I'm guessing glycerine might be referring to you saying that your DNR order was in your living will. At least in the states I'm familiar with, a living will that expresses wishes to be DNR is not...
MunoRN replied to sassyann85's topic in Psychiatric
Is that just for patients who have yet to be seen by the MD, or does that also apply to patients that have already had their admit done my the MD (or other
MunoRN replied to sassyann85's topic in Psychiatric
There are various types of holds, but anytime a patient cannot leave by choice they are on a hold. You seem to be describing a system where not even voluntary admits can choose to leave, how is that...
MunoRN replied to sassyann85's topic in Psychiatric
If the patient can't express that they are aware they agreed to a 72 hour hold then they didn't agree to a 72 hour hold. Everywhere that I've worked requires a patient's signature for this agreement,...
Part of what I do is assist with regulatory visits. There are two things you can always count on surveyors checking; restraint charting and whether PRN med indications exist and are being
To give an example, I was orienting a nurse to ICU not long ago, we received a patient from the floor who had coded. The patient had end-stage COPD and had already been on a low-dose opiate to...
The terminal condition will be the primary cause of death, but you'd have to ignore everything we know about these medications and how they affect patients to believe they can't and don't often alter...
In the case of treating an "electrolyte imbalance", specifically hyponatremia, switching out water for NS can be indicated, but in the absence of hyponatremia it's not
I completely agree that the risk of hastening death never supersedes the treatment of discomfort or distress, but do you really believe that these medications "will not" hasten the process? What...
I searched "flush nasogastric tube with" and through at least the first 5 pages I can't find anything that recommends using NS, every single one says water. We all drink water regularly without any...
In general hiring an outside candidate works out better in my experience. The biggest challenge for any new manager is overcoming the entrenched "this is how we've always done it" views of staff,...
I think there's widespread misunderstanding of the research on end-of-life care and the potential for hastening death. There is absolutely nothing out there that says medications for symptom...
In terms of continuous vs intermittent suction, I've never worked anywhere that we didn't automatically change all NG continuous suction orders to intermittent. There is no benefit to continuous...
MunoRN replied to nursingjudgment's topic in Critical Care
I get the purpose of labeling lines and even pumps if they aren't smartpumps, but I'm not getting why would label the tubing just above as well as just below the
Your employer is free to have you sign a waiver and give you extra wages in lieu of health insurance. Each employer creates their own waiver, here is an example: Michigan Business & Professional...
MunoRN replied to AngelaHarvey's topic in Critical Care
Vanderbilt has a good research center on ICU delirium: ICU Delirium and Cognitive Impairment Study Group It goes into prevention, diagnosis, assessment tools, treatments, etc. Maybe look at that...
Laws that give the birth mother the right to change her mind for a period of time immediately following birth are common and for good reason. In a voluntary adoption, everyone's goal is make sure the...
There are no specific answers to your questions as it varies by state and severity, in general you should avoid being the subject of such charges. Elder neglect requires that the neglect be clearly...
Are you under the assumption that the vast majority of RN's who work in jobs that extend outside the hours of weekdays 9-5 don't like to spend time with their families? Personally I also enjoy...
MunoRN replied to sassyann85's topic in Psychiatric
AMA by definition means the patient doesn't need to be approved by the doctor, that why it's Against Medical Advice. The only time they can't leave AMA is when they are on a legal hold, which why I...
I'm not sure why it is you feel you still need to do chart checks with CPOE? Generally, the purpose of chart checks is to review back over a specified time period in the paper chart and make sure all...