Asystole RN

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All Content by Asystole RN

  1. Asystole RN

    Reducing ED transfers from SNF

    I have worked in several facilities where it was standard practice to ship to the ED for eval & treat for suspected UTIs/URIs that were suspected, esp if it was thought that IV ABTs were going to...
  2. Asystole RN

    Interpinary discipline

    Don't smoke
  3. Asystole RN

    time of death

    First consult your facility policy. If no policy exists then consult your Board of Nursing, different states have different requirements for nurses to call th time of death. My state wants the...
  4. Asystole RN

    HIPAA question

    As long as it did not leave the facility and was used for the care of the patient you are fine. The full name is ok to put on there but make sure you protect that piece of
  5. I have a pt from an ICU of an unfamiliar facility that has an indwelling Foley catheter with an electrical cord embedded in one of the ports. The terminal end of the electrical cord looks like the...
  6. Asystole RN

    Electrical cord inside the Foley, pt from ICU

    Just kidding about hooking her Foley up to my phone. To be honest that is what I told the oncomming nurse though, I told her it was music therapy for the bladder to stimulate it. I told her if she...
  7. Asystole RN

    Electrical cord inside the Foley, pt from ICU

    Thanks! I connected my phone to the jack and played music, after auscultating all over her ABD/lady parts and hearing no music I figured it must be somethig like a tempt probe or UA analyzer.
  8. This situation is very familiar to me in other occupations but with the same context of small private business. Not being drug tested or working under the table for a short term is VERY common with...
  9. Asystole RN

    Morphine and End Of Life

    Just a reminder to everyone that keeps stating the blanket statement that giving morphine will hasten death by slowing respers, studies have proven that increased opiate administration dramatically...
  10. Asystole RN

    Question about IV certification

    Non-RNs require "certification" (in most states) to perform IV sticks. As a RN you can perform IV sticks, automatically considered within your SoP (in all states that I know of). Some facilities may...
  11. Asystole RN

    8 months and still no job

    There actually is a defined difference between a nurse manager and nurse leader, Forever wasn't making that up. Official facility job categorization may differ from actual job duties being...
  12. Asystole RN

    8 months and still no job

    ANA has a list of hospitals that hires new grads, also has a job post section...just
  13. Asystole RN

    Stethoscope Question

    Use the scope that best suits you. That being said I knew a nurse who actually did not use a stethoscope at all, he preferred to literally stick his head against the patient. He was an old gnarled...
  14. Asystole RN

    Patient falls: What works to prevent them?

    unfortunately there is no one single intervention that will solve such a complex problem. there are assessment tools available to help at least identify those at risk and implement interventions....
  15. Asystole RN

    Sigh. Is this really how we are graded?

    Being fired from a difficult patient is the ghost of Nightingale giving you a +1. You did the best you could in a very difficult position, kudos to you. Look forward to the fact you will never have...
  16. Asystole RN

    possible allergic reactions?

    The first patient could have had a sensitivy or maybe an environmental allergy not related at all. There are reactions and sensitivity to blood products and then there are full on allergic reactions....
  17. Asystole RN

    Need some help/opinion for our case scenario

    In many states, in fact all states that I know of it is not illegal to use illicit drugs. However, it is illegal to buy, sell, or possess illicit drugs or their paraphernalia. That being said drug...
  18. Asystole RN

    LPN goin beyond scope of practice

    I have no opinion on the OP topic. What I do have strong feelings on are the statements that this is none of the OPs business. Under the ANA Code of Ethics this would fall under: 3.5 Acting on...
  19. Asystole RN

    How to handle my father's possible elder abuse

    Many non-acute care facilities do not use haldol nor any chemical restraints at all. I have never seen bruising as described from the use of restraints but I have seen the type of bruising described...
  20. LTC med passes are notoriously large and require a different set of skills from any other form of nursing. The secret to a large med pass is being organized and not wasting time on any one patient....
  21. Asystole RN

    How to handle my father's possible elder abuse

    In my professional opinion I do not see intentional physical abuse. Your father does seem to have incurred trauma at some point from an unknown origin. From your assessments this seems to have...
  22. I would include the last 3-5 jobs you have had, if you do not have any advanced education. Substitute School Nurses would be the first job,then follow with the others behind it putting the years...
  23. Asystole RN

    Is hospital work like an abusive relationship?

    No one has to know that you are interviewing... You do not have to accept job offers either. I am continuously applying and interviewing at facilities, have even shadowed at a few. You never know what...
  24. Asystole RN

    Bedside med locker vs drug trolley

    The effects of a "trolley" or med cart on your facilities medication error rate would highly be dependent upon what the type and rate of the original errors were. Having worked in facilities that have...
  25. Asystole RN

    iv fluid splash in eye

    The risk of bodily fluids entering the IV bag are low, but possible since back priming is being used, which is a reason why I advocate against its use. The chances of an organism surviving the entire...