dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. My stack of books was taller in RN school than in NP school

    dudette10 replied to chillnurse's topic in General Nursing

    Meh. You can spot the English major in the book line from a mile away. They are the ones you can't see over the 10 foot stack they are carrying. The number of books does not the difficulty of the...

  2. Doubles

    dudette10 replied to nursedanny614's topic in General Nursing

    Guilt about not working 16 hours straight? Just say no. You don't need to give a

  3. Bullied nurse. I quit. :(

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

    I'm not sure if I would use the term "bullying" in this scenario, but it certainly is damn poor management. That said, OP, I hope better things come your way. Namely, management to grow a set and...

  4. Busy BRN phone number?

    dudette10 replied to delsol7's topic in California Nursing

    It's May. Lots of graduates (and in some states, license renewals) clogging up the phone lines. When I graduated a few years ago, I was on the phone with a live person IMMEDIATELY after graduating....

  5. Do "PTO" systems seem like a scam to you?

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

    Most companies (healthcare are not) moved to PTO banks long ago, along with a "use it or lose it" policy, usually annually. Annually makes sense to me, but one system in my area has a "use it or lose...

  6. Do I throw down the Gauntlet?

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

    If it is a resident, and your hospital has a "no ********" policy when it comes to resident 'tudes, I would think that your escalation of this problem would have a good outcome. I had a good outcome...

  7. CNA 'tudes

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

    Because I don't want to start an entire thread for my particular rant, I'm just going to do it here. On one floor I work on, the first shift CNAs are just horrible! I practically kiss the feet of the...

  8. Hospital Policy Vs. Unit Rules

    dudette10 replied to StayLost's topic in General Nursing

    Ok, but the example you provided was a vanc trough order. I suspect you also put your assessment in a flow sheet on the EHR, correct? The answer to all unit woes is another form to fill out, of...

  9. Insulin Administration: Standing and Sliding Scales

    dudette10 replied to blackdiamond407's topic in Patient Medications

    You are correct. In addition, do you have a hypoglycemia protocol? Ours says to hold all insulin administration if glucose is less than 70, even if the standing dose does not have

  10. Patient with zofran pump and no orders

    dudette10 replied to BSNbeauty's topic in Patient Medications

    Agree with using the insulin pump policy as a guideline. It upsets me that pharmacy was "demanding" that the pumps be discontinued, but it's also not surprising. Pharms are not bedside and not...

  11. Unprofessional Remark by Manager

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

    While absolutely true (unfortunately), it never fails to amaze me that self-reflection and the ability to take constructive criticism is no longer required once someone becomes a manager, and punitive...

  12. Rant

    dudette10 replied to Palliative Care, DNP's topic in General Nursing

    Completely agree. Also, if someone is a healthcare professional, they likely don't know everything about everything. If we skip explanations, we risk saying a term that the patient doesn't know, and...

  13. Please help me :(

    dudette10 replied to rosemary_petals's topic in Nursing Student Assistance

    I was looking through the table of contents for the book on Amazon, and I did see a diagnosis titled "risk for complicated

  14. knowlege deficit student

    dudette10 replied to slusk's topic in Nursing Student Assistance

    He has metabolic encephalopathy as his medical diagnosis. Where is your neuro assessment? To a working nurse, the medical diagnosis gives us clues on what we MIGHT see when we walk in a room, but what...

  15. Please help me :(

    dudette10 replied to rosemary_petals's topic in Nursing Student Assistance

    Don't apologize! It's obvious you are working very hard on this care plan. I'm not an instructor (yet!), so I will only comment on one thing I think you might be missing. You don't mention her...

  16. Hospice care question

    dudette10 replied to dannygirl04's topic in Nursing Student Assistance

    Don't forget the nursing care we provide simply as human beings supporting one another: attentive listening, encouraging self-care for family members, creating a calming environment, etc. As for...

  17. Please help me :(

    dudette10 replied to rosemary_petals's topic in Nursing Student Assistance

    Because your instructor has put so many limits on your care plan, you are justifiably frustrated. (In this forum, I also learn what NOT to do as an instructor.) What I suggest is to just care plan the...

  18. Verification of Medication

    dudette10 replied to EHGWR's topic in Nursing Student Assistance

    http://www.ismp.org/Tools/highalertmedications.pdf Which one is on this list in the form given in the question? Just to add, none of those in your question is required for a nurse double check where...

  19. How do we educate the public on ways to afford medications?

    dudette10 replied to Mrs Helleck's topic in Patient Medications

    Yes, social work is the specialty that has this information. If, during admission, I find out that the patient has issues with obtaining food, mobility in the home, or paying for prescriptions, I...

  20. Everything is our responsibility. Rant.

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

    if they have been in their positions long enough, they already know prioritization of patients with certain problems. Maybe I'm giving them too much credit in their knowledge, but I'm convinced they...

  21. How do you know it's really time to specialize?

    dudette10 posted a topic in General Nursing

    I've been a floor nurse since day one. I float throughout the hospital, and I like that I see everything and literally know EVERYONE! Lately, I get really excited to know that my assignment includes a...

  22. Teach-Back

    dudette10 replied to malachuk's topic in Patient Education

    Don't fix what's not broken. You have a teach back check box. Why look for ways to create double

  23. Critically ill pts wanting to go AMA?

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

    Someone upstream mentioned involuntary holds for suicidal or self-harm patients, and asked what's the difference in wanting to go AMA out of impatience and/or anger about "service." This story drives...

  24. difficult family members refusing meds for patient

    dudette10 replied to ivplease's topic in Patient Medications

    Difficult family members trying to dictate medical care. Just love 'em! Here's how the game is played: from the time you get report, the off-going nurse will fill you in on the sticky issues. Then,...

  25. how long before taking off orders

    dudette10 replied to bymysoul2squeeze's topic in Patient Medications

    Back up a little. Before you come up with an order policy to "solve the problem," you need to find out why stuff is being passed on to night shift. Root cause analysis should be the first step in...