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What is a watch with a second hand?
This is a joke, right? Please tell me you're joking. How can someone honestly not know this?
- I Hate You, Heart Attack.....
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Neglect...LPN was fired, RN was not
"Here is another case of a nurse being held responsible for the actions of another- I have an RN relative who works at an inpt lock-down psych unit. An LPN there was passing meds. One pt refused his meds, so the LPN mixed them in w/ the pt's food, which he then ate. Afterwards, the LPN told the pt what she's done. The pt got a lawyer and is suing for violation of his rights. The charge RN on duty that day (who did not even know what the LPN had done) is being held accountable by the hospital for the actions of the LPN. Totally unfair." This just totally staggers me!
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Neglect...LPN was fired, RN was not
It seems clear to me that the LPN is subject to the State LPN Practice Act, and therefore is the one and only responsible. State Nurse Practice Acts don't say that an RN has automatic supervisory and practice responsibility for an LPN. I mean, think about that. That would be a logistical and practical nightmare.
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The most challenging anesthesia cases?
Okay, you win. This is the nightmare patient of all time - that I've ever heard about!
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another ethical subject - organ donation and the government
"Don't take your organs to Heaven. Heaven knows we need them here." I understand what your concerns are. Organ donation can be a hot and often misunderstood topic. Personally, I like Italy's method and wish it were so in the U.S.
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dress code before clocking in
Does this apply to the docs too? I thought not.
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what nurses know thats diff from physicians
Nutrition - Physicians generally know zippo about different diets, what foods have what nutrients, etc. They know the buzz words like "no fat", "no sugar", but ask them specifics and they don't know. Addiction - Physicians have very little education about addictions. They don't understand alcoholism, food addictions, or drug addictions. "Addiction" should be a sub-specialty, in my humble opinion. Medications - Yes, it's true - they have no idea how medications can interact with each other. The most knowledgeable about meds is of course the pharmacist, but nurses generally have more knowledge about interactions than the physician. Look closely at every aspect of "whole" patient care, down to toenail care, and you'll see how very little the physician actually knows.
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What is your biggest nursing pet peeve?
LOL! This is a good topic. I remember when I worked in a CCU and had a Head Nurse whose rule it was that nobody sits down to do their charting until every nurse is done with their patient care for the morning. Well, there was ONE nurse who took aaalllll day long just to bathe her patient (yes, just one patient) so the rest of us ended up having to help her finish up so we could chart!
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AIDS Question
Are you suggesting mandatory HIV testing? No can do. A patient has the right to refuse any and all medical intervention and/or tests, provided it's not an emergency situation. Can't mandate a blood test. Against the law. And, I don't think mandating the test is going to make a significant difference in the spread of AIDS. There is so much public information and outreach materials about AIDS and HIV testing that one would have to be living in a cave in Siberia not to be aware of all the associated issues.
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AIDS Question
Are you suggesting mandatory HIV testing? No can do. A patient has the right to refuse any and all medical intervention and/or tests, provided it's not an emergency situation. Can't mandate a blood test. Against the law. And, I don't think mandating the test is going to make a significant difference in the spread of AIDS. There is so much public information and outreach materials about AIDS and HIV testing that one would have to be living in a cave in Siberia not to be aware of all the associated issues.
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$200,000 to travel to Iraq
I wouldn't go to Iraq for a million dollars. Not at this time.
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$200,000 to travel to Iraq
I wouldn't go to Iraq for a million dollars. Not at this time.
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Consequences of Bad Choices
Interesting case study. And interesting diversity of responses/theories. This entire thread is good fodder for an article in some Nursing Magazine. If this woman's husbands had life insurance policies which didn't exclude payment for suicide then I'd really wonder!
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How many nurses do their own vitals???
I thought part of the assessment was taking the vital signs. For me, personally, I like to take the vitals myself. I have had bad experiences with inaccurate vital signs taking from techs or aides, and it's my license on the line.