MomRN0913 replied to racingmurse320q's topic in General Nursing
I can relate. I was in the ICU for almost 5 years where I esentially started my nursing career. I left for a few reasons, but not because I didn't like it. I'm doing a job I love now , I work remotely and don't ever see a patient ( or a coworker f...
Critical care certainly has more leeway. But aside from that, we never prescribe, but we do suggest. But your comment about Tylenol worries me a little. It is a medication. OTC, but nonetheless a medication. If you have a patient with liver failu...
I was thinking back to a case I had and a debate I had with my director. Elderly woman with end- stage dementia max 80lbs. Reddened sacrum. Daughter took ExCELLENT care of her. Changed her 4 times a day, turned her often, says its not a problem as...
Vtachy, you seriously cannot be an ICU. Nurse, or even a nurse if you think what you are saying makes any sort of sense in the way of liability. Call your doctor?!? Because we know by the time your loved one gave the EMS your doctors number, and t...
Why would so done go shoot up a mall or a school? Their are crazy people out there. I've seen some families get crazy and stupid over money. It's not for the EMS to decide. That's why there are legalities in place. If I was an emergency respon...
There is no proof of who they are. Legally they can't. They don't know the cashier from your husband when called on an emergency response. In a hospital you can't listen to the next of kin unless there is a doctors order. It's the way it is. T...
Yup, a DNR tattoo is no good. A DNR needs to physician signed. If you feel that adamantly and think you might drop dead in Walmart, you better be carrying that DNR on you and visible at all times
I'm confused. How are the EMS supposed to know?!? You would have no grounds to sue. And if you have worked ICU for 13 years, surely you are well aware of how family goes against pt's wishes, so a random EMS worker is supposed to let someone die bec...
MomRN0913 replied to inspiredbynavy's topic in Safety
Yes, I have yelled at patients in the ICU. When they were about to pull their ETT, central line or chest tube, I would yell to be that point across if nicely nicely didn't work. I have yelled at my patients who wouldn't keep their bipartisan on whi...
I have finally landed my dream nursing job that Is the perfect fit for my lifestyle now. It is a blessing after a few years of struggle. I started my career is an ICU nurse and loved it. But then life happened and circumstances changed and I couldn...
6.1 is a critical lab value that is supposed to be called in by the lab and verified it is received and noted by an RN. That was a system put in place for this very reason. It all falls on the nurses head in the end, which is really not fair. It doe...
MomRN0913 replied to Been there,done that's topic in Case Management
I know this is an old thread. But I eventually did get hired to EHR. I've been working there for almost 2 months now. Persistence paid off. I was very persistent and always followed up. I'm an appeals nurse and love it. Very interesting work. ...
I once pulled a meperidine ptca vs. A morphine PCA syringe from the Pyxis. And put it In the pump. When I did that, the particular med for the patient was loaded in. You could take out anything for anyone. I felt awful. You saw midazolam instead ...
MomRN0913 replied to lweatherby's topic in Home Health
One and a half years of it and I had to get out. I was in bad shape. It was a 24/7 job when it wasn't supposed to be. I charted nearly everyday I was employed with them. On the weekends, before and free work, getting phone calls from docs at all h...
There was that one time I was doing postmortem care with my fellow nurse and the pt had a femoral Udall catheter which was coming out. He asked if we should leave it, and I said " nah, it's halfway out anyways, I've done it before and it didn't blee...
That's pretty much my question. Are the jobs in in- patient rehabs? I'd love to give this area a shot, it hits close to home ( not me with the addiction). But I'd really like to help these people:)
Nice generalizations. I guess the as answer is fire all the aides and do it yourself. They are obviously of no use to you. You seem to be way more concerned of charting something wrong than if something wrong was actually done. I hope of you are t...
Guys, this is really not a big deal! " am care done" will not put your license at risk or throw your whole day off". " temp 101.2, Tylenol given" doesn't hurt either. Just because you didn't take the temp doesn't make it illegal or painstaking to w...
Don't CNA's take vitals for a reason? If you don't trust them, then you need to do them yourself. If you really don't trust them, your not doing any service to your patients by just not charting them. If you are administering meds off of their vita...
MomRN0913 replied to tsipareht's topic in Relations
There was nothing dismissive about her post at all. She was telling an honest truth and seems to be passionate about her job. Only experienced nurses are able to start in an outpatient surgery center? I'm sure your loved one with complex medical is...
MomRN0913 replied to Spidey's mom's topic in Hospice
A paid unlicensed caregiver is ok. If they are with an agency, that's one things. If it's a person they hired privately who works under no one , it's as if you are teaching a family member. From what I have seen these paid unlicensed care givers ar...
MomRN0913 replied to tsipareht's topic in Relations
After almost 8 years in. Nursing I have a job with zero pt contact, no holidays and no weekends ( unless I want them), and I work from home. But I will tell you this much. I would have never gotten this job without my years in the hospital hauling p...
Charting. I am always charting. 3 hours yesterday and another 3 today. I'm off this weekend, and like usually, I am charting!I can't wait for this to come to an end. My daughter is with my exH this weekend, I got some me time and this is what I a...
I finally got a new job! One I have wanted for a few years. I will be working from home as an appeals nurse for a physician advisor company! After I left my job in an MICU to become a nurse manager, my career fell apart. I have been depressed the l...