n87934

n87934

ER

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All Content by n87934

  1. Who's in violation of Hipaa?

    Read the HIPAA policy in the patient's chart. They are not all the same from one institution to another. There are numerous allowances for giving information to others. Also, check for a release of information in the chart to see if the patient's inf...
  2. Fired: Practice/personality problems or politics?

    Drug diversion, usually pain pills, will get you fired every time.
  3. Go for it! Nursing is an extremely rewarding profession, both personally, financially, and in the sense of providing stability. No matter what job/profession you chose, you will have challenges like the ones you mentioned above, and you will have t...
  4. What exactly is an Exelon patch supposed to do?

    An Exelon Patch is designed to make lots of profit for Novartis, the maker of Exelon.
  5. thinking of a change

    Have you considered ICU? I've seen a lot of nurses transition from PACU to ICU after PACU burn out. The intensity is nearly the same but the pace is different and you have more continuity of care.
  6. Three things: 1) Let your husband know this, when wifey is happy, everybody's happy. 2) Do the math for your husband. You have to be saving money by not driving to work, i.e., gas, less wear and tear on the car, parking fees, less miles driven = low...
  7. It sounds like you have some significant stressors on you right now and need more support than can be given here. Talk with your school's infirmary about counseling services that are available to students.
  8. What area of nursing should I choose?

    ER. Fast pace, never boring, challenging but not overwhelming, great team, different patients every shift (except for the frequent flyers)
  9. Should I take bagels first day of work?

    You never get a second chance to make a first impression. I vote to take the bagels.
  10. To quote or not to quote...

    I was taught not to document negatives about the patient in the chart because people who perceive that they are being personally attacked may get angry and be more likely to sue. I have had numerous challenges made over the years as to the necess...
  11. What an evening. (kinda long)

    Wow! You are a well-seasoned nurse demonstrating the great organizational skills and time management skills that come with experience.
  12. A few basic questions

    I am doing a college paper on prenatal care. There are a few questions I have that I was hoping could be answered. Question: How do you follow the progress of a mother-to-be during her pregnancy? Answer: Closely Question: How do you determine a du...
  13. Am I being too sensitive?

    Look her square in the eyes and with a smile and in a sing-song voice say, "Thank you, Regina" (that is if her name is not Regina) and then laugh it off with her.
  14. Just a few things off the top of my head that makes a student nurse stand out are being on time, being appropriately attired, being courteous, having the necessary equipment, being interested but not under foot, listening well, asking questions, read...
  15. Deciding Between RN vs PA.

    Try to find both a PA and NP in your area who will meet with you and and discuss the ins and outs of their field. Offer to treat them to lunch. Also ask if it would be possible to shadow them for a day. I've worked around NP's and PA's and both field...
  16. Have I dug a hole I'll never get out of?

    Wow, what a life lesson. It is sure to affect you negatively in the short run, as you just described, but over the long run as you get more jobs and time between you and that event it will have less and less impact. Never lie about it or intentionall...
  17. to nurse or not to nurse?

    There will always be a need for television producers/editors. If you love what you are doing then stick with it. Keep up to date with the latest developments in your field, either through self study or going to conferences or both. Join an trade or p...
  18. I graduated in a tight job market back in the 90s and had to commute 3 hours round trip each day because I wanted an ICU position. The job market turned around in less than a year and my experience allowed me to get a job at the hospital where I ori...
  19. Starting a new job and nervous

    Starting a new job is almost always scary. Being away from your family for so long doesn't help matters either. Just a tip on starting a new job, take a fruit basket or baked cookies on your first day at work. Maybe after you've been working there fo...
  20. tired RN venting

    I hope the day nurse understands the situation and doesn't make a big deal out of it. As for dealing with high maintenance/demanding/needy patients and/or their families, I'll share some advice that works well ...short, frequent face time in their r...
  21. Need help with ECG interpretation

    What goes up must come down. In this case, the depolarization of the atria cause the upward deflection of the ECG tracing ("upward slope") and then the tracing returns to baseline (downward slope) when the electrical impulse has been conducted throug...
  22. Need help with ECG interpretation

    What goes up must come down, in this case the "coming down" is the ECG tracing returning to baseline after the depolarization of the atrial tissue. The initial electrical impulse from atrial tissue causes a deflection in the ECG tracing as the electr...
  23. What jobs in healthcare are most satisfying?!

    Not only do OT's not look stressed, everyone I've ever met had a smile on their face.
  24. Anyone have any words of wisdom re: ECT?

    Nothing is more effective or quicker than ECT at bringing about remission from a major depressive episode. ECT maintenance treatment is sometimes required to maintain remission. TMS does not have a a good track record for bringing about remission of ...