HollyHobby

HollyHobby

critical care, home health

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All Content by HollyHobby

  1. LTC nurses--tell me about bed alarms...

    I'm not sure if any of these suggestions would apply in your case, but at one time I was caring for elderly folks in my home. Since they were prone to waking up at night and causing a ruckus, I had to...
  2. Do you feel these are patient safety issues?

    I've worked with a nurse who was a former gang member. She'd turned her life around and I'm sure she's an excellent nurse today- if she passed the criminal background check. I also worked with a male...
  3. Hello all! I need your expertise please!!

    One thing I wish I'd done when I was in nursing school was to spend more time working as a CNA. I only did two months of it, and only part-time, so I wasn't even a competent CNA. Then, when I was a...
  4. Dear Wheels, at least where I work, being a "frequent flyer" does not necessarily mean the nurses don't want to see you. Speaking for myself, I am happy to see a patient again and again... I get to...
  5. What happens now? Am I in trouble?

    I'm so sorry you're involved in a mess like this. Fortunately for you, the liability, if any, will fall on the RN. I hope she documented the heck out of the incident. I've learned over the years that...
  6. Do doctors really yell at you, and get away with it?

    For most of my career, I worked in a city where the physicians were allowed to do pretty much anything they wished. There were two hospitals there, and most of the docs worked at both places, so there...
  7. Family member in room at night

    I used to work in an ICU with very strict visiting hours. The only time anyone was allowed to stay the night was if the patient was under age 18 (then one parent could stay) or actively dying. There...
  8. Things you only learn on the floor...

    I've learned that old people are going to fall down, unless you are right up on them, holding them, which they will insist they don't need. The second you let go and stand back, they will fall. There...
  9. For ICU nurses

    Since you already have 4 years of nursing under your belt, you needn't be afraid of ICU. I started in ICU (very high acuity!) as a new grad. It was a struggle to learn the basics while also learning...
  10. I just want to be a great nurse...

    You are/will be an awesome nurse. I've been a nurse for a while now, almost 13 years. In the beginning, during my ICU rotation in clinicals and then as a brand-new ICU nurse, I was often assigned to a...
  11. Old Fashioned Med System

    Wow, this sounds like a nightmare. The hospital where I work was on the same old-fashioned system as yours, but eventually we got a med-select (like a cheap Pyxis) for narcotics and a few of the...
  12. Strange A. Fib Event HELP!!!!

    One of the very first things I learned as an ICU nurse is "look at the patient, not the monitor". So my first response to your question is: are you really sure her pulse dropped? O2 sat monitors are...
  13. HIPPA

    This reminds me of a patient's family who overheard the nurses giving shift report. The family became distraught, broke down crying, practically collapsing in the hallway. The nurses were confused...
  14. A young nurse on my unit recently took care of T.O., one of our frequent flyers. He has end stage liver failure and is not a candidate for a transplant because he is so noncompliant. He is a greasy,...
  15. Share your "problem patient" stories!

    Thanks, Romano. I still love Jeni and consider her one of my best friends, ever. But part of me still wants to kill her.
  16. My boyfriend and I are BOTH RNs, so any time we watch a show that has anything remotely medical in it, we have to pause it several times so we can argue about what's going on, what the doctors and...
  17. Lol, half my patients would be dead right now if that were
  18. Hehe, maybe the xray is of a person whose internal organs are reversed. I had a patient like that
  19. Why not just wipe the regular plastic bath basin with a caviwipe (which kills everything) after use? I have to admit I've never thought of our bath basins as a source of infection, but it does make...
  20. You put what??!!!! were???!!

    My niece was deaf in one ear since the age of four. Her mother, an extreme fundamentalist Christian, did not believe in doctors and instead took poor Meredith to the chiropractor for her ear problems....
  21. Share your "problem patient" stories!

    I have tried to forget about her, but I must tell you about the "chicken pox lady". She was without question the most difficult patient I've ever had, and the only one that caused me to have an actual...
  22. Another stupid scenario is when the patient is dying! Dying! And the family or whoever go to the bedside and the "dying" patient is on- gasp!- a nasal cannula. Oh, no! This person needs four liters...
  23. Caring for Jehovah's witnesses

    I completely respect my adult patients' right to refuse any treatment for any reason. I have had JW patients who have died (they bled out due to trauma), and one who was severely brain damaged due to...
  24. This one only hurt my pride. My patient and his wife were watching a video about peritoneal dialysis because he was considering switching over from regular HD. They called me into the room when the...
  25. Oh, and remember the movie Flatliners? The premise was these medical students (or whoever) would put each other into a deathlike state, then debifrillate them back to life- from asystole. You don't...