dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Nursing as a distinct body of knowledge

    dudette10 replied to jsawyer's topic in General Nursing

    I think our unique body of knowledge in bedside acute care is that we are the center of the patient universe. We know everything about the patient that other staff (sometimes even MDs) only have a...

  2. How many different nursing positions have you had?

    dudette10 replied to LittleMissVixen410's topic in General Nursing

    BSN, RN three years. 18 months on a community hospital tele unit. Left there because promises about a shift change were not upheld, but instead my preferred shift was given to new grads. Now I'm at a...

  3. Bullying - What is it?

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

    Having worked in a corporate environment (think large company headquarters with 3000 employees on a single campus), the thought of any one of them, all the way up to CEO, missing a lunch makes me...

  4. DPH pressure ulcer

    dudette10 replied to zumbaspinRN's topic in Patient Safety Issues

    I thought that wounds documented as "prior to admission" within 24 hours of admission were not reportable. The ulcer was found 5 hours after admission. Sounds like someone needs to read up on the...

  5. Bullying - What is it?

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

    Only nursing sees food and elimination as something to deny oneself...or, in this case, deny to an orientee. Ridiculous. No one else, not even MDs, fail to eat for 12

  6. Bullying - What is it?

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

    If this is happening to one orientee, consistently by the same preceptor, it could very well be bullying. Are these instances also accompanied by eye-rolling, head shaking, and deep sighs of...

  7. I'm so bad at my community job...

    dudette10 replied to calamityjane1's topic in General Nursing

    I'm just making a wild guess here...was one of the symptoms an altered mental status? And what was he finally admitted for? To determine if you are failing at connecting the dots or the symptoms were...

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

    dudette10 replied to Emergent's topic in Patient Safety Issues

    My post is addressing only my workplace...not all of your workplaces. I work in an environment of "blame the nurse." What could make the life of the nurses easier in my hospital is encouragement of...

  9. Bullying - What is it?

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

    1) a jerk who doesn't know how to be an effective preceptor. 2) illegal and same as #1 3, 4, and 5) Its all about tone. I can say those things and not sound like a jerk, not sure why anyone else...

  10. hypoglycemic treatment for NPO patients

    dudette10 replied to llaurse1's topic in Patient Medications

    Our protocol includes an amp or a half amp of D50 (depending on glucose value) or a glucagon IM injection for NPO

  11. The Worst Hospital Visitor I've Ever Seen

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

    The family who walked in while the patient was being emergently evaluated for ICU transfer due to desaturation and SOB that threw a fit because the patient's ace wrap wasn't on her ankle. The nurse...

  12. Diluting medication by pushing through a distal IV port

    dudette10 replied to M_RN's topic in Patient Safety Issues

    There are about 20 mls in primary IV tubing. I believe you can look up the exact amount on manufacturer's websites. It may even be on the packaging. The more important question is why she wants it to...

  13. Patients need a nurse, not a computer

    dudette10 replied to herring_RN's topic in Activism, Healthcare

    Technology, like any other development, has proper and improper usage. For me, what's more concerning is, when systems are down, people become lost and care suffers. Development of downtime...

  14. Recurrent dreams about work.

    dudette10 replied to dudette10's topic in General Nursing

    Thanks for the suggestion. I don't feel anxious in my working hours, but because I've been so exhausted with my schedule, I told my boss that I will no longer do overtime, and she's very cool with it....

  15. Want to do more nursing

    dudette10 replied to yrottler's topic in General Nursing

    What about follow up phone calls for new diagnoses of chronic conditions, like asthma, allergies, or Type I diabetes? Parents are often scared and have lots of questions re:these new diagnoses and...

  16. Want to do more nursing

    dudette10 replied to yrottler's topic in General Nursing

    One of nursing's biggest roles is education, and there is plenty of that to be done in a pediatrician's office, I would think. What about developing and implementing an education program for at-risk...

  17. "Dear Nurses: Please Forgive Me" : A Response

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

    Without addressing that this was a response to a real situation (although I'm not sure if the OP is aware of it).... I recently had a patient with a distraught, overbearing family in denial of the...

  18. what did you have a previous degree in before you went into nursing?

    dudette10 replied to RNtobe23's topic in General Nursing

    BA in English literature, IMO one of the best degrees in which to develop critical thinking

  19. What is up with these Sickle Cell Patients?!

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

    The part about "the patient ordering the nurse around from pillow plumping to other tasks" is just ********. We have to manage our time, and setting limits is appropriate. And expecting to be treated...

  20. What is up with these Sickle Cell Patients?!

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

    This is an older thread, but I've been recently sent to a floor that accepts the SCC patients. In my experience, they are usually the nicest, most non-demanding patients I've ever taken care of. Maybe...

  21. What's a "difficult pt" to you?

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

    The difficult patients for me are the A and O 50-something's that are already in a nursing home, multiple co morbidities, in acute care for SOB or something that doesn't really affect how they feel to...

  22. Concurrent IVS

    dudette10 replied to Kaltia's topic in Patient Medications

    i can't wrap my mind around this if you're using only one channel. How do you get the primary (the bag that's lower) to drip while the piggyback is

  23. Misconceptions with bilat mastectomies?

    dudette10 replied to fltopp1's topic in General Nursing

    I had a PM discussion with a poster here about this. It's not so much the mastectomy as it is nodal biopsy/removal. A friend of mine had a bilateral mastectomy with R sentinel node biopsy (two...

  24. Addressing patients by their first name...

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

    Address people as they choose to be addressed. If someone asked me how I wanted to be referred to, then began calling me something other than that, I would be

  25. "No One Respects My Religious Beliefs"

    dudette10 replied to Mikey31079's topic in Patient, Colleague Relations

    If she works nights, the most she would leave the floor would be twice, maybe three times (for 12 hour shifts). Is she leaving the floor more often under the guise of prayer times? If she's only doing...