dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. How many steps do you take a shift?

    dudette10 replied to j0yegan's topic in Health, Stress Management

    On mine either! As a stay-at-home mom, I took a seasonal retail job in 2006 working the floor at a big box store. The weight just FELL off. When I started working as a nurse, it happened again. After...

  2. What is the proper way to address an RN?

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

    You may call me Mistress Medgiver. Thank

  3. IV catheter changes..

    dudette10 replied to RNnewbie2014's topic in General Nursing

    Regardless of EBP, you have to go by facility policy until the policy is changed. off topic... I was almost written up for an IV that was 72 hours old not changed on my shift. I distinctly remember...

  4. meds that you can't mix?

    dudette10 replied to northmississippi's topic in Nursing Student Assistance

    That's what Trissel's is for. Look it up if you're not

  5. Are all nurses perpetually exhausted?

    dudette10 replied to yellow_crayon's topic in Health, Stress Management

    After I learned appropriate delegation and not allowing my nursing priorities to be derailed by those tasks I could delegate, I'm less exhausted. The unit I work on the most has a rep for the worst...

  6. Good nursing or learned dependence?

    dudette10 replied to dudette10's topic in General Nursing

    The common theme here is social support, it seems. When I think of some of our pts that resist discharge, I have to agree. And the ones that do have family at the bedside, the request usually comes...

  7. advice on being written up when I dont think I should have been...

    dudette10 replied to anniegirl1988's topic in Patient Safety Issues

    I was trained in an environment in which RRs were not used very often because the responding docs were *******s. I now work in an environment in which RRs are encouraged. I will never again work in a...

  8. Hospital Wide SCD patient education

    dudette10 replied to chylerlove's topic in Patient Education

    In my hospital, SCD/TED compliance with orders is also an issue. I've noticed that many nurses will not order the equipment, regardless of ambulatory status, because the patient is on heparin SQ....

  9. EHR "order fatigue" like "alarm fatigue"

    dudette10 replied to avado's topic in Patient Safety Issues

    Is there a different way to look at orders so they are not such a mess? Many of colleagues look at orders through one screen, which includes all orders ever put in for a patient during a single...

  10. Do I check BSL if MO order dexomethason? if so when?

    dudette10 replied to ilbe's topic in Patient Medications

    Questions in order of importance for critical thinking: Is the patient a diabetic? Does the patient have a history of steroid-induced diabetes? What level of care are you in? What dosage and route is...

  11. Warfarin and Lovenox

    dudette10 replied to PsychNurse42's topic in Patient Medications

    It depends. Did you get a chance to read the doctors’ notes? She could have been diagnosed with a hypercoagulable state or thrombophilia. You don’t mention her age nor her other conditions, but...

  12. Sepsis

    dudette10 posted a topic in Patient Safety Issues

    The other day, I got a call from the nursing home where my loved one resides. The nurse told me that she was congested, the doc was called, and a z-pack was ordered. I asked the vital signs:...

  13. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    First, my condolences for your loss. Secondly, it's important for nurses to know not only their own protocols, but also the medical protocols so that we can advocate for patients. Understanding the...

  14. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    Flu and PNA shots are offered at each admission if not contraindicated, so follow your protocol!! Don't skip this part of your admission paperwork! If a patient states, “Oh, I’m going to get it...

  15. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    Your sympathy is much

  16. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    The fact that she has flu A brings me to another point (reference below). Make sure your loved ones at risk for flu get the shot as early as possible in the season so that they are protected as...

  17. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    Thank you, Susie. However, the day I wrote it was Monday morning, and it looked like she would beat it. Unfortunately, the antibiotics were little good, as she continued to have a fever, so they...

  18. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    I don't know, but he didn't ask,

  19. Sepsis

    dudette10 replied to dudette10's topic in Patient Safety Issues

    It's also important to note that the continuum from sepsis to severe sepsis can happen very quickly. In the absence of fever, the respiratory rate with possible sources of infection will be the first...

  20. Floating non-ICU RN's to ICU!!?

    dudette10 replied to Keri29's topic in Critical Care

    You were right to refuse. I am often dumbfounded at what house supervisors try to get away with. Only a month off orientation as a new grad, they tried to float me to ICU. They said it was my turn,...

  21. Coworker forged my signature...

    dudette10 replied to sofla98's topic in Patient, Colleague Relations

    Jade, you win the award for the most hilarious colloquialisms, euphemisms, idioms, and analogies in a single post.

  22. Orientation for Experienced Nurses

    dudette10 replied to Ruby Vee's topic in Patient, Colleague Relations

    I'd like to ask you a question on this because I want to know the best way to approach education of an experienced nurse. Would it be helpful to ask you how you did it before so that I have a frame...

  23. Altered Mental Status- a surprise diagnosis

    dudette10 replied to Stcroix's topic in General Nursing

    I've seen lots of syphilis panels for acute AMS admissions where the cause is still being investigated or where there is evidence of improvement for the initial infectious diagnosis (like PNA), but...

  24. Holding medications - When to call doctor?

    dudette10 replied to blackdiamond407's topic in Patient Medications

    Depends on the med, the current, documented hospital problems, the reason for the refusal. One thing no one has mentioned here is education. Knowing that some nurses will accept the refusal and leave...

  25. Abandonment or not? Need opinions! in Louisiana

    dudette10 replied to nicole8476's topic in Louisiana Nursing

    Along with everything else others are saying, another point: is the mother a recognized, trained, documented caregiver on the care plan for the patient? If so, I think she will be able to fight this...