psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    documenting a chart check?

    Just wanted to add--with paper charts, orders were noted and signed off only if there were new orders. Night shift then did a 24 hour chart check, to make sure that all orders in the last day were...
  2. psu_213

    documenting a chart check?

    I guess I was going under the assumption (yes, I know, dirty word) that it was an electronic chart and this was a CYA thing. If it was an electronic chart, it is recorded that a particular nurse was...
  3. psu_213

    BLS/ACLS renewal question

    My hospital went to a system where every ACLS renewal course came with BLS renewal; so, even though BLS wasn't up, it was renewed with ACLS, and it came with a new, future BLS renewal date. In other...
  4. psu_213

    documenting a chart check?

    Is this "order" entered to indicate that you were in the chart and checked for orders? If so, it seems like a waste of
  5. psu_213

    Flu shot advice

    I swear I could hear the needle crunch in to the bone. OK, not really, but that sensation of a dead stop when the needle hits the bone gives me chills. The first time I did it, I was expecting the...
  6. psu_213

    As a RN, which would you choose?

    I agree with the others who have said that it depends on the situation. Question for the group: As an ED nurse, would you take this necklace as a legal mandate? What happens if you are in the...
  7. psu_213

    Nursing documentation

    I agree: either chart at the bedside or write the abnormals down on your brain sheet. I personally did the latter because I never really felt comfortable standing there in front of the pt looking at...
  8. psu_213

    Stafffing

    Is the position posted? Did you/are you going to apply for
  9. I have seen nurses who ask colleagues "do you think I should call a RR for this patient?" It is often followed by "I don't want them to think that I am an idiot for calling it when the patient really...
  10. psu_213

    Stafffing

    I worked on a unit with a fair number of PRN people. When most FT positions were occupied, PRN nurses were getting next to zero hours. When positions were vacant, some PRN nurse were practically...
  11. psu_213

    Second needlestick in 2 weeks

    A couple things come to mind (most of which has been said in one form or another): 1. Slow down. I know when things are busy it is only natural to try and go fast, but this is how errors happen....
  12. psu_213

    Calling Report to ER from Urgent Care

    As far as I know, there is no legal requirement for an UC to give an ED report on a pt they are sending over. I know I have gotten plenty of pt's from an UC without report (of they call after the pt...
  13. psu_213

    New Grad Resume

    I do include my credentials with my name on my resume. Yours, right now, is SN (student nurse). If the facility is going to hire new nurses for their position, they will know what SN means and they...
  14. psu_213

    Advice on how to end up in the NICU

    I know of a nurse who worked medsurg after school. Became a charge nurse, was on the professional practice committee, moved to a children's hospital (PACU) I believe. Then got a job in the NICU. In...
  15. psu_213

    HIPAA Violation, Fired

    What trap? Are you saying that the CN on the floor set a trap for the OP? Do you mean the law is meant to trap otherwise well meaning
  16. I never gave patients the option. I would come in with a female nurse and say to the patient "this is Mary. She is here to assist with putting the Foley catheter in," even though Mary was really...
  17. psu_213

    What to do?? A whole BOX of crazy!!!

    Is this an actual position/title or a euphemism for something else? Not asking to be an SA, just never heard it
  18. psu_213

    She called my MOTHER!!!

    With all due respect, this is another reason why you should not, regardless of role--RN, NP, MD, etc.--treat family. For the OP to change her policy at this point might be as effective an trying to...
  19. psu_213

    Charge Sheet

    In the ED, we charged individually for things that are not included in the regular ED visit rate. We charge for things like blood draws, straight caths, splints/slings, continuous pulse ox...
  20. psu_213

    service dogs

    At my facility, you can ask if the dog (or miniature horse) is needed because of the owner's disability, and you can ask what task(s) has the animal been trained to do. You cannot ask for proof that...
  21. I don't know your exact situation, I don't know her exact situation. I do know that not everyone is going to react the same even to the exact same issue. Maybe in the immediacy of it, L thought that...
  22. psu_213

    Misuse of the ER

    If someone has Medicare Part A as their primary insurance, Medicare will pay for skilled nursing facility (SNF) care (with some copays) after the pt has a 3 day inpatient (IP) stay. If a pt is...
  23. psu_213

    Misuse of the ER

    I had a patient who checked in to the with "sore throat." No difficulty swallowing, managing secretions, etc. He was triaged ESI level 4 by the triage nurse. I was his nurse in the fast track area....
  24. psu_213

    Misuse of the ER

    I have see PCPs and urgent cares sent in patients for R/O appendicitis, and some of those patients have had no more than gastroenteritis. I have seen ED docs get CT scans on patients who clearly had...
  25. At first I was honestly thinking that the OP wanted us to determine if he/she felt woosy.