dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Half Question/Half Pet Peeve

    Yes, it is considerably different from Affirmative Action for women and non-white races. Women in society have been barred from certain professions in the past, and they were found to be fit only for...
  2. K-rider administration

    If through a peripheral, the max is 10 mEq/hr. Central line max is 20mEQ/hr. So, for a 40 K rider in a250 ml bag through a PIV, it would be infused over 4hrs. Just divide 250 by 4= 62.5
  3. LTC med pass from PYXIS?

    I don't work LTC, but in acute care, if I've pulled all the meds and have to delay giving them for whatever reason, I throw them into a bag and put them in the patient's individual bin, then move onto...
  4. As I was bringing in supplies last week, an indoor-only cat escaped. I crawled under the porch to rescue it. My patient couldn't stop giggling at me. Your turn to
  5. AIDS and your patients

    HIV positive status is now a chronic disease to be managed. I don't work exclusively with HIV positive patients, but many of my patients have the virus as part of their medical history and I note it...
  6. Hypothetical Situation

    I totally get what you're saying, but...My response was to big al lpn's post in which he wondered why we were all assuming that the nurse did it. Then he said the family might have just been crazy re:...
  7. Untold medical error confessions

    Exactly what I was thinking. I hope QI will be sending a message to the providers for documentation of contraindication soon
  8. Reviewing Patient EMR After Transfer

    I often see family members of patients I've cared for in the same week, but I'm not assigned to that day. I often ask, "How is she/he doing?" if I developed a good rapport with the family when the...
  9. Bitter Cold

    I cannot like your post. Cannot. Will
  10. Are my pts "brain dead"?

    I think your post is completely relevant. I work acute and PDN now, and it is very isolating. I can't imagine doing PDN as a new grad. Your OTJ learning is limited to your
  11. Hypothetical Situation

    In the hypothetical scenario the OP describes, the wife of the nurse must also be cuckoo, considering she came to the hospital ranting and raving and subsequently filed for divorce. In fact, the OP...
  12. Doctors bossing and yelling at Nurses

    I watched the two youtube videos on it, one link you posted. It just made me smirk in exasperation. If those two guys are an example of what the general public thinks of nurses, it's very sad with...
  13. Pain assessment and pain management in special populations

    There are dementia scales, FLACC scales (mainly for infants), and others to help objectively support pain assessment for those who cannot respond to questions. As a PP noted, if a family member gives...
  14. Hypothetical Situation

    The nurse in question has the ethics of an earthworm. License lost and good riddance to the
  15. ER nurses not calling report anymore...

    I'm just going by your post, in which you said, "We are just following orders," and "It's up to the floor nurse to talk to the admitting doc about a higher level of care." I don't think ER nurses are...
  16. ER nurses not calling report anymore...

    No nurse is "just following orders." If the ED nurse feels that the patient needs a higher level of care or care on a more appropriate floor than the bed assigned, I would expect her to speak up! Why...
  17. ER nurses not calling report anymore...

  18. Every hour IV medication

    In situations like this--where a higher level of care is not necessary and a switch to PCA is not gonna happen-- best to talk with the charge about proper acuity classification and making appropriate...
  19. Holding Antihypertiensives

    I agree with those who say you need to know why a med is given, the patient's history with the med, and to question an order when, after your research, something doesn't look right. I was dumbfounded...
  20. Nursing Nightmares

    I have recurring dreams about forgetting a patient and also about being halfway through my shift without knowing anything about my assigned patients. The reason for the second scenario changes all the...
  21. O2 bad if pt already 100% RA?

    What protocols are you talking about? Chest pain protocol, for one? Any
  22. As a Nurse and a Patient

    I've never done it, but I think it's this, in theory. Clamp the pt's J loop and engage roller clamp, remove tubing from pump, connect syringe to port distal to the air, open all clamps proximal to...
  23. How soon did you get pulled?

    They tried to pull me to ICU (because it was my turn) three months off orientation as a new grad. The nursing supervisor would not hear of my refusal, so I called the NM at home. Even she did not...
  24. As a Nurse and a Patient

    I think this and Ruby Vee's descriptions are probably the most accurate of the differences between a good nurse and a nurse who is going through the motions but thinking she is a good nurse. The...
  25. Interruptions during my med pass

    No one wants to make mistakes. What a weird statement. "Should" is the operative word here. What is wrong with trying to reduce the risk of mistakes by minimizing (or eliminating) interruptions?...