psu_213 BSN, RN

Emergency, Telemetry, Transplant

Member
  • Content

    3,878
  • Visitors

    31,573
  • Followers

    0
  • Likes

    207

All Content by psu_213

  1. psu_213

    Med error and Pyxis

    Everywhere I have worked, unopened meds are returned to the Pyxis under the pt's name. If the packaging is opening, it is wasted under the pt's name (not witness required if not a controlled med),...
  2. At this point, all you have is hearsay that this is going on. Sounds like a HIPAA violation, but if you report it, really nothing substantive can happen because it is, well, hearsay. All that you...
  3. 40s--pt was in
  4. psu_213

    How do you deal with know-it-all family members?

    I would definitely say ignore her, and do your own thing. As for the quote above, hopefully the other family members are smart enough to realize that they should not be getting their medical advice...
  5. psu_213

    J-tube. RN/LVN

    Perhaps she was thinking of an AICD? Even then, they only help with shockable rhythms (V tach, V fib)--the would not be effective for asystole or PEA. As for a pacer, one could be beneficial for...
  6. psu_213

    12 hour night shifts

    This would mean that you could never work Friday night on you 'off' weekend, and then, of course, not work Saturday nor Sunday night as well. I worked one place where the weekend for night shift was...
  7. Exactly. I worked on a unit where vacation requests were based on unit seniority; at the same time, if there was low census on a holiday, who got down staffed was based on hospital system
  8. psu_213

    "He just wanted to know..."

    I totally agree that it is unfair to characterize all southerners as, well, anything be it racist, homophobic, etc. It is also wrong to say that all foreign born doctors, or all doctors from a...
  9. psu_213

    "He just wanted to know..."

    I really don't see any logical connection between those 2 statement. Although no one deserves to have a chart thrown at them. Could you please define how you fell that the OP is being
  10. psu_213

    "He just wanted to know..."

    Or perhaps he/she works with individuals who do not want to share their bad experiences R/T prejudice with their coworkers. I know I certainly don't, no matter how well I think I know
  11. psu_213

    Competencies

    There have been times where there is somewhat advanced medical equipment where there is a 2 minute crash course. Then there is a 30 minute in service on how to fold a wash
  12. psu_213

    "He just wanted to know..."

    I could buy the "just curious" or "they want to get to know their provider" rationale if the patient said something like "you have a beautiful accent, where are you from?" Instead the OP describes...
  13. psu_213

    Is Giving 2 Weeks Notice Ancient Practice?

    Regarding having never seen anyone let go without working there 2 weeks: I did see, once, where someone called off their first 2 shifts while on their 2 week notice. That person was let go...
  14. psu_213

    Is Giving 2 Weeks Notice Ancient Practice?

    This is the only situation that I have seen one of my employers terminate a nurse before he/she worked out his 2 weeks. To the OP, sorry that you work in a area that holds nurses in such poor
  15. psu_213

    How long did it take for you...

    Mine, approx. ten years ago did not take as long as the OP's--I forget the exact time frame--but it certainly wasn't the next day. And never for a minute did I think about cheating the system to try...
  16. psu_213

    Pain control in pt. With hx of opiate abuse

    I don't know for sure, but I'm guessing that a few doses while in hospital is no worse than what many people take it home over
  17. psu_213

    "He just wanted to know..."

    I don't know about other internet sites, but on my BON's site, a nosey person can find out my license number, when it was issued, when it expired, and in what county I live. Heck of a lot different...
  18. psu_213

    Pain control in pt. With hx of opiate abuse

    Definitely not. I know it's still pharmacological, but I have seen even those who use higher level of opioids at home get relief with IV acetaminophen. It may not help everybody, but it is worth a...
  19. psu_213

    Pain control in pt. With hx of opiate abuse

    I totally agree with you that we do a very poor job of handling pain in someone who takes opioids already--either legally as an outpatient or illegally. To address you above statement, in my state,...
  20. psu_213

    "He just wanted to know..."

    I don't really have any words of wisdom, hopefully someone else does. Sorry you have to go through this. Hang in
  21. psu_213

    Is this appropriate?

    What setting are you referring to? Home health? Doctors' office nursing? I guess what it ultimately comes down to for me, are you expected to do work from home? Are you being compensated for your...
  22. There seems to be a lot of threads recently about narcotic and wastes--missed wastes, incorrect wastes, incorrect disposal, etc. ABC has changed to CAB. I think we need to made an addition to it, so...
  23. psu_213

    ISO Brain Sheets

    If you type in "brain sheet" into the search bar, there appears to be lots of thread on it with many examples posted. Obviously, you have to find what works best for you depending on type of unit,...
  24. I think "purports" pretty much sums it
  25. For me, the idea that "he snapped" is more of an explanation that an excuse. I think he did snap, but that does not excuse his behavior, and he deserves every bit of punishment he gets--probably more....