psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Verbal orders for narcotics

    I was referring to a hospital pharmacy accepting a VO/TO for a narcotic, which, yes, they will accept. Retails pharmacies must have a written script. I have never heard of retails pharmacies in my...
  2. psu_213

    Verbal orders for narcotics

    If this was an outpatient prescription, yes. However, not the case in the hospital. I never did like taking an phone order for opioids, but, especially at a community hospital, it was a necessity....
  3. psu_213

    Insulin pen mixup

    It is definitely good that you reported yourself....as previously mentioned, in the future report an error when it happens, through the proper channels. One place I worked had a "med error" number,...
  4. psu_213

    Unit practice for heparinizing ports

    I worked in an ED in a hospital that included a large, fairly well known cancer center. We saw a fair number of ports on a daily basis, and it was up to the ED nurses to access/deacess them as needed...
  5. psu_213

    Interview Questions

    As others have said, no one can answer these questions for you. Reflect back on your previous jobs and your time in school, and find what is important to you. For 1--why did you get into nursing?...
  6. psu_213

    Verbal orders for narcotics

    Write out "VO per nursing supervisor per 1st shift nurse per Dr. Smith." Someone has to be on call for this doctor. I'm not administering anything in this order until I speak with the physician (or...
  7. psu_213

    A Nurses Duty to act

    My guess is...and this is just a guess...that a majority of adult Americans have, at one point or another, joined an unsure WiFi network. Then again, more Americans would report obvious child abuse...
  8. psu_213

    Pts refusing to weigh

    I don't know exactly how accurate they are, but combined with I&Os they give enough of a picture that the cardiology service gets a general idea. We had an NP who would write "daily weights with...
  9. psu_213

    Repackaging Medications

    Yes, I definitely see a problem with this. I believe an investigation is in order. Depending on the findings of the investigation, a suspension might be in order, but corrective action/education...
  10. psu_213

    A Nurses Duty to act

    Do all adults know that they are mandated reporters? Again, just
  11. psu_213

    A Nurses Duty to act

    I don't doubt what you are saying, but I'm thinking.... What is the standard that someone is supposed to use when deciding to report child abuse? For example, what about when you are in a department...
  12. If I remember correctly, at the time we had the original discussion about the unfortunate case on Jahi, a few people mentioned that at some point in the future we would hear from the family that Jahi...
  13. psu_213

    Do I have the job?

    I would say to do a little research. When I was going to go to CNA class, a couple facilities offered to pay tuition up front. Either way, in my state, law required that if you got a job at a...
  14. psu_213

    A Nurses Duty to act

    Do people think "a lot of people on a random internet forum agree with me," is a valid argument in
  15. psu_213

    Pts refusing to weigh

    It really is impossible to tell on here with the typed word, but I did not get the vibe that the OP was "pressuring" patients. Every time I go to my PCP, the nurse or MA says "step on to the scale so...
  16. psu_213

    Pain Medications

    I know chronic pain pts. who would vehemently disagree with this statement (I, thankfully, do not suffer from chronic pain, and I disagree with your logic). I'm guessing you would not being saying...
  17. psu_213

    Oxygen therapy in ED

    As others have said, there is a lot more to O2 amount and delivery device than just sats. You will learn as you go. Talk to you preceptor about it as you go along. And, don't forget, in the ED...
  18. psu_213

    A Nurses Duty to act

    And...was it the nurse's house or the nurse was a visitor to someone else's
  19. psu_213

    A Nurses Duty to act

    That's what I was thinking too. I originally read "their house" as meaning the nurses house. I.e, the person with the emergency was a family member/visitor. Unless the person is on hospice and/or...
  20. I agree with you, but the OP did ask for feedback/input. Most of theories put forward here about what happen don't point to the OP doing anything wrong. That might not make him/her feel any better...
  21. psu_213

    Pts refusing to weigh

    When I was on a step down unit, that is how we did it if a pt could not stand. Take off the "top" linens so that all that was on the bed was the pt, their gown, and the fitted sheet. Right before an...
  22. psu_213

    Nurses who fail pre employment and employment drug test

    There is no other job in America that is allowed to report a failed drug test to a regulatory agency/licensing board? Maybe you're right, but I'm wondering if you could pass on some references that...
  23. psu_213

    Pts refusing to weigh

    In the ED, the only time we would absolutely, no questions asked, get a weight is for a pt getting tPA. I can't imagine anyone consenting to tPA, but refusing a weight. The only other time is was...
  24. I don't even understand what she meant by this. Does she mean that by signing on off a future check, she thought that she was helping the next shift? Not that this nurse isn't getting what she...
  25. psu_213

    Unstable Admission

    I totally agree that the accepting nurse should question an admission that he/she feels is an appropriate; my issue, however, is with questioning the ED nurse. The ED nurse plays very little role as...