psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Pharm tech access to medical records

    I'm sure it varies based on pharmacy...my guess is that, in most cases, the Pharm tech sees the med they are "counting out" or giving to the patient at the register. The actual pharmacist will see...
  2. psu_213

    Fox News calls CNA a nurse

    As you note, the OP said she was "suspicious" and never said "there is no way she can be a nurse based on her age." In addition the OP did research to confirm her suspicion rather that just rather...
  3. psu_213

    D50 amps

    I have seen a situation where multiple amps were given with little effect. Pt was an elder female, had a CBG in the 30s. Given an amp with minimal improvement. Given a couple more. Eventually, her...
  4. psu_213

    PTO use

    I have worked under a couple different "systems": 1. You work every other weekend. There may be some "random" weekend shifts off here and there, but if you want to guarantee your weekend off, you...
  5. It's not my intention to start a debate on the flu shot, but I'm afraid it's going to happen in this thread. Oh well, here we go.... I work in the ER. About 6 nurses were talking last evening about...
  6. I'm sure someone (probably many people) are going to think me a jerk for asking this question, but I'm just being practical about this....what about listening to heart/lung/bowel sounds? Auscultation...
  7. Trust me, I'm not trying to throw you to the wolves here... But, I think a bit of introspection is in order. What were you expecting the residents to look like? Have you studied the pathophysiology...
  8. psu_213

    ADON having sex with CNA

    I think that is a critical question...and, no, not just because we want salacious details. If it is just rumor/hearsay, you absolutely have to stay out
  9. psu_213

    Reporting diversion

    Well, it was one email that you wrote that went to 2 different people...no reason to split hairs on this one though. Anyway, how do you know that she did not initiate a pharmacy audit and did not...
  10. psu_213

    What order to give MONA?

    Personally, I would only start one IV if the pt has an EKG that does not show STEMI. In that case, I would only start a 2nd line if I needed it. People's veins can only tolerate so many IVs before...
  11. psu_213

    Potential HIPAA violation??

    By ED records do you mean the nursing documentation and/or ED physicians note? I would argue that those are critical to treating the pt. How did they present to the hospital? What S/S were present...
  12. I can imagine that it is super annoying to have to clean up after the daughter. (As someone else said, why does she even have to come here to sleep anyway??) Regardless, not a HIPAA violation. If a...
  13. psu_213

    A Fake interview; does anyone have one too?

    Also, get used to the cramped interview. I have never had an interview where I was touching the knees of the manager, but a lot of NM offices are pretty small, and, I must say, I have never had a one...
  14. psu_213

    Manager interrupting

    I am not defending the behavior of the NM or the MD, but petty disruptions are something that happens. They were rude, and the disruptions stink, but you have to get on with it. What always annoyed...
  15. psu_213

    Friend of patient's sister

    And especially when it comes to
  16. FWIW, so did I. The treatment of nurses is obviously quite disturbing. In a larger sense, there are actually Americans who believe that taking a rectal temp is sexy!?! Many times a rectal temp is...
  17. psu_213

    No Excuse for Mistake....

    That's a convenient things some people add to indicate that they know, for sure, that any decent nurse would not make any given
  18. psu_213

    No Excuse for Mistake....

    It was a human mistake. We all make them--while a not so good thing happened to the mother/child, there really is no reason she needs to shame these employees over a simple (and ultimately harmless)...
  19. psu_213

    am I screwed?

    I would tend to agree. I know of situations in the ED were given another pt's prescription, some paper from another pt's instructions or even the entire incorrect set of D/C instructions. Basically...
  20. psu_213

    Made mistakes

    If it prevents nurses from missing orders put in at change of shift, I find it neither stupid nor ridiculous.
  21. psu_213

    Documenting conversations with patients

    This probably is not relevant to the conversation, but I am just really curious... Who was giving him "one more chance" and determined that this was his "3rd strike?" I think it is a cruddy of that...
  22. psu_213

    Defaming other nurses

    In the vast majority of situations, I would think it very poor form to broadcast another nurse's missteps--particularly if the purpose is to be malicious. However, if what is said is 100% true, it is...
  23. psu_213

    Send thank you card to a nurse

    You could sent it to: Memorial Hosptial Post Anesthesia Care Unit (or whichever unit it was) Hospital Address Then in the body of the letter, specifically say you wanted to thank nurse Sarah for her...
  24. psu_213

    Wrong side for amputation(loss of license)

    1. An RN is not responsible for marking which limb is to be amputated. 2. Tragic errors do happen. There should be a time out before any procedure and, as part of this time out, laterality should...
  25. psu_213

    Can Text Convay Enough

    I am definitely going to steer clear of the affect vs. effect debate, because I'm pretty sure I'm incorrect about 73.8% of the time I use one or the other. As a PP mentioned, I too find different...