dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. I. Just. Can't....

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

    So, the answer is none. You've never seen a doctor make a patient a DNR against the family's wishes. What you've seen is doctors talking to the families about the medical futility of a full code and...

  2. Float Pool Vent

    dudette10 replied to Bezoars's topic in General Nursing

    You don't get that being float pool in a smaller 300 bed hospital like mine. Everyone knows you and your capabilities, so they pretty much treat you like regular staff, which is

  3. Should male nurses put the toilet seat down?

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

    I was raised in a house full of men, and I currently live in a house full of men. I don't know what the seat looks like down. Being around boys all the time growing up, I tried to pee standing up. I...

  4. I. Just. Can't....

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

    Should patient consent be required to write a do not resuscitate order? -- Biegler 29 (6): 359 -- Journal of Medical Ethics Here is another one that states doctors can DNR a patient, but, again, it...

  5. I. Just. Can't....

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

    https://depts.washington.edu/bioethx/topics/dnr.html This is an interesting site. Ethics-wise--at least according to this bioethicist--it is acceptable to DNR patients where CPR would be medically...

  6. I. Just. Can't....

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

    You didn't answer my question. At what point re: the patient's mental status is the decision made? Take the example I used earlier in this thread about the stage 4 with mets everywhere, terminal, but...

  7. I. Just. Can't....

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

    What? You make the patient a DNR even if the patient wants to be a full code? At what point is this decision made with regard to the patient's mental

  8. Out of control visitors

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

    That article from the Wash Post is funny. If a three year old threw a fit in a store, then when the father picked the kid up, the kid punched his father in the crotch and immediately laughed about...

  9. Yikes, L&D Manager Fired...

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

    No, not really, because the one that did support the nurses just got fired, and it sends a message to the others. Your facility's nursing culture is now in worse shape than before. Unprofessional...

  10. I. Just. Can't....

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

    Yes, yes,

  11. I. Just. Can't....

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

    In addition... Yes, it's a bad idea to make policy on one anecdote. However, the standard of care you are posing (that I thankfully misunderstood) is too far-reaching and absolute to account for the...

  12. I. Just. Can't....

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

    A standard of care where no resus is done unless the patient says otherwise WOULD require a state or federal regulation. It's too big a change--a life or death change--that could not be instituted...

  13. I. Just. Can't....

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

    As a matter of fact, I have. He was coded twice in ICU and intubated. Eventually, he went home for a time before he came back, coded and died. He was stage four with mets to liver, brain, and bone,...

  14. Universal frustration with getting others to do their jobs!

    dudette10 posted a topic in Patient, Colleague Relations

    I've ranted about this before, and I'm doing it again. In my hospital, I believe the culture of ancillary departments is really screwed up. It's *their* time and *their* tasks and *their* processes...

  15. Out of control visitors

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

    I'd like to see this article. My thought is that there are universal expectations of behavior that don't necessarily have a specific environment attached to them. A new environment is not the only...

  16. Out of control visitors

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

    Monkeyhq, I think you and I agree more than disagree, really. If you look at other phrases in my post, I say things like, "It wasn't fair to me, my children, or others" and "I wanted to enjoy the...

  17. Fake call outs irritate me

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

    Call in all you want, guys. I'm float pool, and momma's got bills to

  18. I. Just. Can't....

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

    Nope. I have osteopenia at age 43 due to my cancer treatment and TVH-BSO. I just can't support any law that supports taking the code status decision away from the patient. Taking it away from the...

  19. I. Just. Can't....

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

    I can't agree with this at all. When the feds get involved in healthcare "requirements," it's never good. I have also seen situations where a full code on a terminal patient has been decided due to...

  20. To cut or not to cut?

    dudette10 replied to ICURN3020's topic in General Nursing

    The only exception to this that I make is when the beard is on a woman. Before sending a female patient back to a nursing home, I usually ask the CNA to make a good shave part of that morning's clean...

  21. To cut or not to cut?

    dudette10 replied to ICURN3020's topic in General Nursing

    I don't even need to read all the responses. The answer is

  22. Out of control visitors

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

    These kinds of threads always raise my ire because there is always someone that comes in to make exceptions (such as ADD) as if there aren't any normal kids out there who are very badly behaved. As...

  23. Not a nurse

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

    The triad of prescriber-pharmacist-nurse makes our patients safe. Outside of that, your counterparts in my hospital are a great resource and support for us nurses. Thank you for your expertise and...

  24. The ethics of cost for cure vs noncompliance.

    dudette10 posted a topic in General Nursing

    This is just a hypothetical discussion, but we all know the scenario is all too real. Let's say you have a patient whose Hep C is causing kidney and heart problems. There is now a cure for Hep C, but...

  25. Pt having a "friend" over for "special nursing care"

    dudette10 replied to delphine22's topic in Patient, Colleague Relations

    Please take my reply in the context of the argument about Maslow's and the freedom to meet those needs wherever one wishes to, as long as no one is around to witness