Turd Ferguson

Never heard of it, but for your sake I hope it's nothing like PBDS.

We have a similar policy on our ortho floor. No pee by 4-6 hours? Bladder scan. Scan shows over 200-300mL (depends on MD)? Foley. I'd rather do a straight cath to relieve the patient temporarily, since the foley usually ends up staying in for at least 24 hours. But alas, an order for a foley is an order for a foley.

We have a similar problem hospital wide, here is a basic flowsheet of what has transpired. 1. Establish expectations for reassessment of pain (within 30 minutes for IV meds, 1 hour for PO, "timely manner" for other interventions such as hot/cold compress, repositioning, etc...). As you mentioned, pain was being treated but documentation was just not happening. V V 2. Hold nurses accountable for documentation, random audit type of scenario. Still not working, documentation of reassessment still low. V V 3. Charge nurse audits ALL pain interventions and reassessments for ALL nurses on the floor every 4 hours. This is the most recent policy put into place. It takes massive amounts of time, and sometimes prevents the charge nurse from fulfilling other duties... but it's worked so far. I have mixed feelings.

Good gosh! What's the ratio of Dilaudid to Morphine... isn't it around 1mg Dilaudid = 8mg Morphine?

Rep said it's beneficial for patients with deep bone pain (ortho surgery, minor traumas) to be discharged home. Comes in a case of 5 and I believe there's 24 hours worth of doses (q6h?) in each bottle. I think the goal is to relieve/prevent the patient's dependance on oral narcotics once discharged.

The repetitive topics and posts on AllNurses have bored me. I'll try to break the monotony and offer a thread where we can discuss the latest and greatest pertaining to nursing. Here's two products I've recently come across during inservices: Intranasal Toradol: KCI N.P.W.T. Prevena Module: http://www.kci1.com/KCI1/prevena Patients can be discharged with negative pressure wound therapy. Portable module, easy to use. This thing's pretty cool. If you've never dealt with NPWT, check out some of the videos on KCI's website.

My floor has had such a position before. Discharge/float RN, also helps with admissions. Really took some of the excess burden off the floor nurses and expedited the d/c process, which in turn sped up the admission process. Sadly, like many other things, the $$ just isn't there and that position no longer exists.

Found this while browsing around on YouTube. There are plenty of similar videos on there a la XtraNormal variety. You've gotta admit... that's pretty funny.

Wow. Being hired as a new grad into a charge role with six weeks of orientation does not equate with being the safest practicing new grad you can be. Wow.

To add to this, a tattoo should not be any reason for an employer to discriminate against you during the hiring process. If they inform you that you need to cover it, just smile and say "not a problem".

It acts as a precaution to those initially viewing the chart so they know the patient needs to be on contact precautions. If the patient presents to the hospital, they will be placed on contact precautions unless their MRSA screening comes back negative (routine procedure for every patient admitted at my facility)

Down with facebook.

Gosh... I couldn't imagine receiving report on 12 patients... how long does that take?

Sounds like that could be right... I know most facilities require you to be certified in order to perform "takedowns" Code grey where I've always been has meant tornado.

Oooohhh... now I understand what you were asking! :smackingf