NocturneRN

NocturneRN

ER, cardiac, addictions

Member

  • Content

    168

  • Visitors

    4,352

  • Followers

    0

  • Likes

    0

All Content by NocturneRN

  1. Need to vent

    NocturneRN replied to NurseLily22's topic in General Nursing

    When you're a new nurse, it's sometimes very hard to tell whether you hate a job because it's not a good fit, or because you weren't given the tools you needed to learn to handle it well. Many years...

  2. gallbladder disease and reflux

    NocturneRN replied to trmr's topic in General Nursing

    In my case, reflux and gall bladder disease appeared at about the same time. I got rid of the gall bladder (the lap surgery wasn't as bad as even one gall bladder attack!), but the reflux stayed....

  3. Propofol shortage, anyone?

    NocturneRN replied to CNL2B's topic in General Nursing

    I'm from the midwest, and we have a propofol shortage here, too. We're also no longer getting D50 in the prefilled syringes----now it comes in a bottle and has to be drawn up. Ditto for prefilled...

  4. Things you'd LOVE to be able to tell patients, and get away with it.

    NocturneRN replied to AngelfireRN's topic in Patient, Colleague Relations

    what makes you so sure the patient hasn't "bothered" to try to learn english? or that the patient could easily have brought along someone who could interpret, but just didn't "bother"

  5. Things you'd LOVE to be able to tell patients, and get away with it.

    NocturneRN replied to AngelfireRN's topic in Patient, Colleague Relations

    uh oh, now you've opened up a can of worms. i have rather strong feelings on this issue, and they're not very "politically correct." first, do you have a telephone translator language line? that's...

  6. Things you'd LOVE to be able to tell patients, and get away with it.

    NocturneRN replied to AngelfireRN's topic in Patient, Colleague Relations

    We have standing orders to straight cath if the patient can't give a specimen within 30 minutes. In actual practice, we don't push it that much unless the doctor insists on it. But there are some...

  7. New Grad in ER with unsafe practice - Advice please?

    NocturneRN replied to R!XTER's topic in Emergency

    One more thing: make sure that this emergency department has enough experienced nurses to serve as resource people. Recently, a very well qualified and experienced ER nurse interviewed for my...

  8. New Grad in ER with unsafe practice - Advice please?

    NocturneRN replied to R!XTER's topic in Emergency

    I would ask two questions: (1) What sort of orientation program do you offer new graduates, and how long is it? (2) What quality standards is the ER currently working on? If they answer, "Well,...

  9. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    "Posturing" isn't unique to nursing. Before I went to nursing school, I had a degree in secondary education----and, if you want to see empty posturing and gaseous pedagogical terms thrown around, try...

  10. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    I like this

  11. Are You a Member of the allnurses.com Grammar Police?

    NocturneRN replied to PacoUSA's topic in Nursing Humor

    hey jbudd, do you think thomas jefferson spelled happiness the way you have the quote posted?? i know. i'm really bad about this, look at my earlier post on this thread. :lol2::clown::lol2: must be...

  12. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    If they're doing it because they recognize that the patient has an increased fall risk, then, yes, I'd say they are. You don't have to have "RN" or "LPN" after your name to make a nursing judgment...

  13. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    Do we really need to 'dress up' the obvious with nursing jargonese... we need to know what the blood sugar is....we know there is a falls risk...we know we need to have swallowing assessed etc...

  14. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    Thank you! That is exactly the point I was trying to make, but you stated it much more clearly than I

  15. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    If you want to deal only with medical diagnoses, then what you're saying is that you want to leave all assessment and planning up to the doctors. The fact is, saying "The patient is having a stroke"...

  16. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    Jabba the Hutt: impaired mobility related to severely elevated

  17. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    I won't, either. But I'd just as soon leave the energy field assessment to someone else, who's schooled in that theory. I'll stick with a handful of more traditional nursing diagnoses, which are...

  18. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    Okay, I've got to agree that some nursing diagnoses are more hokey than others. That one sounds as if it came right from some snake oil salesman's pitch. I'm defending the idea of nursing diagnosis,...

  19. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    Well, you have to document some sort of a care plan, if for no reason other than to show why this patient requires a nurse or nursing interventions. If you're doing that, then you ARE identifying and...

  20. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    Okay, okay, I admit it----THAT is a really hokey sounding nursing diagnosis, and I'm guessing that we could all manage to get through an entire lifetime of nursing without resorting to it. I know I...

  21. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    I'm guessing that that's because it's become second nature to you. You are using the nursing process every time you look for any possible causes for a sign or symptom, rather than just assuming the...

  22. Time to call a duck a duck?

    NocturneRN replied to eriksoln's topic in Nursing Professionalism

    The purpose of the NCLEX is not so much about whether you understand nursing theory, as it is about determining whether it's safe to give you a nursing license. Among other things, it's designed to...

  23. Are You a Member of the allnurses.com Grammar Police?

    NocturneRN replied to PacoUSA's topic in Nursing Humor

    That one gets on my nerves, too, but not as much as "She went for a walk with John and I." Another one (not exactly a grammatical error, but annoying anyway) is the notion that it's more refined to...

  24. Dealing w/ difficult/drug seeking pts...

    NocturneRN replied to nursewho's topic in Medical-Surgical

    I have a few suggestions, that have worked for me since my days of working in the addictions field. They sound like a bunch of Nursing 101 textbook BS, but they really do help. First thing: remember...

  25. Geriatric UTI and Hallucinations/Psychosis

    NocturneRN replied to njmomstudent's topic in Geriatric, LTC

    Mental status changes certainly can be a sign of UTI. It's so common, in fact, that, when we get a geriatric patient in the ER with this problem, one of the first things we do is collect a urine...