dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Is My Nursing License At Risk?

    I looked over my state's report for September. Here's the breakdown. Documentation re: patient care and policies (5): 5 reprimands Drugs (6): 4 indefinite suspensions, 1 indefinite probation, and...
  2. bumex for patient in renal failure

    Yes, that does make sense. Thank you for that. I had the pathophysiology wrong about exactly how the troponins were elevated in kidney failure in the absence of a cardiac
  3. Different Types Of Coworkers

    I'm a second-career nurse, and I didn't take offense to the OP's description of second-career people. Why? Because I didn't fit the FULL description. Yes, it would be mightily annoying to have a new...
  4. Never placed an IV!!!!!

    Agreed. I was one of those worriers about tasks when I first started. Trouble-shooting has become a much more important "task" than textbook placement. In short order, the tasks themselves become...
  5. bumex for patient in renal failure

    Overall, wonderful explanation, but I have a question about this. How are you using the word "excreted"? Yes, kidneys "excrete" troponins in urine, but cardiac muscle is responsible for releasing...
  6. Nursing instructor requirements

    In my state, an instructor must have a degree one level above that which they are teaching, so a BSN can legally teach at the CC level. Keep in mind that education classes and student learning models...
  7. Trouble with starting IV's

    It wouldn't be too far off to say that a lot of CRBSI's come from nurses not following the basics that we did learn in nursing school or duing orientation: scrubbing the hub, not touching the...
  8. Different Types Of Coworkers

    That was me. Thank goodness, not so much anymore, but I still have my moments.
  9. Morale sucks. New manager (new to management, too) who can't balance nursing needs/POV with the pressure she gets from her superiors and from ancillary departments. She's chosen to blame her nursing...
  10. Different Types Of Coworkers

    I work with a Chicken Little and a Chronic Complainer. I'll add another one: The Purposely Inefficient to Get Overtime. I don't know why that one has been allowed to continue her intentionally bad...
  11. I did that for 2.5 years and made more money than I ever have in any of my other working years. It's called being a freelance copywriter. Jammies, in my home office, four hours a day, if even that....
  12. Anywhere where there is little to no paperwork. You know, actual patient care? A girl can dream, can't
  13. Nursing: Then and Now

    About the manual drip rates. I had to do one yesterday for the first time as a working nurse because of a STAT order, Central Supply wasn't answering their phone to bring up a pump, and there were no...
  14. Bedside report

    It's just being implemented where I work, and it's difficult getting all of us to comply. I was on the fence about it, and I didn't push the other nurses to do so. Now, I'm starting to. From other...
  15. Anybody LIKE working holidays?

    If it's just between you and me, the answer is
  16. Suggestions for when I am overwhelmed

    If you have multiple patients characterizing you as rude, something about your demeanor is triggering it. I am NOT saying that you are rude, but when people are in a hurry or their thoughts are...
  17. The flu shot making people sick

    According to the CDC's updated vax sheet, fever is one of the possible side effects from the flu vaccine. So, yes, you may feel unwell for a couple days after the shot, but you wont get the flu from...
  18. I have a question about this. In another long-dead thread, we all talked about using the saline flush caps to cap off a line of, let's say antibiotics, after they've infused. (Take cap off, being...
  19. Thanking your favorite Doctor

    As a colleague or as a patient? Not that it really matters, but the way you go about it should be different depending on your relationship. As a colleague, a simple, "Thank you for your help the...
  20. The full reference annotation was this: Now, the huge figures for orienting a new grad actually make sense. It's not the cost of orientation. It's the cost of turnover of new grads that is costing...
  21. It's just something to talk about. Five pages of "pointless" discussion to rile up the
  22. Someone told him that, I'm sure, but the difference between $40K and $60K is pretty large. Which one is it? Asking him to break down the cost probably wouldn't elicit a specific answer. The post by...
  23. At my facility and unit, everyone has the same orientation period (the probationary period) and orientation classes, regardless of experience status. It can be argued then that experienced nurses...
  24. When parents should keep their child home.

    Your flyer could also include basic home hygiene. Hand washing, the proper way to protect the nose/mouth when coughing/sneezing, changing out toothbrushes after an illness,
  25. Special touches

    My husband was a recent patient for a routine outpatient screening. What made it special was the nurse assigned to his case. She explained everything to him before doing it, she took her time and...