CompleteUnknown

CompleteUnknown

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  1. Time to call a duck a duck, part II

    Disappointed yes, surprised not really. Sharon and llg, I agree with most of what you say, but I do think erik is on to something as well, I'm still having trouble articulating it. I have a foot in...
  2. Time to call a duck a duck, part II

    Looking forward to one day reading that
  3. Time to call a duck a duck, part II

    This is good stuff Sharon and I think it's a bit pointless to be asking whether or not it's nursing. To me anyway, it is. What I wonder is why it is that you 'never laid eyes or hands' on this woman....
  4. Time to call a duck a duck, part II

    Lol Mike, sure there is, but erik is right, they probably need you where you are now. I only joined the site recently but I've been reading for years and I've always enjoyed your posts. If every...
  5. Time to call a duck a duck, part II

    How very true and, sadly, how very often you see
  6. Time to call a duck a duck, part II

    This is a great discussion and I'm really enjoying reading everyone's posts because when I try to articulate what I feel on this subject I can never express myself well, even in my own head. I do...
  7. Time to call a duck a duck, part II

    Totally agree with you heron. The thing that worries me though is that I really do feel there are nurses who just cannot see that famous 'big picture' (maybe it's an experience thing and that makes it...
  8. Time to call a duck a duck, part II

    I'd agree with you that this is nursing too but I don't think it's the ideal. I'd like it if the nurses actually caring for the patient at the bedside were the ones to do this. I think it's the lack...
  9. Documentation

    Agree that if you chart the behaviour you also have to chart what was done about it. I've seen so many charts where the nurses are faithfully recording the behaviours shift after shift but nothing is...
  10. Postpartum pericare

    Not an OB nurse but it sounds like overkill to me too. Wouldn't a daily shower with regular soap and a warm water periwash PRN cover this? What's the rationale for the antibacterial soap and...
  11. The "perfect example" model

    I've never heard of this 'perfect example' model before. I'm not a perfect example, I never will be, and I don't want to
  12. New to nursing leadership and having some difficulty

    Now that is great news nfdfiremedic, so pleased for you. Isn't it amazing how sometimes those small changes like you mentioned cut out so much irritation and make the work flow more smoothly? I get...
  13. Narcotic question

    Do you have an 'ability to self medicate' assessment at your facility? Part of ours is that the resident has to agree to keep their medications in their locked drawer at all times to prevent other...
  14. Fecal Disimpaction

    I think this hits the nail firmly on the head, and auditors and the people who check quality measures have taken (rightly so, in most cases) to seeing impaction as a sign of poor care. Facilities may...
  15. Have to agree with you there Mike, I don't think the fact that the majority of nurses are women has much to do with anything. Men and women are way more alike than they're
  16. "Students with good grades = not good clinical nurses"

    I don't think this is meant as people think book smart automatically equals hopeless with patients. Unfortunately there are some that just don't 'have it' when it comes to actually working at the...
  17. Mouth to mouth without barrier?

    I've read that a few studies have shown that providing ventilations and compressions has 'no added benefit' when compared with providing compressions only, except in babies and children, and drowning....
  18. Lots of great responses. If I had to pick just one thing I'd have to say the day the chart became more important than the patient and the way guidelines have become rigid rules that must always be...
  19. how did they pass theyre boards??

    First, you tell the nurse the patient says he can't breathe. Okay, you did that. So now go back and see how the patient is. Check their vital signs if you've been trained to do that. If the patient...
  20. how did they pass theyre boards??

    reginachanana, you made a mistake. You must know that really. You might have been quite right this time, what you did may have been exactly right for the patient this time, but at this stage you don't...
  21. INR (international normalized ratio) help!

    Jawsona, I'm not trying to be picky here, but that's not really right. In simple terms, a normal INR (1.0) means that the person's blood is clotting normally. Any increase in the INR means that the...
  22. INR (international normalized ratio) help!

    Just remember that Lovenox does not generally affect the INR. INR is used to monitor the effectiveness of warfarin, not Lovenox. Is the patient also on
  23. Shave long arm hair before IV start

    Lol!! I must keep that in mind, I love looking at the night
  24. use of fingerstick vs Venipuncture to test INRs

    Okay but I think what I'm saying is that the INR is measured to determine the effectiveness of warfarin therapy, not the effectiveness of Lovenox therapy and it doesn't matter whether it's done by...
  25. Shave long arm hair before IV start

    I've been taught it's best to clip the hair with scissors because, as others have said, shaving can cause microabrasions and increase the risk of skin infection. Having said that, I've never actually...