rn undisclosed name

rn undisclosed name

Telemetry, Oncology, Progressive Care

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All Content by rn undisclosed name

  1. People in healthcare should speak Spanish, she said

    Yes, and I am sure we can come up with NANDA nsg dx. Perhaps impaired ability to speak
  2. People in healthcare should speak Spanish, she said

    I completely disagree with you on this. This is not only an issue of their healthcare. How about their day to day living. Just going out and running errands or the numerous other things that go on...
  3. People in healthcare should speak Spanish, she said

    I would rather spend my time going to a nursing convention or obtaining specilization in my field of nursing and learn more about the excellent care I can provide to ALL of my patients than learning a...
  4. People in healthcare should speak Spanish, she said

    That certainly irks me. I would never think of moving to another country without learning that language. Even if I was going on vacation I would want to learn some of the language so I could...
  5. Floating

    I completely agree with you. It is not a ratio issue. It is that you are left alone with NO help and that is the issue. I am not an ob-gyn/l&d nurse and it does not matter what field you are in...
  6. What have you done without a Dr. order?

    I know a fair amount of seasoned nurses who have done things without a md order. Apparently many of you have never heard the term "nurses" order or "nurses" dose. I agree if the wrong person finds...
  7. What do you look for in a Nurse Supervisor?

    Communicating with their staff is a big deal if only because it conveys that they actually care about their employees and then their unit that they manage. My previous manager had a terrible repoire...
  8. New Grad - no taxes taken from pay

    I do agency work and they take taxes out of my paycheck. You are an employee of the agency. Also, I believe an employer pays some portion of your SS or some other tax. If you are considered self...
  9. First big nursing mistake....need some support

    Unfortunately, any nurse with some experience has made a mistake. Believe me, I'm sure people aren't really talking all that much about it. Unless you're a nurse who continually makes mistakes,...
  10. Nursing or Occupational Therapy ?

    If I had to do it over I would do OT. I like to be able to spend more time with my patient's and as a nurse that is pretty difficult. As an RN you really don't get to spend much time. I sometimes...
  11. Potassium IV solutions

    40 mg equal 1 meq. So, essentially you gave 30 meq. I am sure the patient definitely needed it. Now, you have to wonder why was the patient taking this much potassium daily. I am sure they needed...
  12. Pushing Hydralazine

    I know this is an old post, but, I have pushed hydralazine on multiple occassions. I never found it to work all that well. I have NEVER had a patient have SVT from it either. It can cause...
  13. Tired of nurses threatening to quit!!!

    I personally ignore people who complain. I will just walk away from them mid-sentence. Seriously, I don't come to work to here you complain. In fact, do they realize how much more productive they...
  14. University of Chicago Medical Center

    I've worked there and I don't think it is that great of a hospital for nurses. I didn't do ICU or ER. On the particular floor I worked on communication between many MDs and RNs were very poor. An...
  15. Computer charting

    The agency would let you know what the requirements are. For all the hospitals I indicated an interest in they have provided me with an information sheet of that hospitals requirements and info....
  16. IV hydralazine

    Does your hospital have a policy about this med? The reason I ask is that I worked at a hospital with an insane policy on this med. We had to retake the bp in 5 minutes and q5 minutes x3, then q15...
  17. Question about dying patient

    To answer your question maybe they asked this patient and he said he wanted to have everything done. I work oncology and it is amazing to me the differences in what people want done. Even with having...
  18. IV sights for non-vessicants/non-irritants

    Why wouldn't it be ok? I've never heard of that. As long as it is a good iv site it can be used. You don't always have the choice of which iv site you want to use. Sometimes you have to go with...
  19. Will this get any easier?

    It is very tough. I have learned to focus on the positive outcomes. We have an excellent head and neck program. Many of these patients come back to visit us and are told they are cancer free....
  20. OCN certification...does it really make a difference?

    I don't have OCN certification, but, have been thinking about it especially since I am on an extended break from school right now. I've been doing hem/onc for a little over 2 years. My employer...
  21. Neutropenia and Nutrition

    We have recently redone our ntp diet protocol. Now we are telling our patients no fresh berries and no fresh broccoli. It is not as restrictive as it once was. I'd probably stay away from sushi...
  22. Don't check residuals?

    At my hospital we don't routinely check residuals unless a pt is symptomatic with their tube feeds. A high residual isn't really indicative of intolerance unless accompanied by symptoms. I have had...
  23. Nurse Practice Act question, can RN's write orders?

    I would think not. However, I don't know the relationship between the nurse and the doctor. Perhaps they had a discussion on the patients and that doctor is fine with the d/c if certain requirements...
  24. Nursing actions for lab values- HELP!!!!

    I thought the same thing. Maybe cause we both do oncology. Yep, I'm pretty happy when I see an H/H like that. And that glucose not bad at all especially if they're getting decadron which is...
  25. Nursing actions for lab values- HELP!!!!

    Patients with CHF frequently have elevated BUN level as they frequently have renal insufficiency. ETA: With a BUN level it is important to know their