psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    I'm an LPN but am often called a medtech

    I am not super familiar with meditechs, but they are not licensed correct? In that case it means they are just passing meds. You (the OP) are not "under" them in a legal sense. All they are doing...
  2. psu_213

    Sweeping med errors under the rug

    This still does not prove that nothing is being done about the situation, and it does not prove that this nurse has not been disciplined. Perhaps in the DON's mind, some of the reported med errors...
  3. psu_213

    HIPAA Violation?

    This is a bit off topic, so I apologize...a fellow nurse was getting short term disability for a knee injury. The NM was emailing the nurse to tell him it was all set up. The NM accidental sent the...
  4. psu_213

    HIPAA Violation?

    Obviously the OP's values are important...I think the lab should make accommodations to take the OP off the mailing list. However, the question asked in the first post was "Is this a HIPAA violation?"...
  5. psu_213

    Patient NOT a nurse with a ???

    A bit overdramatic, perhaps? I tend to agree with you, that in many cases, the nurse could stand outside the BR, and knock periodically to check on the pt.; however, if I am outside the room and hear...
  6. psu_213

    ED Nursing Notes

    Well, there are many people who are hostages to social
  7. psu_213

    Dear Abby and social induction of pregnancy

    Unlike how the OP summarized it, it seems like "Abby" is saying that the OB has a big say in things. All in all, I don't think Abby's response was
  8. psu_213

    Seriously?? Small rant.

    EMS is going to be called for any true medical emergency, even if there is an RN on campus. "Nurse Sheila" may not be put herself into jeopardy by allowed people to call her a nurse, but the school...
  9. psu_213

    BLS/ACLS maintanance

    BLS, absolutely no grace. You can't work without an active CPR card. ACLS, sometimes a little bit of wiggle room....As in card expires in June, next available class is in July. I know a local...
  10. psu_213

    large blood clots

    Why did the nurse go into the room? Regular rounding or did the pt. ring? Was the pt. conscious? Could he have fallen? Did the clots come out of a wound? Was the clot by he ear, or was it...
  11. psu_213

    Dear Abby and social induction of pregnancy

    I don't know "Abby's" political stances, but I would find it realistic to think she may have fabricated a question in order to express her opinions on gender issues (By the way, I am not saying her...
  12. psu_213

    Ice machine use in hospitals

    So the concern seems to be, if a pt's family member sees staff directly fill a new bag from the ice machine, the family member may assume that is is OK to fill a used bag--the latter being pretty...
  13. psu_213

    Ice machine use in hospitals

    I can't believe I just read (well, mostly skimmed) 30 posts about the policy on how to fill an ice pack. This issue seems like a pimple on the elephant's butt compared with "real" infection control...
  14. I can't possibly address every issue, and there are several. I will just tell you what one doctor (whom I respect very much) told me..."if they aren't trying to rip the BiPAP off, then things are...
  15. psu_213

    ED Nursing Notes

    For my notes on a pt., i try to best to write them as they happen and keep them brief--there are sort of like Twitter comments, minus the hostages. "Pt. walked independently to bathroom with a steady...
  16. What do they call it now instead? I agree that the OP does need to ask at work--any description is based on equipment said facility is
  17. psu_213

    Really bad fever blister. Should I call in?

    It must be regional, but I have not heard of, nor heard a pt. report a "fever blister." When I read the OP, I interpreted this to mean a blister from a sunburn, and I was definitely not thinking it...
  18. psu_213

    Alaris Pump Roller Clamp

    I hang the primary infusion bag on the hanger provided in the secondary tubing pack, "close" the roller clamp on the secondary tubing, spike the secondary bag, attach the secondary tubing to the...
  19. psu_213

    Teaching a CNA how to chart

    If the aide does chart that, they also need to be charting that they followed up with the RN about
  20. psu_213

    Teaching a CNA how to chart

    That's what I was thinking. When I was a CNA, there was paper charting. There was a CNA charting book that basically had tasks for each resident. The CNA on each shift would initial that they were...
  21. psu_213

    Really bad fever blister. Should I call in?

    If the first post, the OP said she was 'embarrassed' by it. That alone is not enough to call off. If there is a facility policy about not being at work--then the OP would have to call off (not an...
  22. psu_213

    Falsely accused of med diversion

    Even if I have a pt. who 'always' asks for the PRN right at the moment it is due, I would not pull it out. I can only think of one situation where I would pull out a narc in anticipation of pain, and...
  23. For SQ heparin, I use whatever is the smallest gauge needle we have--I forget the exact gauge right now. I never use an insulin syringe for anything except
  24. A code is basically always a team effort, and the algorithms are on the crash carts (in my facility anyway). Yet, to get my ACLS card, I had to pass a closed book test with no other resources and no...
  25. psu_213

    why ? why? see no value

    Or someone who did get the responses he/she wanted, and decided to scamper