guest112

guest112

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All Content by guest112

  1. When they're SO sure they're right...

    When I first joined this site, I felt it would be a great place for learning more about my field. Maybe nurses sharing tips and techniques about their fields, helping others, and I thought there would be more evidence-based posts because EBP is an im...
  2. Don't do the physicians work!

    In my facility and many others Foley's need to be documented q24hr to prevent them from being forgotten and causing a CAUTI. CAUTIs are an HCAPS measure and a hospital that accepts Medicare and Medicaid can have reimbursements withheld based on HCAPS...
  3. Lost stethoscopes

    Those fancy looking tubing covers that cover a steth. scope are a major fomite and infection risk. They make it impossible to wipe down your scope when needed. Better to go with an allergy band with your name or something like that like others mentio...
  4. The Outstanding Nurse...

    There are a lot of lists out there about what makes an outstanding nurse. I guess I didn't agree with some of them because I created my own. Thought I would shared for Nurses Week... THE OUTSTANDING NURSE... 1. IS KNOWLEDGEABLE Has the knowledg...
  5. General Rules for Med Surg

    This is solid advice. If you want the right answer, always go to the policy yourself.
  6. "Your job is to make me happy"

    The first thing is not to make any assumptions. When confronted with this question, I would ask "How can I make you happy?" so see what the patient is trying to communicate. Once I understand what the patient means by that statement, I proceed based ...
  7. This is what I did since I did not want to give up my biking. Use your phones record app to record a question, pause 3 secs, then speak the answer. Do this for all the info you have a hard time remembering (eg, cardiac diseases for patho class). Brea...
  8. New Nurse "Grocery List"

    The more stuff you carry around the more cleaning and risk for infection transmission. I would try to use floor stock for everything you can if feasible at your workplace. Just keep in mind and figure out a balance that works for you. For example, ...
  9. Verbal Hand-off Reports - Are they no longer necessary?

    Nurses are busier than ever. A 5-minute verbal report can give valuable overview on pt status that would take a much longer time searching through charts. Besides that, I have received pt that have deteriorated on the way to the floor. Not getting a ...
  10. Hospital that bans family members

    I don't think banning families from visiting their sick relatives is the answer. It is what it is. This is what I do... Families can be difficult sometimes, just as patients can. I try to remember that they are under a lot of stress and I am probably...
  11. Bedside report - hate it? Like it? Love it?

    In my post I explained why I like it. But nursing judgement needs to prevail over blind policy. After all, we are individualizing care, and that may mean, not to share certain info with the patient until the MDs have already done so.
  12. Bedside report - hate it? Like it? Love it?

    In my post I explained why I like it. But nursing judgement needs to prevail over blind policy. After all, we are individualizing care, and that may mean, not to share certain info with the patient until the MDs have already done so.
  13. Bedside report - hate it? Like it? Love it?

    I work med/surg on a floor with all private rooms. We changed to bed side reporting about a year ago. Been an RN for 3 years. I think it is irrelevant whether it is liked or not” by the nurses. I think the discussion should be Is it better for pati...
  14. What did you do before nursing?

    I was a software engineer for 15+ years. Held positions from programmer, design team lead, to project lead. Sat at my desk, drinking coffee, and worked with my other techie coworkers. When I was project lead, I install a dart board in the office so w...
  15. Why don't you just read the chart?

    I think it is an honest question. Here is my honest answer. I could go through the chart and find all the info I think I need to know for the case. However, doing live or phone report has two distinctive and important advantages to me. 1) The ER nurs...
  16. Facebook questions.

    I have been slowly phasing out facebook altogether because it has become a distraction from "real life" for me. Everyone is different. I have found I don't miss it. But here's the thing. I generally kept coworkers OFF the facebook friends list. Here'...
  17. To Swab or Not to Swab......

    To do this properly, you need to swab for 20 secs, then you need to let it dry. It is the friction action that is important just like in hand washing. I always swab because if you look carefully at the plastic pop tops of the vials you can see that m...
  18. Am I the only one who hates 12 hour shifts?

    I love my 12-hour day shifts for a number of reasons. I often give and receive report from the same nurse 12 hours later. And the extra 4 hours per shift does not make much of an impact on me but the extra day off does. I usually get home, eat, an...
  19. Indications for bed alarm use

    I work in a med/surg unit and many of our patients are fall risks for various reasons. We use a fall risk scoring system per policy. But high risk for falls does not always indicate bed alarm use. Has anyone heard of a bed alarm scoring system that w...
  20. Indications for bed alarm use

    Thanks for all of your input!
  21. I'm Freaking Out and Frantic! Please, Help Me!

    Very well written. Thank you for your helpful insights!
  22. To Swab or Not to Swab......

    Interesting thread. I really value allnurses.com and look here for information often. I thank all the nurses that post here. Regarding swabbing, I commend all the posts that cite credible source rather than their nursing school instructors or fellow ...
  23. brainkandy87 and others... Just a new grad listening in on the conversation, but thanks for sharing your experience. Your well thought out answer really helps solidify the point of thinking ahead, and preparing for the next step and possible worst ca...
  24. Thoughts on WGU

    I am considering doing my BSN with WGU as well. I am graduating with my ADN in two weeks and will look to start in Fall. I would really love to hear first hand what the course work is like compared to a traditional online BSN program. I have an oppo...
  25. I am a first year nursing student and reviewing a number of official docs that define my nursing practice. I am confused about the relationship between the NCSBN Model Nursing Practice Act and Admin Rules and how they apply to individual state legisl...