CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. Putting a mask on a spitter

    is it, or is it considered assault/battery? i would think
  2. My facility accepts DNRs from home or from an outside facility if turned into medical records by the patient or surrogate. It then gets scanned in and becomes part of our medical record as well. MD...
  3. Me: I'm really tired today, honey (after working a 12 hour shift). Husband (a salaried business guy) : Why? You don't have any responsibility. Somebody just finishes all your work after you leave. We...
  4. I don't think my facility would go for this. We've had award winning initiatives (award winning within the facility) recently that have to do with reducing desk noise, reducing the frequency of...
  5. Putting a mask on a spitter

    Can you claim assault/battery with a neurologically altered, demented patient? I am thinking
  6. Putting a mask on a spitter

    In acute care, this is generally considered an appropriate intervention among staff although I'm not sure of management's opinion. Usually we only have to deal with this for a finite amount of time,...
  7. did i just ruin my career at 21

    This varies alot and what your ADN program requires for you plays a role. Believe it or not, you actually used to be able to get through an ADN with approximately 70 college credits (two years,...
  8. blood sugar drop in middle of night...

    This is not so cut and dried. Every facility's policy is a little different on this and you would have to look at what your hospital says you can/cannot do. We treat glucoses for Why are you...
  9. blood sugar drop in middle of night...

    Did patients get sliding scale coverage at dinner or HS, or oral diabetes meds? Perhaps the SSI is a little too aggressive, or patient is not eating well, or is getting too much oral agent. Lantus...
  10. fluid infusion.. overload?

    You are obviously not an American nurse, so some of the terminology you are using is hard to interpret. From what I can get out of this -- Does not look to me like your patient has signs/sx of fluid...
  11. Summer lull?

    My boss has said that for the last 20 years she's been a manager she has had a conversation with staff about floating. In my area (upper midwest), the hospital census is usually down, it seems. She...
  12. Propofol shortage, anyone?

    We have some propofol -- just not much. It is being allocated to the ORs only. I think they have enough, but there isn't enough to go around for the ICUs, etc. Next time I go in, I'm going to ask...
  13. Time to call a duck a duck?

    Posted similar sentiments #17 in this thread re: nursing/healthcare as a commodity. We're going round and round in circles now ....
  14. Propofol shortage, anyone?

    If we had it, we would use it ... they pulled it off our shelves, and pharmacy won't
  15. ER trys to redirect non-emergency care

    Not everybody is wise to the whole "chest pain" thing. Sure, the chronic narc users are and some of the other frequent flyers. I don't know about the general public,
  16. ER trys to redirect non-emergency care

    Nobody said they didn't have to treat them. They are just going to bill them
  17. And your
  18. Affairs between staff members spouses

    originally posted by ruby vee i'd sure make the job unpleasant enough for the homewrecker that she'd be looking for greener pastures post haste. deny vacations, mandatory overtime, call her and...
  19. ER trys to redirect non-emergency care

    I actually think this is a really good idea. Is it going to deter everyone? No. Those people with no insurance that don't pay their medical bills anyway are probably not going to change their...
  20. Completely and totally disagree with this. I do not diagnose, am not responsible for diagnostics, and do not want to be held liable or responsible for diagnosing disease. This is not within the...
  21. OK, ummm............well...........

    Don't beat yourself up over this. Hindsight is 20/20. Some days it is all we can do to provide safe care. Getting psych on board for this guy probably would have taken X amount of time out of your...
  22. Propofol shortage, anyone?

    I've never used Propoven. I don't think anybody knows about it up here. Oh, I looked -- non-American propofol. I work for the Feds. I bet we won't import
  23. Seriously...

    It's likely that this is JCAHO accreditation stuff. You are probably supposed to have been doing some form of patient education everyday anyway (I know we are.) So, somebody came up with a shiny new...
  24. I have a few trusted coworkers where I work -- they are the ones that I have been working with long enough to know that their clinical judgment is excellent. They are all well-seasoned with a minimum...
  25. I would breed dogs, little yippy toy breeds. If I could afford it, I'd keep popping out babies. Not sure anyone would pay me for that though --- I'd take like, oh, 5 or 6 more