dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. What rate should I infuse at?

    dudette10 replied to ToBeContinued's topic in Patient Medications

    You have multiple dose-and rate related questions here, in my opinion. The pt is receiving a total of 15mls per hour: 4 mls of med and 11 mls of IVF. No matter how fast your IVF is going, the pt is...

  2. Nurses' liability to assess ... and act

    dudette10 replied to nurseprnRN's topic in Nursing Professionalism

    I don't doubt that we will see more nurses as part of litigation brought by patients. This, however requires a multi-faceted approach to nursing preparation for practice. With diploma schools gone,...

  3. Do Nurses Earn Big Money? You Decide.

    dudette10 replied to TheCommuter's topic in General Nursing

    It all depends on context, of course. The OP example was a single mom with 3 young children where all the bills, including health insurance, is on her shoulders. In my case, married with two...

  4. Getting attached to patients

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

    A friend of mine once said that the care of another human being is a highly personal and intimate act that requires the giving of self. As others have mentioned, boundaries are key. The question you...

  5. opinions on a nurse/patient interaction

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

    I'm going to add to the pile on because, frankly, you deserve it. You were wrong, and I am shocked that you think you were

  6. Not there to make friends, but don't make enemies either.

    dudette10 posted a topic in Patient, Colleague Relations

    I work all over the hospital floors, so I encounter different unit cultures and know nearly every floor nurse in the hospital (minus L&D) and most ancillary staff that comes to the bedside...

  7. Do you ever contend with pesty ancillary staff?

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

    Luckily, PT/OT are usually pretty good about attending to patient needs that they can perform during their sessions. If they put a fall risk up to the chair, they will get a chair alarm. Blankets,...

  8. Rant:How NOT to be a nurse

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

    Unfortunately, education of staff on new medical devices is usually limited to a one-time demonstration by the medical device company rep or the staff nurse educator. If the nurse educator does it,...

  9. Not there to make friends, but don't make enemies either.

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

    HeartRN, my sincerest best wishes for you. The first year or starting a new specialty or job is tough! Good

  10. Not there to make friends, but don't make enemies either.

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

    That is sad that it happens. I'm lucky in that my workplace isn't cliquish, and everyone gets along, even if a disagreement happens like it did for the two nurses I mentioned in a previous post. I've...

  11. progress notes

    dudette10 replied to cayenne06's topic in General Nursing

    While it is double charting, there is no other way to communicate with the docs in the chart. Anyway, it's a JC requirement to address the plan of care during the shift, so we all write our notes...

  12. Sentinel Events

    dudette10 replied to NYCHikerRN's topic in Patient Safety Issues

    I just did some googling. In my state, the applicable wording is in the Good Samaritan law. Nurses are exempt from civil liability unless an act or omission constitutes "willful or wanton misconduct."...

  13. Sentinel Events

    dudette10 replied to NYCHikerRN's topic in Patient Safety Issues

    You do legal nursing, correct? This whole paragraph leaves me reeling, and something about the hypothetical situation you describe and consequences make no sense to me. (Not directed at you, but at...

  14. Nurse responsibility out of working hours

    dudette10 replied to tatyana1973's topic in Patient Safety Issues

    Lots of missings here. Is the nurse salaried? Are the other staff members not nurses? What is the procedure if the nurse is not available? In other words, what would the staff be expected to do if the...

  15. progress notes

    dudette10 replied to cayenne06's topic in General Nursing

    Disagree. Where I work, docs read our notes, and they don't even have access to our assessment flowsheets. While I do review the preceding nurse's last assessment on the flowsheet, her note is usually...

  16. progress notes

    dudette10 replied to cayenne06's topic in General Nursing

    That interaction could have been charted differently and actually been useful to other nurses reading it. Nowhere in that note is the assessment of *why* the patient wanted the pillow. Was it a pain...

  17. New Nurse Mistakes

    dudette10 replied to Mabesma's topic in Patient Safety Issues

    Let's see, 15 months in, on orientation for the job I'm currently at, and I make a med error for a partial package. The patient needed to be monitored, but no harm. I could have been terminated...

  18. "If you're not doing anything..."

    dudette10 replied to Anna Flaxis's topic in Patient, Colleague Relations

    No one likes to be baited, in person or on a message board. I assumed the worst, i.e. you didn't send the fax, because your last paragraph in the OP led me to believe it. So how did you

  19. Not there to make friends, but don't make enemies either.

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

    Jade, you couldn't have paid me to get into the conversation between those two nurses! They are both wonderful, but, inthat exact moment, they might have literally bit *my* head

  20. Sentinel Events

    dudette10 replied to NYCHikerRN's topic in Patient Safety Issues

    I'm just flabbergasted that it's commonplace for volunteers to do 1:1s. Patient safety is at stake here, and that is not something that can or should be delegated to a volunteer. It's against the...

  21. "If you're not doing anything..."

    dudette10 replied to Anna Flaxis's topic in Patient, Colleague Relations

    When a nurse is at a computer, it doesn't mean she isn't working, although patients (and apparently co-workers) feel that way. It is part of good time management to know when to say no. Charting and...

  22. How much do you get paid for being on call?

    dudette10 replied to RN-ing's topic in General Nursing

    Our on-call pay was eliminated. Big fat goose egg. Getting recalled is straight pay. One time, I was cancelled for four hours, then again for four hours, then again. The entire shift, waiting around...

  23. Sentinel Events

    dudette10 replied to NYCHikerRN's topic in Patient Safety Issues

    Why the hell is a volunteer doing a 1:1 at all, but especially on an active ETOH withdrawal?! If it happens all the time against policy, the culture of the unit or the entire hospital is to be blamed...

  24. Rant:How NOT to be a nurse

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

    How do you know it relates to

  25. New Grad: How To Make It Over The Hump?

    dudette10 replied to ParryPerson's topic in Job Search, Interview, Resume

    As another poster has said, "The only way to get through it is to go through it." Everyone has anxiety as a new nurse. Everyone, and don't let anyone tell you they didn't. Also, anxiety doesn't follow...