Gabby-RN

Gabby-RN

Emergency Nursing

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All Content by Gabby-RN

  1. admin shows her family the psych unit

    Gabby-RN replied to camrn56's topic in HIPAA Challenges

    In that case wouldn't every patients privacy rights be violated nearly every day if the hospital allows visitors? I'm just being devil's advocate here but if the patients are allowed personal...

  2. tPA

    Gabby-RN posted a topic in Emergency

    Does you hospital have documentation guidelines for tPA administration? What are you required to chart during infusion and how often? Does it differ based on the reason for administration-i.e. CVA...

  3. Medication administration vs Patients wants

    Gabby-RN replied to Notmarvin's topic in Patient Safety Issues

    You should never leave meds at the bedside. With that said, it is difficult for patients to understand that when not every nurse follows that rule. I usually tell patients that hospital policy states...

  4. admin shows her family the psych unit

    Gabby-RN replied to camrn56's topic in HIPAA Challenges

    I have brought my 10 year old child to work on my day off. I forgot my bag there and stopped in to get it. My manager was in the lobby and suggested I show my child the solarium. We said hello to...

  5. How Not To Bring Germs Home...

    Gabby-RN replied to sparky605's topic in General Nursing

    I do not do anything special and I rarely get sick, nor do my kids. I have a no shoes indoor policy in my house but my work shoes are lined up in the basement with everyone else's. I change out of my...

  6. Guns and Wepons

    Gabby-RN replied to exit96's topic in Emergency

    Inner city level 1 trauma center, unarmed security on site, all crisis patients are wanded but thats it. No metal detectors, no

  7. new RN, first job, having tough time, need advice

    Gabby-RN replied to BrooklynRN11201's topic in Emergency

    I see patients almost every shift that are seeking drugs, many hospital hop and have narcotic contracts or orders to not give narcotics except in a case when surgical intervention is necessary. I also...

  8. tPA

    Gabby-RN replied to Gabby-RN's topic in Emergency

    I wish tPA was only done in the ICU. So frequently there are not beds available and we have to do the entire process in the ED, regardless if it's for CVA or PE. Not the best scenario when it's busy...

  9. When You Request I Switch Shifts with You

    Gabby-RN replied to Nurse SMS's topic in Patient, Colleague Relations

    I agree. Lately I have taken a new approach when asked if I can cover a shift. I write it down and say I have to check my calendar. When I get some time later that day I compare our schedules and see...

  10. Would you give PRN percocet and scheduled Oxycodone together?

    Gabby-RN replied to lunaro16's topic in Patient Medications

    I have given Oxycontin and Oxycodone together before for patients that have been receiving Oxycontin chronically that are experiencing acute pain. For example, a patient has been taking Oxycontin...

  11. Narc count

    Gabby-RN replied to dubspot's topic in Patient Medications

  12. Prioritizing infusions

    Gabby-RN replied to sistrmoon's topic in Patient Medications

    You mention the patients platelets have not been increasing despite the transfusions. Not sure if the antibiotic is vanco or something else but possibly it is one that induces thrombocytopenia and the...

  13. Prioritizing infusions

    Gabby-RN replied to sistrmoon's topic in Patient Medications

    Based on the info you provided, I would run the platelets over 30 min (thats the rate the doctors order where I work) then hang the antibiotics. If the patient was septic, symptomatic, or very ill I...

  14. Training to look impressionable for ED?

    Gabby-RN replied to guest744967's topic in Emergency

    If a nurse does not have ED experience, my hospital will only hire them into fulltime positions. My manager believes part time and per diem positions do not provide enough consistent experience for...

  15. Advice on how to get an ER tech position?

    Gabby-RN replied to ready2g0's topic in Emergency

    You can take acls as an emt-b, at least in my state. I know a few nursing students that have taken it. I do not think that would help you get a tech job though. I would ask the charge nurse. A...

  16. 4 months orientation and STILL struggling, help!

    Gabby-RN replied to Curious1alwys's topic in Nursing Career

    I used I sheet of paper for my 6 patients, 3 on each

  17. PRN hours decreased because of the ACA

    Gabby-RN replied to kdhunley's topic in Activism, Healthcare

    I would think it would need to be an average, like over a 12 week period a person can not average 24 or more hours a week. I have a per diem job, some weeks I work 4 days other weeks I work zero. I...

  18. Can i still apply for job w/o BLS card?

    Gabby-RN replied to mee9mee9's topic in General Nursing

    I do not think this is a big deal. Go to the interview say your new card has not arrived

  19. Patient Families

    Gabby-RN replied to 1fastRN's topic in Emergency

  20. 4 months orientation and STILL struggling, help!

    Gabby-RN replied to Curious1alwys's topic in Nursing Career

    The 1st year is tough. Take it one day at a time, one hour at a time, one task at a time. Take report in a specific color pen then use a different color pen for your shift. If the night nurse tells...

  21. Patient Families

    Gabby-RN replied to 1fastRN's topic in Emergency

    My favorite, which has probably already been said is when you go to start an IV and the family member chimes in that you must use a butterfly and it must be in the hand "in this vein right here"...

  22. The Infamous Cab-ulance

    Gabby-RN replied to MedicalPartisan's topic in Emergency

    Sorry I realized you are a nursing student, according to your profile. Good luck with that. Maybe want to try a new approach because you are sure coming across as someone other than wanting to be a...

  23. The Infamous Cab-ulance

    Gabby-RN replied to MedicalPartisan's topic in Emergency

    You do realize that paramedics are also limited as to what medications they can give and are even further limited as to they need to ask a doctors permission before they can give some medications....

  24. The Infamous Cab-ulance

    Gabby-RN replied to MedicalPartisan's topic in Emergency

    http://work.chron.com/policies-rn-intubation-4756.html "Some states, such as Nevada, allow intubation if the nurse has completed special training such as advanced cardiac life support training, or...

  25. Accused of withholding pain medication

    Gabby-RN replied to trucol's topic in Patient, Colleague Relations

    Shame that patients don't opt for the nicotine patch considering or that that are not allowed to smoke while