monkeybug

Public Health, L&D, NICU

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All Content by monkeybug

  1. monkeybug

    When Faith Creates False Hope

    Faith is a wonderful thing, and may be all that some families have to get them through. You can be honest about the situation without killing their faith. I've seen a situation similar to this a...
  2. monkeybug

    How likely is termination?

    This is why it is so important to carry malpractice insurance. It's incredibly affordable, and they will provide an attorney (with most policies) if you have to go before the board. It's too late...
  3. monkeybug

    How likely is termination?

    At my first job, we had LDRP. We'd usually have a labor and a couple of postpartum for each nurse. When you got to the pushing stage, someone else would keep an eye on your new mommies. I came in...
  4. monkeybug

    Working with a neglecting nurse

    I should have made my post clearer. I'm thinking maybe a tight shot of her sleeping at the desk, with no identifiers
  5. monkeybug

    As a Nurse and a Patient

    Use one of the clamps or the roller and pinch off the tubing just below the nearest port that is below the air. Hang a new bag and squeeze the drip chamber as you usually would. Now attach the...
  6. monkeybug

    Pros and Cons of Induction in L&D

    I have seen an improvement in things over the years. At least we no longer do elective inductions around here earlier than 39 weeks. As for inducing for high blood pressure, preeclampsia scares the...
  7. monkeybug

    Working with a neglecting nurse

    Since it's a LTC, could you call your state ombudsman? I'm not sure about how that works. If you really feel that she is a danger, couldn't you be obligated to report it to the board? In my state,...
  8. I've always been little surprised at how much nurses are expected to do, depending on the facility. And nurses really do often do it all. We are the last line of defense for our patients, and we...
  9. I understand why you feel that way, and to me that is entirely different from the "not my job" statements dealing with patient needs. I will always do just about anything for a patient (and have)...
  10. monkeybug

    As a Nurse and a Patient

    I was informed by an idiot nurse manager that "You could just about kill a patient, and as long as you were sweet while you were doing it, the family wouldn't care!" Um, I would care. I don't care...
  11. monkeybug

    Ever have a patient complain about you?

    You're probably right about them wanting you to act excited. It makes families really angry sometimes when we don't respond in the way that they think we should. Like the pregnant patient that comes...
  12. monkeybug

    Female cathing

    I truly get that cathing pregnant women can be difficult if you don't do it multiple times on a daily basis. Still, I was ready to murder a couple of postpartum nurses. At the hospital where I used...
  13. monkeybug

    Practicing Out of Scope

    Sorry, yes, I meant to type "MDA" and it came out
  14. monkeybug

    Is this common with teaching hospitals?

    Consider yourself blessed, then. My last hospital was a hybrid, we had a residency program but they were by no means our largest group of physicians. It was torture for the nurses. On a good day,...
  15. monkeybug

    Female cathing

    Ditto. I've never placed a catheter in a male, not even in school, but I've probably done upwards of 10,000 female caths, straight and Foley in 15 years in L&D. And yes, it does help to have a...
  16. If Thanksgiving, July 4th, Memorial Day, Labor Day, New Year's Eve, Easter fall into your schedule, you work them. Christmas and Christmas Eve we had a special schedule: everyone works 8 hour shifts...
  17. monkeybug

    Practicing Out of Scope

    I'm sure these same OBs have vetoed having CRNAs around to make sure they can horde more money, but they are now sad that there isn't a CRNA around to do some of the scut work. I've always hated...
  18. monkeybug

    Fired from my first nursing job, before one year

    I'm torn about the whole situation. OP reminds me of a new nurse we had in our L&D several years ago. She had precepted in L&D her senior semester and wanted that as her first job. With no...
  19. monkeybug

    Fired from my first nursing job, before one year

    Considering how long it takes po meds to dissolve in the GI tract, I think the patient probably would have preferred to wait until the appropriate pill cutter was found. Yuck. This was not cutting...
  20. monkeybug

    How do you feel about mandatory influenza vaccines?

    Yes, all 3 years I got the flu to go with my flu shot, it was legitimately diagnosed by an MD. I don't think the flu shot causes the flu, but I also don't think it offers near the protection they...
  21. monkeybug

    I never expected....

    I was in nursing school many, many years ago, but I'll share my baptism by fire. I was in my first semester of clinicals and boy was I naïve. I was a babe in the woods. I had a pervy old guy who...
  22. monkeybug

    How Dr's Die-Article from NY times

    I was pleasantly surprised at the choices my mother, aunts and uncles made for my grandfather (and considering there were 10 of them, any consensus was difficult enough). He suffered a stroke in his...
  23. I take it from your post that you are having a hard time, and I'm so sorry to hear that. I volunteered to take on precepting students and new hires when I was at the hospital for that very reason. I...
  24. monkeybug

    Malpractice Insurance?

    I've carried my own coverage since graduation. Even if the HR lady is right (and I wouldn't bet on it, hospitals are not there to help you, they are there to make money, and they will throw you under...
  25. I don't know if it's done this way every where, but preceptorship is only the last semester here for our 4 local nursing schools. And while I love to precept senior nursing students and new grad...