rn undisclosed name

rn undisclosed name

Telemetry, Oncology, Progressive Care

Member
  • Content

    351
  • Visitors

    6,813
  • Followers

    0
  • Likes

    9

All Content by rn undisclosed name

  1. Risk of D&C

    What are the risks of doing a d&c? Pardon my ignorance but ob-gyn is not my specialty. I am a tele nurse. I would think the risk of not doing it is greater than the risk of doing it when someone...
  2. Low census policy at your hospital?

    We had a similar policy of being cancelled in 4 hour increments like what you describe. It sucked to have to wait by the phone. This was happening on regular shifts and also on extra shifts. We...
  3. Does your hospital give DC instructions to AMA patients

    No discharge instructions but I do tell them to make sure they follow up with their doctor asap in the office. I also document that while explaining the risks of leaving AMA. Luckily I haven't had...
  4. Close to breaking... seriously.

    I am sorry you had to go through that. I don't know if it will help but I bet those families will remember you during an extremely difficult time. Some time away may be just what you need as well as...
  5. I don't know if I would use the work "hard". For me it's almost like 2 different worlds. In school you had the time to look something up because you had only 1 or 2 patients and you came prepared. On...
  6. PA in hospitals and their role

    I'm just wondering what the PA role is in your hospital. Where I am they can write orders which the nurse implements, do h&p, and discharging of patients. Although depending on which group they...
  7. PA in hospitals and their role

    Thanks for you input. It sounds like they can do a lot more than I thought but I guess it just depends on the hospital and mine does not permit the more invasive procedure and only wants the doc doing...
  8. PA in hospitals and their role

    Thanks for the links. I also don't agree with why he can do something in an emergent situation but not at other times. I do believe I would be liable if he performed the procedure and I put another...
  9. PA in hospitals and their role

    I agree it is the hospital is who decides who does the procedure and it is NOT permitted under his priviledges at the hospital. All I was doing was clarifying to make sure it was permitted and not...
  10. Stupid things you've been called out of a pt's room for?

    Pretty much any phone call. If there's one thing I hate it is the constant interruptions you get all day long - especially first thing in the morning. It is not unheard of to get 15 calls to the...
  11. Transfusion too fast?

    I don't understand - why tele? I work tele and I have never given blood like that. If the docs were wanting me to do that off to the icu we go. We don't even take any active GI bleeds - they are...
  12. unsafe MD

    I agree it is so frustrating and I think the hospitals need to stop putting up with this. I work with a doctor who is terrible. One day another nurse counted how long he was in a pt room. 17 seconds....
  13. How Bad Is It Really?

    I am not as sensitive as you are (except when I am pregnant and cry at the drop of a hat). But, I used to have a very weak stomach and it has gotten better. When I was in school I couldn't watch them...
  14. am I being greedy?

    There is usually a range of pay that they offer you. For example, $20-$25 per hour for x amount of experience. I am also at a place now where we don't always have as many openings as other hospitals...
  15. Clinical Pearls of Wisdom for Floor Nurses

    On the flip side if a pt has an oxygen sat of 98%, denies SOB, and appears SOB something may not be right. I was admitting this pt as a transfer from another hospital (they swore up and down this pt...
  16. What medical term do you dislike the most ?

    I work with certain docs who for some reason try to give me verbal orders for that one. Oh they think they are so funny! They can never do it with a straight face
  17. Arrrgghhh...Team leaders...managers...schedules....

    I hear you. I just got my schedule over the weekend and omg I couldn't believe how they scheduled me. I was scheduled when it wasn't even my weekend. Then I was put on to work for 4 12 hour days in a...
  18. Clinical Pearls of Wisdom for Floor Nurses

    Don't forget K IV burns. Whenever I get an order for that I ask the doc if pharmacy can add some lidocaine to the bag if it is going through a peripheral line. The patients tolerate it much better...
  19. What medical term do you dislike the most ?

    I also don't like the word expired. I'm not a big fan of congestive heart failure either. Patients can freak out when they hear that. If there is "any" indication the pt may have chf we have to...
  20. Do you report other nurses often?

    I don't report nurses often. I think in a little over a year I have only reported a nurse once. She was an agency nurse and did not give a single med in a 12 hour shift. One pt I had was septic and...
  21. Will I Be Ok?

    I was wondering if you had ever had a patient (or family) say that to you and how did you respond? I work tele and received a new admission from the ER that I had to immediately transfer to the ICU....
  22. Can I get a situation review from experienced nurses?

    I agree you did a wonderful job. It is true you just never know. I am on a tele floor and I did have a hospice pt. He died on my shift. They were actually expecting him to die 5 days before he died....
  23. dr won't call back.. grrrrr ..vent

    Where I am at there is this one particular doc who is notorious for not returning calls. It is so aggravating when this happens. I always make sure I chart the exact time I call him. My charting...
  24. Extent of discharge teaching (Frustration-Vent, Curious)

    Sounds like possibly this might be a situation where home health might benefit the patient. If I have any doubt the pt is able to care for themselves at home I ask them how they would feel about a...
  25. Bad Tasting Pills

    I know that ice is supposed to "numb" your taste buds. Ok I know numb is not the right word. I have heard that with patients who need to take potassium you use ice to "numb" the taste buds and then...