patients in a teaching facility. I have worked in...

  16. shadowing a nurse manager.. is this appropriate?

    dudette10 replied to blah_blah_blah's topic in Nursing Professionalism

    I'm glad you're asking; it shows you care...and you should. A nurse and I were charting together when the nurse educator was giving an interviewee a tour. (I'm in my mid-40s, and the other nurse is 22...

  17. When is it delegation and when is it "Being bossy"???

    dudette10 replied to SNBTaylor's topic in Nursing Professionalism

    I change the way I delegate based on the CNA. Some of them will say "No" if delegated to in the form of a question, so they no longer get the privilege of prioritizing their tasks themselves. If they...

  18. PATIENTS BECOMING MORE ABUSIVE?? anyone agree?

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

    I had a patient's family with every possible permutation of entitlement and manipulation going on. The patient herself was great, by the way. The son actually said, "The squeaky wheel gets the...

  19. PATIENTS BECOMING MORE ABUSIVE?? anyone agree?

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

    The only answer to the primary wait times is holding all PCPs to a 15-minute timeframe. If you want to continue to talk to your doc, too bad, because you don't wanna make people wait, right? Wait...

  20. Diluting IVP Natcotics?

    dudette10 replied to _Andvari's topic in Patient Medications

    No one complains about how fast or slow or by what method we are giving any medication, except for benzos and opiates. What they don't know or don't care about is that they should be much more...

  21. My Cushy Per Diem Job

    dudette10 replied to Emergent's topic in General Nursing

    I had a cushy, easy PDN job. Quit it after five months because I was bored to

  22. Is taking 10 patients too much

    dudette10 replied to Katniss88's topic in General Nursing

    I have worked at our in-facility acute rehab and sub-acute rehab. Acute rehab is easy to take that many patients because they are, by definition, able to tolerate three hours of rehab a day. They are...

  23. Nursing or pharmacy responsibility?

    dudette10 posted a topic in Patient Medications

    When I get a new admission, I go through all the home meds and enter when the last dose was taken. After the docs decide to continue each med or not, pharmacy needs to approve before anything can be...

  24. Family member in the hospital

    dudette10 replied to Apples&Oranges's topic in Patient, Colleague Relations

    Whenever I have a loved one in the hospital, I do all the basic nursing care. If I think an IS will help, I'll ask for it. If I think SCDs should be ordered, I'll ask the doc for it. I'll turn, I'll...

  25. Air to Bladder

    dudette10 replied to NewlyGradBSN's topic in General Nursing

    That sounds like an incorrect technique. With interns who are doing nursing procedures--and who look like they don't know what they are doing--I would just say, "Usuallywe flush with NS. I've never...