psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. Sadly, I agree. Plus, I can be outraged even if I don't march down the street and yell and scream....or type in ALL CAPS, I
  2. psu_213

    nursing concepts, death and dying,

    What is meant by a "nursing concept." Considering the breadth and depth of nursing, that could potentially mean you could include a lot of things. Or, do you have a list of nursing concepts that you...
  3. psu_213

    Accused of not giving dilaudid

    Exactly. This was my first thought when I read "This patient was a friend of mine...." That was before I even read the rest of the situation. It does not matter if they are a chronically...
  4. psu_213

    Accused of not giving dilaudid

    I realize that you ended up giving 1.5 mg. But, question for the group--if the order is for 1.5 mg PRN, can you just give 1 mg because the pt requests it? Just
  5. psu_213

    Nurse Imposters

    At the end of the day, am I losing sleep over an MA or phlebotomist calling him/herself nurse? No--there are plenty of reasons I can't get to sleep, but this is not one of them. My issue is for the...
  6. psu_213

    occurrence report=doctor hates me

    Was this device used on the floor in the postoperatively? Is the issue that you and other members of the staff were not trained in this device? (This is starting to feel like 20 questions.) If so,...
  7. psu_213

    Cared for MRSA patient without PPE

    My hospital is another one that does not isolate for MRSA anymore. As someone else already mentioned, it is prevalent outside of the hospital to begin with. The real lesson here, you should wear...
  8. psu_213

    occurrence report=doctor hates me

    I worked someplace where all RRTs were entered as an incident report by the operator who called the team. The report was basically "[Room number] Smith, John MRN 12345678." There was a committee...
  9. psu_213

    Just grin and bear it!

    Not to take away from the issue at hand, but my grandmother called my grandfather
  10. I hope you mean this as code for disgusting human being. Now that his picture and name is everywhere, I can't imagine having such a hate filled person coming into my room saying that he was my...
  11. psu_213

    Lactated ringers and zosyn compatibility?

    I second (third?) the advice to contact your pharmacist. For example, heparin and dilt are listed on Micromedex as "variable." My facility uses a preparation of both where they are compatible....
  12. If they truly had to report all terminations to the BON, why would anyone take a leadership/management role? If a facility downsizes and fires someone, and the facility makes up "poor leadership,"...
  13. psu_213

    Lovenox injection

    I have not had to give Lovenox in a while. If I remember correctly, the dose is rounded to the nearest 1 mg, which would be to the nearest one-hundredth of an mL. In the real world, there is almost...
  14. psu_213

    Dealing with insults from patients

    I agree with pretty much everything others have said. The only thing I will add is to change "grow a thicker skin" to "don't take it personally." Pretty much all patients who hurl insult are: a....
  15. psu_213

    Working under expired license

    Hit and
  16. psu_213

    Working under expired license

    I just assumed (Gasp!) that the OP was talking about her license. I do agree with Wuzzie, though, if it someone else's
  17. It's one job. Specifically, it's your first job. A lot of times first jobs are not what people want, and they are considered less than ideal. However, you have it to build skills and to build your...
  18. psu_213

    Working under expired license

    The hospital at which I have worked are very proactive about licensure. They send email after email starting about 3 months before your license expires until you renew it. If you don't you will not...
  19. Just about every new grad has experience that overwhelmed feeling, and you just have to work through it. It will get better I definitely agree with the brain sheet. If you search AN, there are quite...
  20. psu_213

    So over it!!

    Putting aside the issue of people putting in hard work to earn an actual nursing license, these agencies are being quite deceptive to parents by implying that a licensed professional is caring for...
  21. psu_213

    Case Study: Can You Prevent This Medical Error?

    Obviously a large amount of blame rests with the nurse. And some of it may have to do with the nurse being overworked. However, I think we would miss an opportunity to prevent similar errors in the...
  22. psu_213

    Maalox and betapace?

    I think the pulse and the Maalox are two separate issues. 1. If the order is to give Betapace if HR>50, and the HR is over 50, then this is appropriate. On a side note, if the HR drops...
  23. psu_213

    I don't feel like a real nurse

    Does your unit have a professional practice committee? If so, join and be active. If not, see if you can form one. I'm guessing you are a valuable part of your unit--now take it to the next level...
  24. psu_213

    Needlestick Error

    He may not have realized that he actually broke his skin with the needle, but if he knew the needle even touched his glove, he should have gotten a new needle. Either way, he needs to report this to...
  25. psu_213

    Forgot to restart my patients fluids

    Considering that we don't know if this was maintenance fluids at 75 mL/h or a bolus, it is a little much, IMHO, to label this a "big deal." At that same time, we also don't know enough about it to be...