dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Incorrect documentation co-worker, home care. HELP!!!

    dudette10 replied to Kirbycrew7's topic in Patient Safety Issues

    She sounds like a hot mess. The biggest red flag is pain meds documented as given hours prior to when they are due, and they are now not available at the right time. You need to report all of this up...

  2. You won't believe.....

    dudette10 replied to NanikRN's topic in General Nursing

    You're damn right I judged her as being rude. She was! And no, I don't waste my precious patient care time showing disinterested or rude students the way things are done. I expend too much energy on...

  3. Paycheck Question

    dudette10 replied to onthemark's topic in General Nursing

    Don't you accrue PTO hours every time you work a shift? When I was staff (I'm now registry), I accrued something like 0.6 hours per 8 hour shift. If that's the way it is where you work, you haven't...

  4. You won't believe.....

    dudette10 replied to NanikRN's topic in General Nursing

    The student was aggressive and downright rude. If that had happened to me, I would have set her straight by pointing out that her attitude had better change quickly if she expects to succeed in...

  5. Paycheck Question

    dudette10 replied to onthemark's topic in General Nursing

    I'm reading some of the responses, and I'm confused. OP, you intended to take 40 hours PTO in week 2, but you worked 45 hours in week 1, correct? When you got your pay stub, you were paid for only 35...

  6. Iso pts for pregnant and chemo-receiving HCWs

    dudette10 posted a topic in Patient, Colleague Relations

    In another thread, there was a lot of tension re: iso pts w/ pregnant HCWs. I googled. Here is what I found from one source. I know we all cover for our pregnant and chemo-receiving...

  7. SOOOO HOT AT WORK!!

    dudette10 replied to flyfarfaraway's topic in General Nursing

    I feel for you. I have the WORST hot flashes at work d/t a TVH-BSO. Sweat drips off me. Surgical menopause is AWFUL!!! I'm gonna stick an ice pack in my bra next time. Hope it

  8. Manager elicits complaints from patients

    dudette10 replied to babysteps25's topic in Patient, Colleague Relations

    Oh good lord. She's a

  9. Obamacare vs. The Affordable Care Act

    dudette10 replied to Elizabeth Renee's topic in Activism, Healthcare

    But there's nothing to "understand" considering the question posed. It's just a piece of information that they don't even know: that Obamacare and the ACA are the same thing. That's what's scary....

  10. Potentially dumb question about assessments...

    dudette10 replied to SubSippi's topic in General Nursing

    Where I work, no one but nursing can see the assessment flowsheet in the EMR. Not even the docs. That's why my narrative notes can appear to be double charting. The residents have told me that they...

  11. Saw a nurse yelling at a patient in ICU

    dudette10 replied to inspiredbynavy's topic in Patient Safety Issues

    Yes, no, no, and yes. In the first one, I moved quickly, rather than yelling, and in another situation, speaking calmly was better than yelling because yelling would only escalate the situation/danger...

  12. Saw a nurse yelling at a patient in ICU

    dudette10 replied to inspiredbynavy's topic in Patient Safety Issues

    Like others have said, you have to define yelling in context. However... ...there are very, very few situations in which true yelling would be acceptable. Very few, and I have yet to see a situation...

  13. Full sharps containers not getting emptied!?

    dudette10 replied to Beanyamean's topic in Patient Safety Issues

    I usually change them out myself, although it's a housekeeping responsibility, and housekeeping is on our floor every day. The only time I've gone to the HK supervisor about the issue is when I went...

  14. What has made you become more persistent?

    dudette10 replied to Dtermnd2Bgreat's topic in General Nursing

    First, I know what I want, and I know that Im the only one who can do something about it. Second, always wanting to be the best at anything I do. Not a competitive best, but a personal best. Third,...

  15. Would you call a code/MET on a pt. who is a complete DNR?

    dudette10 replied to 2011nursetobe's topic in General Nursing

    Yes, I have. A DNR/DNI who became suddenly short of breath with a skyrocketing BP where I suspected flash pulmonary edema. O2 on Lasix given, and it started a whole chain of communication b/w the MDs...

  16. Delegation

    dudette10 replied to amzyRN's topic in First Year After Licensure

    I completely agree in theory. In practice, as you know, it may not work that way if a CNA no longer sees a person in front of them. I have a method of overcoming compassion fatigue during those...

  17. Holding a grudge?

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

    Performance reviews are a complete joke in every industry. I was in marketing, my husband is in IT and we both know they are ridiculous. It's all about money, which is why a stellar employee might...

  18. Delegation

    dudette10 replied to amzyRN's topic in First Year After Licensure

    I hate this. This is not a rant against you, but just this whole, "Do their jobs once in a while, show them you're not above it, so that they do THEIR job," thing. I am one of the RNs that the CNAs...

  19. Cry baby CNAs

    dudette10 replied to DrkCocoMurse215's topic in Patient, Colleague Relations

    I'm on a roll here, unfortunately. I was ticked off during my last shift... A confused patient pulled his IV. I was in the nurse's station when the CNA walked in with a glucometer in his hand and...

  20. Cry baby CNAs

    dudette10 replied to DrkCocoMurse215's topic in Patient, Colleague Relations

    At my job, some of them are good and proactive; some of them are awful and do the bare minimum. I know which ones are which. Whatever...taking care of patients is my job and I do what needs to be...

  21. Cry baby CNAs

    dudette10 replied to DrkCocoMurse215's topic in Patient, Colleague Relations

    I'm going to tread lightly on this post, but I can't just let it go. My response is assuming that you work in a hospital acute care? If not, ignore. I'm not sure if you do understand what bedside...

  22. Bedside shift report.

    dudette10 replied to mamason's topic in Patient Safety Issues

    We now do a hallway report and take a look at the patient together to see what we're getting. Sometimes it's half and half...talk and look at the same time. We're supposed to do a full bedside report...

  23. Ever have a patient complain about you?

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

    Yeah, I was "fired" by a patient once. I can't even remember what it was about exactly. It

  24. Playing with fire...

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

    Just wait it out. If she's interested, let her make the first move. I've been married for almost two decades. I met my husband at work, which, back then, was the number one place where people met...

  25. Tying Patient Satisfaction to Medicare Reimbursement is Problematic

    dudette10 replied to TheCommuter's topic in Patient Safety Issues

    Along these lines, I wish that readmissions for quality measures weren't tied to reimbursement. Most hospitals have a CHF RN whose only job it is to educate on CHF. Ours is very thorough and...