canesdukegirl BSN, RN

Trauma Surgery, Nursing Management

Member

All Content by canesdukegirl

  1. OP, I fear that you may be missing the point. Although you are correct in stating that homosexuality is now (finally) socially accepted, there are still some areas in the country where it is not. It...
  2. canesdukegirl

    How to tell a dark-skinned pt is pale?

    ALWAYS assess the mucosa to determine paleness. You can't go wrong with this assessment. When I was a vet tech, that was the only way we could assess adequate circulation in animals. In pts with very...
  3. canesdukegirl

    explore lap

    Based on your second post, my guess is that he had free air in the colon which could have necrosed. If his injury was at the splenic flexure and the anastamosis was not repaired adequately, he could...
  4. It could be. For example, if you were surmising about your pt being gay, some of the other staff members MIGHT then assume the pt was gay because of your comment (you know the old game where you...
  5. canesdukegirl

    Is working in the or really that stressful?

    OP, to answer your question, yes. Working in the OR is fast paced and can be stressful. I felt that your question, "Are OR nurses overreacting when they make these kind of statements?" was a bit...
  6. OP, this is absolutely correct. My husband is a manager in health care and he is required to interview the applicants that are qualified for the job. This is mandated by HR. Even if he knows which...
  7. canesdukegirl

    Counting?

    There should be a policy created in your facility to count instruments during a lady partsl case for EXACTLY the situation you found. My facility does not mandate that instruments be counted for total...
  8. canesdukegirl

    Planning a better experience for nursing students in the OR

    Thanks for the frank reply, NJ. I realize that these students are both fascinated and awkwardly uncomfortable in the OR. I strongly believe that learning and the retention of learning commences only...
  9. canesdukegirl

    setting alarm clock to take pain meds?

    I also instruct patients in this way regarding pain meds. Take the dose as prescribed the first 24-48 hours, pain or not. THEN the pt can taper off as needed. It is so much more difficult to get pain...
  10. canesdukegirl

    Supervisors FB Friends with Staff?

    I used to be FB friends with my supervisor until I found out that she was using other staff's FB accounts as a way to nail them for various things. I set my account differently, and she no longer has...
  11. canesdukegirl

    Planning a better experience for nursing students in the OR

    Thanks y'all. I just felt so badly for this poor student. She was obviously uncomfortable, and didn't know the very basics of which person held which role in the OR. I did feel that either the...
  12. canesdukegirl

    Hold injection site with Lovenox?

    According to the manufacturer, you should hold the injection site ONLY while administering the drug to ensure that only the fatty tissue is being injected. Furthermore, the manufacturer does NOT...
  13. canesdukegirl

    No call No show ?

    If she never responded, you cannot be held
  14. canesdukegirl

    No call No show ?

    So if you worked on Sunday, did you not check your email for a confirmation for Monday since you put yourself on the available list? Or did you check it on Sunday and did not see any response? Have...
  15. canesdukegirl

    What do you think constitutes insubordination?

    I must chime in here. Although it is proper form to say, "CNA X, can you please take a BP in room 203?", what I am getting from NurseLoveJoy's post is that her NM advised her that if you put your...
  16. canesdukegirl

    Full Time Nursing Student with a Full Time Job

    ADAM-you got in?!?!? YAY!!!! Try working perhaps 11p-7a and see if you can juggle that. If it is too much, cut back some. Your boss is supportive of your going to school, right?
  17. canesdukegirl

    What do you think constitutes insubordination?

    Write her up EVERY time you see her refusing to do the job that is outlined for her to do. Your DON can listen to complaints all day long, but unless there is documentation of each event in which she...
  18. canesdukegirl

    What computer system do you use in the OR?

    UGH...we use CPM. HATE
  19. canesdukegirl

    What info should be "tattooed" on a nurse's brain?

    Oh lordie, this is a hard question to answer. There are so many things that are tattooed on my brain that I would be a spectacle at Bike Week in Myrtle Beach if they split my cranium! Pathophysiology...
  20. canesdukegirl

    Foley to LIS???

    Roser, if I understood the post correctly, the pt had CBI for two days post op. THEN the MD ordered foley to LIS. If the CBI were continuing with the foley to LIS, there would not be such a risk of...
  21. canesdukegirl

    Foley to LIS???

    MunoRN-you are exactly right. If a pt is s/p TURP, the bladder can be friable. I cannot imagine placing a foley to LIS after TURP. I can't wait to hear what my surgical urologists think about this. I...
  22. When I was in nursing school, we had a student that could be described in the way the OP described her student. He was former military, was all about task and delegation (understandably so) and...
  23. canesdukegirl

    Calling residents affectionate names?

    This is FUNNY!!!! I guess that he was referring to you as "Ma" because he was subliminally equating you with his dearest caretaker, which would have been either his mother, or his wife (southern folks...
  24. canesdukegirl

    Calling residents affectionate names?

    I can only contribute to this post while sharing with you all my experience with being on the other side of the fence. I was gravely ill about 10 years ago and was hospitalized for 3 weeks. The nurse...
  25. canesdukegirl

    false reassurance

    I just have to add this, with the knowledge that I am taking the risk of being tarred and feathered by you guys...but I hate HATE HATE it when someone tells an anxious pt to "just relax." Like being...