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ladycody BSN, RN

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ladycody has 8 years experience as a BSN, RN and specializes in CWON.

ladycody's Latest Activity

  1. Is anyone at all concerned that the leader of the free world...against all recommendations...is taking hydroxychloroquine as a preventative measure...despite having high cholesterol? Or that a doctor felt OK prescribing such to the leader of the free world despite said concerns? I mean HOLY COW!?!?!? How many will be banging down doors now to follow suit??? Read in its entirety: Trump Says He Takes Drug Against Covid-19. There's No Proof It Works. Are there NO repercussions for this kind of insanity??? Sorry...but WOW!!. Am good and would get the hell out of this field if I could for sooo many reasons right now...but opening a restaurant right now is out and that's what I'd wanna do...rofl.
  2. ladycody

    This is just like flu

    This is perfect. We also need to look at the recovery numbers. The recoveries listed don't show how many are seriously worse for wear...like not OK anymore. Flu recoveries are not generally nursing home bound for the long hall the way so many Covid patients are after an extended hospital stay. This disease is just sooo different I can't wrap my head around nurses here can pooh-pooh it with such comparisons. I do think we need to reopen to some extent for the economy and mental health of the population at large...but it needs to be done with care and intelligence and I don't feel like that is happening. Businesses and venues that require close contact are resuming before those where distancing is easier to control. Am just blown away by healthcare workers, in particular, that don't understand how big this little virus is. It's got chops.
  3. I'm just wondering if people are back to normal anywhere with regard to PPE use? We are still using the same N95 for long stretches because of limited stores. While I get the desire to re-open the economy carefully...I haven't heard any consideration for PPE availability. For as much as I would like to see some careful steps forward...I feel like we shouldn't open JACK until PPE is readily available enough for us to be able to use it PROPERLY (not this pandemic conditions nonsense of reuse). So what say you...do you have unrestricted access again or is your PPE still under lock and key?
  4. ladycody

    Did I make the wrong call?

    I cannot believe that there is a policy ANYwhere that allows for doubling of a med order without provider involvement. I worked in a prison system that didn't allow pill splitting but there is NO way a med adjustment would ever have been made without an order unless it was a crazy nurse who decided to make some REALLY bad choices. That's prescribing...and can't be done by nurses anywhere without a specific provider-signed protocol that names specific meds allowed to be issued with specific dosing under specific conditions with specific criteria met. Where the heck is this happening??? (Squirreled but was jaw dropped by this). As for the OP...I could see a hard liner saying you shouldn't give half a dose...but that wasn't your INTENT either. Your intent was to provide the full dose but you were unable to do so...which makes it a near miss med error on your part (because it was caught and wouldn't have reached the patient....the pt WOULD have gotten a full dose had it been available). Near misses arent even considered by many though they provide valuable learning moments when tracked and looked at for quality improvement. It was instead an active pharmacy error because the med was not available for administration. Bottom line...you are fine. Now get yourself out of any hospital that has you passing meds for 19 patients.
  5. I suspect it will be worse by quite a bit. Evwn if the numbers are the same for the year....the impact to the healthcare system has been totally different. Significant covid hits super hard and lasts for weeks...and has hit much more quickly. If the flu is bad....it still doesn't tend to require dialysis and weeks of intubation.
  6. ladycody

    To be a coward, or to be a fool?

    Yep...we did take an oath...but none of us took an oath to do that in any particular wat and none of us to an oath to do so even if it meant risk the lives of our families. Do you know the Nightingale Pledge? Read it lately? Let me help you out: "I solemnly pledge myself before God and in the presence of this assembly to pass my life in purity and to practise my profession faithfully. I shall abstain from whatever is deleterious and mischievous, and shall not take or knowingly administer any harmful drug. I shall do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. I shall be loyal to my work and devoted towards the welfare of those committed to my care." The expectation is that we practice our profession faithfully...that we maintain and elevate the profession, keep confidences, and be devoted to the welfare of those committed to our care. Do you have ANY idea how many DIFFERENT ways there are to meet those expectations? ??? The pledge does NOT require you to forsake your family or ignore your own well being. Even the armed forces...where there is an expectation that your life MAY WELL BE ASKED OF YOU...will grant exceptions to prevent unreasonable risk and to protect the needs of your family. They're called dependency, hardship, and medical discharges. So to all the shamers....just stop.
  7. ladycody

    Nursing Dose

    Yep...it's an old thread but still getting a comment from me. I've met too many who think the rules don't apply to them or that it's not a big deal in a given scenario...and I've seen a few get their licenses dinged and a few other lose them entirely. It's not rocket science. We have a scope of practice...and if you need an order that will cover you in what you consider to be a not uncommon situation for your role... then GET ONE. Better yet...get a protocol order set in place that can be assigned to patients most at risk of a given There is NO reason to act outside your scope. You are choosing a work around instead of a long term solution....which, as a side note, is not in the patients best interest and flies in the face of pt advocacy. Ps...am sorry the OP got smacked...it almost sounded like someone reported her...which is nuts considering I read her post as a simple inquiry. It was a good question an obviously worthy of discussion since it is blatantly obvious that it happens fairly regularly. Frightening that some said they don't work with anyone who DOESN'T do this!!!
  8. No BON is going to strip you of your license for having someone call 911 for a pt presenting with significant symptoms. You could, however, be held accountable for the poor soul with scary symptoms/vitals that has a bad outcome waiting to be assessed by a physician because YOU said to have them wait. Am calling BS and advising that you might wanna rethink working for people who don't get this.
  9. duplicate post deleted.
  10. MRSA can lurk in certain areas without presenting symptoms...such as the nares. While non-symptomatic MRSA can be found in anyone...it is more commonly found in those who have had a previous active MRSA infection. Hence...knowing that someone has had an active MRSA infection in the past allows the facility to take extra precautions in patient care (and tests are run in many instances) to help prevent the inadvertant spread of MRSA during the patient's hospital stay.
  11. Reading this has gotten me a bit panicked. I know it's going to be difficult but have been trying not to over-think it...because I just need to tuck my head down and get it done. The fact that I need to work while in the program in order to pay bills and wondering how it will all pan out financially has me worried....and then I tell myself shut up and get positive. I actually deal really well with stressful situations...and I KNOW that...at 42 I've seen myself in action enough to know how I react to chaos...so I'm sure I'll be tired and crazy but basically fine in the end...it's just the anticipation of stress that sends me sideways.

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