dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Scripting... Any Positive Experiences to Share?

    I called a rapid response on my patient, and I was in the room for about 30 minutes. During that time a scheduled pain med was due on a chronic pain patient. The pain patient complained that his med...
  2. I was written up and put back on orientation

    Now you know it was a mistake, but do you know why? Do you understand why, given the patient's diagnosis and surgery, that not keeping him NPO was a mistake? If not, research the location and anatomy...
  3. Hydration stations?

    Can someone tell me the rationale for all of this " no drinks" stuff? We can't even have them in closed
  4. Heparin bolus administration

    If you are talking about the 5000 u per ml single dose vials that are orange, the vial says it can be IV or SQ, but in big letters it says, "not for hep lock." Hep locks should be the 10 units per ml...
  5. Alcohol wipes

    I don't do that for SQ, but I do for IM at the hip. After finding the anatomical markers with my hand and wiping the area, I move the wipe so that the corner "points" to the site I want to
  6. Correct pressure for gastric decompression

    I completely forgot about the air vent! Surgery has resorted to nursing communications that state, "If air vent leaks or NG stops draining, infuse a small amount of air into the air vent." I shoulda...
  7. Does it get better being a new nurse?

    It gets better. It really does. Hang in there. Don't complain about others at work. Just don't. It will turn out badly, because--think about it--there's no way it will turn out good. It just won't....
  8. Correct pressure for gastric decompression

    Sometimes, the stuff just doesn't get sucked out at LIS, and the pt suffers n/v. MIS isn't a wrong order, but I wonder if a "high" LIS would have sufficed. Is it possible that the suction had...
  9. What's your spiel?

    Your start is good. Tell them you'll be right back after rounding to give them an update and take vitals. After rounding with the off-going nurse, that's when the real spiel starts. Tell them the...
  10. Injecting into a blood vessel.

    I think the OP is asking if an IM med was accidentally injected into a vessel that's in the muscle, not if an IM med was given IV instead. It's part of the whole to aspirate or not aspirate debate....
  11. Filipino nurses emigrating to US

    I get really tired of this argument because there is no solution to it, and it's so often brought up in debates about modern immigration. Most of us are squatters, and we should all go home? Are...
  12. How does your facility prevent falls?

    I'm as cynical as the rest of you on the signs and arm bands when almost everyone is a fall risk. However, if you have a fall and the sign wasn't on the door or the fall band wasn't on, the nurse is...
  13. The Slow Code: Justified?

    There has been a situation in my family that is particularly troubling. The alert and oriented relative with a terminal illness stated to his wife, "I don't want to be a vegetable." How vague is...
  14. Filipino nurses emigrating to US

    Most big corporations' employees and contractors are salaried and work 50 to 60 hours a week. Ask any corporate worker in a professional position. I did, my husband does...that's not new and not...
  15. Filipino nurses emigrating to US

    The US government doesn't need a reason to do anything it does. All it needs are lobbyists for hospitals (or any industry) that want cheap labor. It's always, always about
  16. Your example, out of all given here, makes me the saddest. Can you imagine feeling like something is wrong with you, but your caregivers and family are acting like its no big deal? No wonder she was...
  17. I get very frustrated when an adult child of an alert and oriented patient thinks being designated POA means the adult child gets to make all the decisions. I even challenged one of our doctors whose...
  18. First time fired by a patient

    Agree with the others. As for the "med germs," I would have gathered them all up, charted for 5 minutes at the nurses station, and give the exact same meds
  19. Forgetting to waste meds

    You need to change your habits to waste
  20. Given a warning

    Recently, a patient complained to management that the CNA made her VISITOR wait too long for a cup of water. That was truly
  21. Scheduled overtime

    Please don't blame nurses who don't want to work overtime for a facility's staffing
  22. Dealing with calls from work

    I would think its common knowledge among staffing nurses that if a nurse doesn't answer the phone, she doesn't want to work. I also don't believe it's "more professional" to answer a work call....
  23. The Happiness in your job thread

    I love being a nurse, and my favorite part is education. I feel satisfied when they have the information they need to participate in their own care and make decisions that are the best for them. It...
  24. Are married women bullied less at work?

    I call it a statement by a raging ***** who probably hasn't been laid in years. See, I just realized that my reaction to that statement and your reaction is based on confidence in oneself. You let...
  25. Are married women bullied less at work?

    My newest, favoritest