Redhead28

Redhead28

Peds, PACU, ICU, ER, OB, MED-Surg,

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All Content by Redhead28

  1. Think I did around 90 one time when I worked in PACU and was on call. Spent 23 hours at hospital one day when I was first call... It
  2. Question about lab values and what they mean

    Sorry forgot to add. Alk Phos always elevated in growing
  3. Question about lab values and what they mean

    All d/t dehydration and not getting his feedings thus nutrition. Fix the pylorus fix the problem. Don't over think the labs. Peds rarely have a whole host of
  4. Alert patients who refuse meds.

    Its their right. Right or wrong, no matter what I think. I educate, document and pass it on to the doctor or the next
  5. I've worked peds for a long time but have started numerous adults too. I stop at 2. Call someone else after 2, you have no confidence and neither does your patient. I personally am a very hard...
  6. Pushing Dilaudid?

    Signature Doc, You cannot merely go by the online database. Many people truly do have severe chronic pain and could possibly have filled that many prescriptions. You have to remember about the...
  7. Can nurses with MRSA work?

    Ethically it is wrong for her to put her patient's at risk. She should notify her manager and the infection control department. Most hospitals require 2 clear nasal swabs to take patient off of...
  8. Pushing Dilaudid?

    First, I've pushed Dilaudid. Do it slowly and watch your patient because it can build up and hit them all at once. What I mean q4 three times in a row and now they have decreased respirations. Dear...
  9. Accepting this gift from a patient

    Check your policy. Most state that we cannot except gifts with a value greater than 10.00. If it is a perishable i.e. food it can be accepted for the unit. Notify your manager at once and ask her to...
  10. On call status and drive time

    When I worked PACU we had 30 minutes to be there. If you didn't live close enough you would have to arrange to be within 30 minutes on your call shifts. i.e stay at a hotel if you live out of town....
  11. Oh dear.

    Yep work for a system that has one of these bill boards with the ER time. Of course they only advertise their new hospital that has very little traffic. Try advertising the wait times of Pedi ER's...
  12. Made to float, when I know I will sink.

    Everywhere that I've worked that had "mandatory" floating tried to send you to a unit with a similar group of patients. I think it is unsafe for you and the patients if you are going from adult...
  13. Making Acetylcysteine bearable?

    Po use a lid. If they smell it they are not going to drink
  14. Quirky Habits?

    I have to clean my purse/work bag every night before I go to sleep. Can not sleep if it is not in perfect order. All change goes into a change jar. $1's go into a separate bag. If I'm working then...
  15. When I give you the 1-10 pain scale do not answer 12. It is not funny, it's not even orginal. No I don't think your children are cute. They are brats and irritating me and and your room mate. I...
  16. Nursing hours all part time?

    Less benefits for part time people. It is all about the money. Follow the money and you will always find the answers to why a system is doing
  17. What's your favorite computer charting program?

    Have worked with Meditech in two different facilities for 14 years. For me at least, it is easy to use but must be set up correctly. We had a different system for ICU and another system for OB, talk...
  18. Nursing with a Back Injury

    14 years of nursing= 2 bulging discs in my lower back. Sciatica constantly for 3 years. But had a steroid injection in March and much more comfortable. You can do it. I don't take any narcs. Have...
  19. Finally gave a doc what-for, and got praised for it!

    Yep. When an ENT's patient started having stridor, called MD who was getting out of the O.R. to report. Heard him sigh dramatically and say he would be up. When he hit the floor and saw the...
  20. Being Sued / Losing License

    14 years. 3 d/t taking narcotics. 1 that climbed on top of a restrained patient and slapped him for calling her a nasty name. Would you believe the board didn't take the license? Hospital allowed...
  21. staffing/scheduling

    I've worked in 3 different hospitals and it has always been some version of: Agency, overtime, extra shift, then whoever is at the top of the list. Full or Part time never came into the
  22. Documentation Questions

    You are not adding to the order by filling in the facility name. JCAHO is scrutinizing all orders for completeness now, so I suspect this is why you heard about this one. It is a matter for the...
  23. JCAHO checks that hospitals routinely prevent ulcers d/t stress. Also check for DVT prevention. Hospitals are audited on these
  24. What would you make of this?

    The nurse was rude. If it happens again discuss it with her first then follow the chain of command. I've worked with adults and children. Routinely try to call them by name but occasionally I do...
  25. Our new boss writing everyone up!

    I agree with the post above mine. I've worked bedside for 14 years and have never been late, not once. I've driven through blizzards, ice storms and 1 time a flood and still made it on time. I...