dudette10

dudette10 MSN, RN

Med/Surg, Academics

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All Content by dudette10

  1. Is a patient out of my care if he is in another department off the floor?

    dudette10 replied to BiohazardBetty's topic in Patient Safety Issues

    First part I agree with. Second part, I do not. It is very appropriate for a nurse to attend the code of her patient off the floor. Rapid response and code teams do not know the patient, so the...

  2. Is a patient out of my care if he is in another department off the floor?

    dudette10 replied to BiohazardBetty's topic in Patient Safety Issues

    Agreed. Our responsibility as floor RNs is to ensure the patient is stable prior to leaving the floor, as the OP did. Everyone in the hospital is required to have BLS and know to call a code or rapid...

  3. heparin drips

    dudette10 replied to SN2014's topic in Patient Medications

    Baxter makes a premixed bag for drips which is heparin with NS. I have no idea where your pharmacist got the idea that they are

  4. Question regarding where I stand with my job (long, but with paragraphs!)

    dudette10 replied to Alisonisayoshi's topic in General Nursing

    no, it was a communication from the PROVIDER'S spouse, not the patient's. As a patient, I would also be very ticked off if, in the middle of a procedure, someone walked in asking about something so...

  5. How much trouble am I in?

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

    Lets just go with your scenario. What kind of witch hunt would be mounted for security to review tapes to determine who inserted an IV? I mean,c'mon,

  6. could get fired!

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

    Your daughter did something that no one in their right mind would think was even remotely ok. FYI...Helicopter parenting affects an adult child's decision-making and problem-solving abilities....

  7. Hey nurses!!! WE ARE PEOPLE TOO!

    dudette10 replied to AspiringNurse23's topic in Patient, Colleague Relations

    Meh. All the career CNAs where I work are worthless. They lie, hide out in confused patients' rooms ( or off the floor all together, don't answer their phones, and rarely answer call bells. They...

  8. Private Grumbling but NO Open Discussion!

    dudette10 replied to CardiacRNLA's topic in General Nursing

    I never speak up because it doesn't make a damn bit of difference. These new management initiatives are a flavor of the month that add on work but don't take anything away. If I feel that there is...

  9. What are your personal standards when a patient "refuses care"

    dudette10 replied to DesiDani's topic in General Nursing

    It depends on so many things: what is being refused, the reason, the patient's mental status, etc. I generally spend quite some time educating or cajoling before I give up. I did have a someone come...

  10. Report vent turned mega vent

    dudette10 replied to loveoutloud's topic in General Nursing

    People keep saying, "I know because I already looked at the chart." Look, I'm one of those nurses who does not give away her time for free, even if you (the general you) are. Soooo many people where I...

  11. Bedside report - hate it? Like it? Love it?

    dudette10 replied to ixchel's topic in General Nursing

    The situation you faced was due to post-op amnesia on the part of the patient. I don't know how long you or the noc nurse have been working a surgical floor, but this is where the noc nurse should...

  12. Bedside report - hate it? Like it? Love it?

    dudette10 replied to ixchel's topic in General Nursing

    The part bolded above made me start to fall in love with you, but then as I read the rest of your post, I fell for you hook, line, and sinker. The bolded part: perfection. Yes, we really do need to...

  13. What are the rules of what we can tell patients?

    dudette10 replied to NursingInChaos's topic in General Nursing

    Every situation deserves careful consideration. In this case, I would hope that the physician had discussed a differential prior to ordering the CT, and we can just confirm the diagnosis and explain...

  14. Would you have told management?

    dudette10 replied to AnnieOaklyRN's topic in General Nursing

    Who are you to go around calling your coworkers who have chosen to disclose their medical issues? If you were so concerned about safety, do get management involved, and they'll tell EVERYONE to be...

  15. Never wanna take students again.

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

    Where does it say the student refused to turn the pump off?? I've read all the replies to my post, and if these two things (turning a patient "incorrectly" to prevent dehiscence?--since when were...

  16. Never wanna take students again.

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

    Everybody keeps repeating that this student was dangerous. What? I read and re-read the OP. Pulling by the legs, shoulders instead of bottom for Stage 4 sacrals? I've never heard of that. Then she...

  17. Would you have told management?

    dudette10 replied to AnnieOaklyRN's topic in General Nursing

    I would have reported it as a safety issue and left it at that. Let other people whose job it is to make

  18. Nurses thrown under the bus

    dudette10 replied to GM1928's topic in General Nursing

    Nurses have a tendency to fall back on "I didn't have an order" when faced with care they are unsure about. It drives me batty. The nurse who admitted the patient or the nurse assuming care on the...

  19. Modest or Over-Sensitive

    dudette10 replied to housecarl79's topic in Patient, Colleague Relations

    Everyone is at fault for this patient's lack of privacy. Charlie even told one of the women that he was embarrassed about being exposed, and she apparently laughed it off. If he was surgically...

  20. Why don't you just read the chart?

    dudette10 replied to Guest219794's topic in Patient, Colleague Relations

    That is just so stupid. HIPAA interpretations gone wild. Bed assignment made, nurse assignment made, but the assigned nurse preparing for appropriate care is a violation. Do they also withhold name,...

  21. How much trouble am I in?

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

    I don't think you can take the marriage status out of the equation and have it be a valid analogy. Apples and

  22. How much trouble am I in?

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

    I don't know what to think, really. I go back and forth from leniency to progressive discipline. But, for progressive discipline, I keep thinking, "On what grounds? She was a patient's family member,...

  23. Safe to take new admit at shift change

    dudette10 replied to russianbear's topic in General Nursing

    To vintagemother: if if they come up within 30 minutes of shift change, we do a skin and mobility check, get them settled, oriented to routine, vitals. If I'm working tele, I put the monitor on and...

  24. Safe to take new admit at shift change

    dudette10 replied to russianbear's topic in General Nursing

    This isn't right. Transporters should not be responsible for a patient any longer than it takes for the person to actually

  25. Safe to take new admit at shift change

    dudette10 replied to russianbear's topic in General Nursing

    Is it possible that you are perceiving that the new grads get the "most difficult, time-consuming patients" because you are still working on prioritization and time