leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    Is it ever okay to wear

    i definitely agree about not wearing scrubs. but if you must, at least top it with a clean, pressed lab coat... and make sure your shoes/sneakers are not soiled, clean nails, combed hair... followed...
  2. leslie :-D

    How to deal with low morale?

    a great employer is reputed to keep their employees happy. they understand that happy employees = productive and stable environment. these employers look at the big picture and manage to integrate...
  3. leslie :-D

    Did I do the I'm injection correctly?

    as does muscle, yes? (bolding, mine)
  4. leslie :-D

    Is she taking advantage of my RN license?

    share your concerns with her, re what makes you reluctant to give a positive reference. it could be considered an act of kindness, if you were (gently) truthful with her. much more to be gained for...
  5. i agree, mba. it's particularly effective in a dark alley.
  6. while i agree that we should absolutely reject any type of assault on us... i struggle with some professions/people being cited as more important than everyone else. i believe we are all equal, and...
  7. why do you think that? perhaps if you shared some of his pmh and pertinent data, we really could try and guide you. if pt does have excess fluid from chf, then yes, that could cause pain... but we...
  8. wow, that's some drug regimen and should make a certain population quite happy. me? my name is leslie and i'm a turkey-sandwich seeker... and i need it now, darn it! (hold the lettuce)
  9. an acrylic-blocker, followed by an acrolide atb. :-I
  10. leslie :-D

    Anti-Intellectualism/Autonomy in nursing

    i'm with you and others, who'd do what needs to be done...in an absolute emergent situation. i could hold my head high, knowing i did what i considered legitimate and ethical . would much prefer to...
  11. leslie :-D

    Moral Dilemmas: Two Scenarios - What would you do?

    for #1, if it has been over a month, yes- get a re-eval from psych. and meticulous documentation. #2, it'd be a cold day in hell before i ever lied to a pt. if distraction doesn't work, and you cannot...
  12. leslie :-D

    how can you tell a drama queen?

    i agree about psych eval, prns, pain assessment, and NOT enabling her anxiety by sending her out ad lib. this thread reminded me of a nurse i worked with yrs ago. back then, she was in her early 40's,...
  13. leslie :-D

    Nursing insturctor terrifying students

    i agree, that you need to speak w/the instructor...versus going over her head w/o hearing what she has to say. i can tell you, i had a couple of miserable nsg instructors...one really, really bad. our...
  14. this. so effective, yet so underutilized. i just don't get it.
  15. leslie :-D

    Anyone else share this pet peeve?

    well, you can't make a nurse give prn meds until they're scheduled (get dr to change order?). still, keep a 'diary' of tasks this nurse "forgets", until you feel there's enough to show nm. next time...
  16. leslie :-D

    My friend is dying.

    sorry gen'l, but i'm confused. did you lose a friend who was 44? if so, then who is angry at God...your friend w/pancreatic ca? as to what you can do, don't ever underestimate the power of your...
  17. leslie :-D

    Nursing Priority vs First nursing action

    emergency, keep in mind it is natural for students to read into these nsg exam questions... that we tend to analyze and overanalyze its hidden and true meaning, right? op, just by virtue of your 1st...
  18. leslie :-D

    Fever and dying

    the body has many protective mechanisms, that prepare pts to die a natural and painless death. while no one knows the etio of terminal fever, it has been correlated to those pts with fluid overload......
  19. leslie :-D

    Letter of Admonition

    yep, very true. my facility didn't have any such forms, but i did note my fears on the assignment sheet, in an incident report, as well as sending concerns to DON. "accepting assignment under duress"...
  20. leslie :-D

    I notified the wrong family of a death

    boy, can i think of a couple of pts that i would have loved to wrap up. woulda, coulda, shoulda thanks for the laugh.
  21. leslie :-D

    setting alarm clock to take pain meds?

    this thread could be a great reminder, that any type of pain is best treated with scheduled/atc dosing. do you think we can all keep this in mind when those pesky, med-seeking pts want their meds atc...
  22. leslie :-D

    He Missed Narcotic Count by 10 Pills!

    i would strongly advise you not to get caught up in any dynamics between the 2 of you. regardless of whether you trust him or even like him, should be totally irrelevant. remain objective,...
  23. leslie :-D

    false reassurance

    excellent responses, canoehead. also: "dr. dud has performed this surgery nearly a thousand times... and has only lost 3 pts, tops."
  24. while i cannot differentiate betw adn and 2nd degree students, i have steadily and earnestly maintained that the bar needs to be raised on entrance exams into nsg school. this is my overall...
  25. leslie :-D

    New Grad RN...Why can't I hear lung sounds!!

    it really may be as benign as having waxy buildup in your ears. good idea, to get it checked out.:)