dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Clinical rotation report from 1920s

    I asked that very question of a nursing student one day: how should a pt be positioned for an enema and why? I had to prompt her with "Think about the anatomy," and she got it
  2. Is this common with teaching hospitals?

    I work in a teaching hospital, and I feel it's my responsibility to educate my patients who are flummoxed by the teaching routine. The statement, "There are so many doctors," will usually elicit an...
  3. Do you need all those degrees?

    Agree
  4. Do you need all those degrees?

    I've read up to page three, and so far, it seems I'll be going against the grain here when it comes to what is needed in a nursing management position. I have been told I'm a pretty damn good bedside...
  5. Good idea, but can I ask you (and whoever else is reading this and thinking, "That's the answer!") a favor? If anyone goes with the patient advocate idea, please empower the advocate to not only root...
  6. IMO, people who use passive-aggressive behavior on a regular basis are lacking confidence or feeling threatened in one or more aspects of their lives, whether it be professional or personal. When I...
  7. tubex vs. syringe

    I think this is a case of there being more than one way to skin a cat. FWIW, my current facility doesn't keep Carpujects in stock, so using them would mean the nurse purchased one out of her own...
  8. new nurse

    Thank you for that. I see more and more nurses not doing independent nursing interventions. If I walk into a room of a patient who has been in the hospital for 5 days, and he tells me he hasn't been...
  9. Giving Morphine

    It's hard to determine from the info posted whether or not the residents needed the morphine. With pain patients, possibly look at trends. Are these patients consistently waking up in moderate to...
  10. When you say "PO meds on your own," do you mean give them after the instructor has reviewed them/labs/VS/NPO status/etc. with you, or do you mean that you check the MAR and just give whatever is...
  11. As MunoRN's statement attests, it depends on the facility policy, school policy, and unit culture to determine if a nurse can be responsible for an SNs med pass on a regular rotation. I think you...
  12. Violent patients.

    I feel for you. I've been at my facility for a year, but my old facility did not have the type of patients you speak of in such great numbers. It took me at least six months to get emotionally...
  13. Rude/ Inconsiderate nurses during clinicals

    Thank you for this. Because I do remember what it's like to be a student, I have to chime in on the bed baths. I wish I knew then how much information you can glean from a bed bath. I didn't know...
  14. Rude/ Inconsiderate nurses during clinicals

    There was a LOT of advice here. A lot of insight into what's going on inside a nurse's head to explain the scenarios given. You don't see
  15. Rude/ Inconsiderate nurses during clinicals

    We're not mad at you. We don't think enough about you to be angry with you. We are taking care of our patients! And we don't "break" and be nice to you. We get a few minutes of breathing room from...
  16. Rude/ Inconsiderate nurses during clinicals

    Ok, grasshopper, I've never come across a student post that made ME so angry. Let's take the issues one by one. Trust. If a nurse has a relationship with a patient and doesn't want an SN that *is* a...
  17. The woman with ALS who insisted on doing everything herself, but late one night when I went to check on her she was crying. She knew how she would die, and she just wanted to spare her kids from it....
  18. Would you accept this call out excuse?

    I'm in house registry, and I was told that if I call off for a shift more than 24 hours prior to the start of that shift, then I'm good. I have called in a grand total of one time, and it was more...
  19. Was he the only MD/DO in the room for the
  20. Medical error prevention

    TOO much reliance on the eMAR giving you a warning if something is amiss. We MUST do the five rights, regardless of the use of an eMAR, plus use our common-freaking-sense. For example: partial...
  21. Confession alert!!!! I'll admit that a slick suppository slipped into the lady parts of a patient I had. Thank goodness she had a good sense of humor and said, "Um, honey. Wrong hole." Remember,...
  22. Can I just say that I HATE the way nursing home MARS are written. You know, with the unit dose first and the dose to be administered second? When I have an admission from a nursing home, it takes me...
  23. Diagnosing versus identifying symtpoms

    I too think you are overthinking it. As others have said, we don't diagnose nor document using diagnostic language. We describe s/s, what we've done to alleviate those s/s, and the patient response...
  24. Gtube Feedings Help please!!

    I need to add to the voices saying you need to run from this agency. I now do PRN home care for adults only in addition to PRN acute care. I have two years hospital experience, but an interest in peds...
  25. For the the dementia wanderer on the tele floor I often work on, we get them comfy at the nurses station with magazines and snacks...a place where there is always at least one nurse or NA available at...