dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. I'm doing a bunch of NCLEX practice questions, and the rationale on the answer for this one had me very puzzled. Or, maybe I'm just an idiot who shouldn't be in the ER. The client admits to the ER...
  2. Epic electronic medical records

    If I was as incompetent as you are at your job, my patients would all be dead. Can you not Google or look through a list?
  3. Questions for an acute care nurse.

    Thanks for all your posts. They really help me understand what is necessary to ensure continuity of
  4. Questions for an acute care nurse.

    Thanks to both of you for taking the time to answer my
  5. Questions for an acute care nurse.

    And so do I! Next time, I'll take a look at the content of the packet of info we send. I think the unit secretaries have an automated field that they click in Epic when a patient is transferred to an...
  6. Questions for an acute care nurse.

    Mtjoanna: I usually give the same report that I would give to another acute care nurse if the patient was staying with us. But that doesn't help you at all if I'm not talking to the person who will...
  7. Questions for an acute care nurse.

    That sounds like an internal process issue. Why doesn't the person I talk to provide you the information I tell them? The packet our unit secretary prints off has a lot of other stuff in it besides...
  8. Questions for an acute care nurse.

    Thank you! That does help. In acute care, I try to get the meds "caught up" through the evening doses if appropriate, and I verbally report the meds due at bedtime. I figured it had something to do...
  9. Questions for an acute care nurse.

    I'm not upset. I'm trying to understand why I get asked certain questions. If you don't want to answer, don't answer, but don't assume I have negative views. I'm trying to understand reasoning. Nurse...
  10. Nurses' Charting: Focused Documentation

    Every bit of information that is in the narrative examples can also be documented on the EHR (in my job, Epic) flowsheets. My note is just "dressing changed @ 1430," which is redundant with the...
  11. Prophecy Testing/Is it fair testing?

    Pre-employment tests are "studied" by the people who sell them, and, because they are proprietary, no company will release their tests to an academic center for research on their efficacy. I think...
  12. It is a true calling or isn't it?

    I once saw a Venn diagram about the differences between a calling, a job, and a career. When I saw it, it finally clicked with me. It's important to remember that classifying work as a job, a...
  13. Mystery Shoppers

    Does your facility use mystery shoppers? If so, how do you feel about it? A nurse friend of mine works in a facility that is using them now. He's already very stressed about his job and is looking...
  14. Unsafe ICU staffing/ patient ratios! Please help!

    Today, I had a long conversation with a student who didnt understand why the facility for her clinical didn't hire more nurses because they all seemed very stressed and burned out. I told her to keep...
  15. From a floor nurse...patients stable 9/10ths of the time. --learn to take report with the chart open to the orders. Get verbal confirmation of any orders that still need to be carried out or an...
  16. What do you do when a pt goes into anaphylactic shock?

    You are not expected to function as an independent nurse the day you start nursing school. Focus on that fact, and try to get your anxiety about nursing under control in a safe environment (school)....
  17. --Although I know every adult/acute floor nurse in the hospital, I will still get dumped on and not even realize it until halfway through my shift. Started out with the highest ratio, patients in...
  18. So well said. Patients have no idea what makes a good nurse and bad nurse. The only reason I'm happy when patients say that is because I won't have to worry about them complaining to management about...
  19. Why Nursing Sucks...

    It sucks because "they" will stretch you so thin, continue to pile on more work, expect the impossible, and when something goes wrong, blame you for it. I'm counting down to leaving acute care. I...
  20. Transcription Error- was I also in the wrong?

    If you really feel this way with every med, then the PharmD who approved/dispensed it is just as responsible as the physician and the
  21. I'm very glad you posted, and I hope that you have alleviated your anxiety and embarrassment so that you can begin the process of learning from your mistake. I've made a few errors in my relatively...
  22. Unpaid Mandatory Meetings?

    Dont get calculations for overtime mixed up with being paid for mandatory meetings. There is no way in hell any labor board would allow an employer to require a meeting without pay.
  23. I found the FB post, and I read the whole thing. this type of hullabaloo is what makes me (sometimes) anxious about my job. I have intentionally cultivated very good habits that reduce the possibility...
  24. Pt.s Ordering Food from Outside Hospital?

    We get one of those about once a month from one of the nursing homes. Morbidly obese, bed bound, on dialysis, wounds, noncompliant, and usually quite young (in their 50s). When we don't see them for...
  25. Hospital that bans family members

    After really thinking about it, I've had only a handful of issues with family members. My biggest beef is the size and layout of our rooms. One visitor in a single room can make care nearly...