dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Pain medication and the dying patient

    dudette10 replied to khall7398's topic in General Nursing

    I am so sorry about your loved one. Unfortunately, anything we say about the situation would also be speculating. We weren't there, we don't know the hospital, unit, doctors, or nurses. Again, I'm...

  2. Time to vent - my apologies in advance.

    dudette10 replied to Levitas's topic in Medical-Surgical

    I am not bashing all ED nurses, so don't start crap on me, but there are a couple in my ED who I hate getting report from. 75% give me a clear picture on CC and interventions, but the one last night...

  3. Educating patients on ER use

    dudette10 replied to anh06005's topic in Patient Education

    My co-pay for my UTI ED visit was $200. My office co-pay is $25 for me, $50 for the kids at the peds. I'm with an HMO, so if they want to waste money on their capitation, I don't know how to convince...

  4. Educating patients on ER use

    dudette10 replied to anh06005's topic in Patient Education

    Part of the problem is no triage at the PCPs office. I had a UTI, and I wanted to go to the doctor's office, but they couldn't get me in for 2-3 weeks. My UTI was already getting worse (advanced from...

  5. What are your benefits as a float pool nurse at your hospital?

    dudette10 replied to PedsRN1975's topic in General Nursing

    For float pools that make only a few dollars more, I would suspect they get benefits, such as sick time accrual, PTO, and health insurance. For the float pool nurses who make A LOT more than staff,...

  6. How much trouble am I ? Scale: 1 to super fired

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

    What a hell-hole to work in. If you end up being fired, thank your lucky stars. Why in the world would you put up with an environment like

  7. RRT on DNR

    dudette10 replied to bxh5164's topic in Medical-Surgical

    The nurse you were working with does not understand DNR if she sat on a change in a patient condition until the patient died. If, for example, a DNR starts showing signs of a PE (anxiety, sudden SOB),...

  8. Educating patients on ER use

    dudette10 replied to anh06005's topic in Patient Education

    This doesn't make sense to me. The ER bill will be much higher than the urgent care bill. I guess that means there is no intention on the part of the patient who can't afford a 50 copay to pay the ER...

  9. New Nurse Mistakes

    dudette10 replied to Mabesma's topic in Patient Safety Issues

    Not sure what you are referring to with "people being mean." Did you intend to quote my post or someone else's? I've been concerned with situations in which I didn't know what I didn't know, i. e....

  10. Educating patients on ER use

    dudette10 replied to anh06005's topic in Patient Education

    I think every hospital with an emergency department should have an urgent care area and an emergency area, and patients triaged into one or the other. I don't know why more don't do that. Urgent care...

  11. Is it legal to have RN's use full name on badge?

    dudette10 replied to nitrorocket's topic in HIPAA Challenges

    But it's not flawed. Yes, MDs and RNs are different. Physicians have it worse, in my opinion, getting called at all hours of the day. Having to block their cell numbers from patients when returning...

  12. So disappointed in hospital RNs and MDs

    dudette10 replied to carachel2's topic in Patient, Colleague Relations

    I took this to mean that it's uncommon for a doctor to look at a nurse's charted assessment and make orders based on that. Where I work, they can't even see our assessment without a number of clicks...

  13. difference in degrees

    dudette10 replied to skbella's topic in General Nursing

    RN to BSN programs are designed for ADN or diploma nurses to complete only those classes required for a BSN, usually research, ethics, and community health. They give you credit hours for already...

  14. question about wasting

    dudette10 replied to Birdy2's topic in Patient Medications

    When something administrative like that happens, take a deep breath and remember that you're not the first nurse to have forgotten something like this. BREATHE! Take comfort in knowing it has nothing...

  15. correct dosage times for various meds

    dudette10 replied to aplusnurse2008's topic in Patient Medications

    Take a look at the timing associated with EMAR orders. Q8 is not the same as 3x/day. In my experience in a teaching hospital, the interns often need to be coached for the correct timing, so it's...

  16. So disappointed in hospital RNs and MDs

    dudette10 replied to carachel2's topic in Patient, Colleague Relations

    Charting in real time, which is never on-the-dot, will get you corrective action? See, this is why I roll my eyes so hard at charting requirements with regard to timing. Anyone with half a brain...

  17. Evidence-Based Practice

    dudette10 replied to aimeern58's topic in Nursing Professionalism

    I don't know what this is for, but I'll have a go as editor. Your first three here paragraphs are strong to establish the problem. The IOM reference establishes need, and the LLL reference supports...

  18. Atheist at Catholic hospital

    dudette10 replied to kaydensmom01's topic in Spirituality, Religion

    A lot of Catholic healthcare systems use the terminology that you refer to. It's really no big deal in practice. Don't think too much into

  19. Untrustworthy supervisor

    dudette10 replied to Kaysmom8's topic in Patient, Colleague Relations

    You've got three problems...a supervisor who lies about patient care, a low BP left untreated, and no one attempting to find out what caused the low BP to fix the actual problem (the low BP was just a...

  20. The "increase minimum wage" issue.

    dudette10 replied to shermrn's topic in Collective Bargaining, Union

    Where do you think your 401k or 403b or pension comes from? We middle class people depend on those greedy people making money so that our retirement investments make enough money so that we can retire...

  21. number of doses/24 hours? help!

    dudette10 replied to sassyann85's topic in Patient Medications

    Agree with the order is written poorly, and I also agree that a "24 hour" order as opposed to a "per day" order means it is a rolling 24

  22. Pushing flush too slow?

    dudette10 replied to Birdy2's topic in Patient Medications

    ...which is the basis of critical thinking! Being able to take previously learned information and apply it to new situations. If we don't know the hows and whys of what we do, how are we expected to...

  23. Language etiquette?

    dudette10 replied to sweetmama81's topic in Patient, Colleague Relations

    My facility's policy is that polite conversation out of earshot of patients can be done in any language. Within earshot of patients is English only. Patient care conversations wherever they occur is...

  24. Do you think acute care nursing is becoming less safe?

    dudette10 replied to Emergent's topic in Patient Safety Issues

    If I really think about it--go through my days and try to figure out what I get bogged down with--I can honestly say my ratio would be manageable IF I was allowed to prioritize based on patient...

  25. Good nursing or learned dependence?

    dudette10 posted a topic in General Nursing

    What is it with patients who don't want to be discharged? My hospital has what seems to be a large number of patients that resist discharge. The discharge day comes, and they get very anxious about...