dudette10

dudette10 MSN, RN

Med/Surg, Academics

Member
  • Content

    3,530
  • Visitors

    29,352
  • Followers

    0
  • Likes

    83

All Content by dudette10

  1. Ok, let's put this in perspective. The OP of the current thread failed and will have to sit out a semester for a CORRECT calculation. And the OP of this linked thread will also fail and have to sit...
  2. No, you don't seem to understand my point. New rules for the SAME SITUATION re: instructions that are inconsistent. Your question has no context, so it's impossible to answer. See, you do not...
  3. Medication administration confusion???

    Huh? The pharmacy check is when the pharmacist signed off on the provider order by reviewing the indication, dosing, interactions, etc. for the med to show up on my patient's med profile. I think...
  4. Nursing Home Supervisor challenges with WOUND CARE

    I guess my first question is if you've asked the staff WHY these basic cares are not being done. You've assumed the reason it's not being done (laziness) and implemented a solution (write-ups when...
  5. Medication administration confusion???

    I don't know why the disagreement about this is so annoying to me. Let's lay out all the potential for error by taking step-by-step the safety check bypass. Five rights: right patient, right med,...
  6. Medication administration confusion???

    I can't believe I have to explain this. It's a benefit to harm ratio. All hands on deck for a true emergency where speed may be the difference between life and death. In those situations, we take...
  7. Medication administration confusion???

    Can you provide a link to where you got this information? The way you have described the word "dispense" hinges on who (RN or patient) will actually be administering the medication, licensed or not...
  8. Medication administration confusion???

    The sky will fall with the first error. You're right about one thing though, it's not the ideal way to do it. Then why do it that way at all? Anyway, the "other processes" also have their safety...
  9. Medication administration confusion???

    It's got nothing to do with lack of trust; it has everything to do bypassing the rights of med administration in a system that just doesn't have to be that way. What is the point of doing it the way...
  10. Medication administration confusion???

    Technically, there were two people in the pharmacy who already did a check on it--the pharm tech and the pharmacist. In this scenario, there is no way to do a check. It's completely gone. Not to...
  11. "Rule-driven," when applied to students and (sometimes) novice nurses, does not mean that whatever rule is in effect at the time is good; it means that the first rule sticks, and it's difficult to...
  12. *double
  13. PICC line question

    When you coil the line under the dressing, do you put the entire line underneath the new dressing or only the part that was originally under the dressing and inside the patient? If you put the whole...
  14. PICC line question

    This is what I don't understand about your explanation. How do you keep sterile when removing the catheter? Once I touch the part of the PICC that is not sterile (essentially everything not under...
  15. It does matter. With students who are rule-driven in their development toward becoming a nurse, inconsistency confuses them. Also, content in an earlier class is used to build upon knowledge in...
  16. As an instructor (which I am), I would let you move on. The instructions in the book and by YOUR instructor (but not the other one) were conflicting. Be professional in your email appeal to your...
  17. Good answers above, but a little context might also be helpful. Quality Improvement isn't just anything that needs to be improved--priority is for those things (such as CLABSI, CAUTI, falls,...
  18. Confused as heck

    Where did you get the idea that a nursing instructor teaching classes in higher ed needs any type of teaching certification or extra continuing education? That's just false. No one in higher ed...
  19. Unfair Fundamentals Clinical Testing?

    First off, you cut and pasted an email you sent to someone. A friend or someone higher up than the professor? No one fails anything due to unclear instructions. You might not do as well, but...
  20. Huh?
  21. Made a mistake

    Now you know to get in the habit of writing down an order on your task list BEFORE you sign off on it. My brain sheet was my lifeline, and any time an order came up that involved me (which most did,...
  22. Lines-Please help

    Ha! I'm an instructor now, and preventing learned helplessness is one of my
  23. Need opinions/advice

    I just noticed your username. Too much caffeine can makes thoughts quite jumpy and disconnected. Is that a problem for
  24. Need opinions/advice

    The PP gave some great advice on everything. I'll just amplify what was already said from a clinical instructor's perspective. SLOW DOWN while in clinical. You do not yet have the skills to do...
  25. Lines-Please help

    All of this information can be found by googling and choosing reputable