annmariern

annmariern

vascular, med surg, home health , rehab,

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All Content by annmariern

  1. Abusive Doctors!

    Jerks are jerk whatever the initial they might add to their names. As long as you have your stuff together (why your calling, latest vs, urine output, labs) have a clue what you want them to do about...
  2. Wow, some of you are really lucky. Reminds me of my very first job, tough, tough floor, horrible staffing, very sick pts and yet I loved my job, loved the people I worked with in fact 20+ years later...
  3. Hi, sorry if this is long, need advice or a new job! I work a 30 bed PCU/Ortho/general sugery floor. Massive problem with missed orders, so bad the boss is experimenting with the staffing to try and...
  4. Missed Orders; How do you do it where you work

    Thanks for your responses; I agree about the UC; at least a medical terminology course as a pre req for the job. As well as imputting orders, she has to answer the phone, the call lights and route...
  5. narcotic policy

    That policy sounds like a nightmare, how in all reality could you do this, really unless you have a max of 4 pts per nurse? We have a policy with PCA/epidurals, most of the q 30 min stuff completes...
  6. Am I too sick to work?

    Refer yor staffing nazi to the CDC recommendations, your symptoms might be flu or at least a bug you can pass on; they are telling you don't go to work sick. Stay home. Look after yourself, on this...
  7. I had a pt the other day. 43 year old female, abdo pain, muktiple hx of utis, kidneys stones etc. CT negative. But, not a drug seeker in anyway, 1 darvocet for a headache when asked, never put her...
  8. Health Care is a right

    Well in that case why not include work related and smoking related cancers? Gallbladder disease, joint damage, heart disease etc in the obese? Head injuries, fractures in anyone driving badly or...
  9. Med/surg nurse here, new neuro surgeon having a prob with csf leaks, having to learn how to manage codman spinal drains with no inservice nothing. It seems even out icu staff today had no clue. So,...
  10. why no tylenol before blood cultures drawn?

    OK; I would guess most of us reading this know what tylenol is for, what the side effects are, what liver damage involves, thanks for the refreshers; But seems from prior posts, it does affect when...
  11. why no tylenol before blood cultures drawn?

    Interesting post, learned something new re the spike in temp after the bursts of bacteria, while we are on the subject a pet peeve of mine. What is is with nurses giving tylenol at the slightest...
  12. Your Nurse has not been born yet

    Had a patient this weekend, 95 year old little old lady, end stage alzhiemers, orif hip. Had to restrain her as she was pulling her lines etc, and clawing everyone who got close. Not your dream...
  13. Your Nurse has not been born yet

    Hi, first, congrats on getting in to your program. I guess my point was that after being hounded about paperwork every minute of my day, all of it taking away from the actual hands on time I have to...
  14. Air in I.V. tubing

    Hi, faster to disconnect and just run the air out before reconnecting. Little bubbles upsets the pumps, but remember it would take a significant amount of air to hurt your pt. Ranges vary in amount...
  15. crash course on codman drains

    thanks,very informative
  16. crash course on codman drains

    Hi, The ones that are placed in the lumbar area are the ones im coming across. One of my questions is the settings mm/hg vs h20. Why would you use one vs the other, the ones I've seen the surgeon...
  17. The gift that keeps on hurting

  18. Too Many Appendectomies!

    This time of year we have tons of pancreatitis, cholys, appys, the GI rush hour. Oh and suicide
  19. when the budget is more important than patient safety

    does the budget allow coverage for you personally should you be sued for malpractice, negligence? Will they pay your legal fees, fight to protect your license? You were asked your professional...
  20. Nurses who became famous

    Julie Walters, actress & comedienne, british started out as a nurse. She was in the Harry Potter
  21. Hello, in my state anyway, you wouldn't be doing EKGs, removing caths etc.So not sure if this will be helpful. Look up total hip precautions, ask if there are any weight bearing precautions on your...
  22. Lovenox injection

    I give them 6 times a day, 3 days a week, almost all pts say they sting & burn, inject slow or fast and I've tried both and checked to see if it made any difference. So far, no. It still stings...
  23. How to Find Staffing Guidlines

    Wow, that doc deserves a medal! So nice to see an attitude like
  24. Any nurses you dread giving report to?

    I would last about 10 seconds with this nurse. Ask me questions when Im done, Relevent questions, don't expect everything to be done, we are not closing at midnight are we? Passive aggressive
  25. http://news.aol.com/health/article/its-better-to-be-a-bad-patient-actor/199619?icid=100214839x1210944416x1200656558 Read the comments, depressing & at the same time I know where some of them...