tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    Patient Scenarios/Critical Thinking

    To make a better informed decision I would want to know if he looks any good with his gown off. I'm kidding of course; what I really would need to know is if he's married ... no, no, still kidding....
  2. tyvin

    Morphine vial dose...HELPP!!!!!

    Whether they were 1mg/1ml carpujects is no longer the question. You admitted that you were afraid they would think you were diverting because you didn't have a witness to waste half the syringe ......
  3. tyvin

    Funniest Patient Lie.....

    Nothing that exciting but I would have loved to been there when Richard Gere came in the ER with a gerbil up his ah ha. Then there's the guy who holds (ouch) the record for largest object in the...
  4. tyvin

    Morphine vial dose...HELPP!!!!!

    Well if that's the case then unless you wasted half of it you gave over
  5. When in psych we were allowed to wear our street clothes. In other places where I did MDS work I wore street clothes with a lab coat. Of course I'm not talking about jeans and a t-shirt but dress...
  6. tyvin

    Morphine vial dose...HELPP!!!!!

    Are you sure it's not 10mg in a 1 ml carpuject... that's quite common. Got to watch those
  7. tyvin

    No Names....I'm just Saying That .....

    It's called nursing ... it's been like that since nursing time began. Go ahead and grow an ulcer but that will only hurt you. Make a list, triage, delegate and have a nice day. If you really have a...
  8. tyvin

    Nepotism, anyone?

    Mistress should rethink ... those types have a way of sticking around for many, many, many,
  9. tyvin

    Patients dying

    You have to be there to actually see that it's almost ritualistic in motion; as if praying or praising someone ... but it could be part of
  10. tyvin

    Subutex & Methadone & neonatal withdrawal

    A big part of the problem is that the moms are more concerned with their own withdrawal and with good reason. Methadone is one of the worst drugs to kick due to it's half life. Perhaps we could do...
  11. tyvin

    Patients dying

    It's important for people to realize that the burst of energy phenomena happens mostly with people who are terminally ill and dying at home or in a facility. Some say it's brain waves, some say it's...
  12. Good for you. I was going through the TV channels last night and stumbled across a local TV station interviewing people who received monies through a grant to talk about their experiences. It's a...
  13. copy ...
  14. Also the one delegating needs to make sure that the one that it's being delegated to is capable to carry out the delegated task whether it be supervised or not and that it need to be communicated when...
  15. tyvin

    i feel guilty, help!

    Do everything to keep "yourself" whole. You can kill yourself trying to please everyone else. It's only getting worse as more nurses are quilted into working beyond their means. The only way it will...
  16. tyvin

    Patients dying

    Anyone who works hospice knows that people who are passing on will have a burst of energy before they go. It's different with everyone as to when. I've seen it done a few days before and then a few...
  17. tyvin

    med error

    The cold hard reality is that they won't care and nothing will change. I have unfortunately worked under more stressful conditions then that (267 bed facility as a house supervisor) ah ha, talk about...
  18. tyvin

    Oxygen Question

    Yea, and the minute you put it down you have to put it back up. It's nights and I wouldn't have tried to ween him if he was resting comfortably. Some nurses feel the need to play with the O2 all the...
  19. I'm not quite sure of your dialog in relation to what you want advice on. Yes, a Foley needs an order and verbal orders are given all the time but with this I would have written up the order and had...
  20. tyvin

    CNA and report

    It's different everywhere but the best IMO was when I worked in a place that after nurse to nurse report then the nurses would give report to the CNAs. Both of us, CNAs and RNs, would get together...
  21. Alright, alright already people; I get it. I wish I had the money to have my tummy done too but I just live with it. Good on ya etc... etc... Now that we know the majority of the RNs on here have had...
  22. I don't mean to sound crass or rude but why don't you try it the old fashion way (that's my suggestion). You could save yourself money and see results in 3 to 6 months if you stick to a plan. What...
  23. tyvin

    Immanuel Kant - Theory/Ethics

    Maybe she Kant ... or is it that she needs experience in order to have an experience. To discuss Kant in the text of todays health care system could prove to be lively. All his writings have been...
  24. tyvin

    Advice needed

    I read a lot of insecurity in your post. We often will get what we want in terms of behavior. If you want to be looked at as fat and having ugly scrubs it will happen because that's what you're doing....
  25. tyvin

    Immanuel Kant - Theory/Ethics