psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Medical kidnap? Discuss

    Every article/story from every news organization has a particular angle to it. In the case of the CNN article, they angle is the hospital was in the wrong, and the family was right. (Part of it, I'm...
  2. psu_213

    Catheter Came out. Should I reinsert it?

    I know nothing of the regulations in Canada/Ontario. However, I would have to believe there is some physician guiding the patients'/residents' care. Even if it is not an on call physician for this...
  3. psu_213

    Medical kidnap? Discuss

    I had read the entire CNN article about the Mayo clinic situation (there is a link to that article in the article above). My thoughts: As has been said many times, there are 3 sides to every story....
  4. First, only you can know if you are so unhappy with you current position that you should leave for a new job. If you are unhappy enough, then I don't see any real problem with your moving to a new...
  5. psu_213

    How do you document an axillary temp

    It depends on your exact charting system. On our hospital EHR has a drop down to select the temperature site. The doctors can then interpret that as
  6. psu_213

    Two different blood pressure readings?

    Not trying to criticize, but be careful with saying there is some overarching hold parameters. I have seen a hold parameter for
  7. psu_213

    HIPPAA violation

    "Everyone" as in every nurse in the facility, or "everyone" as in techs, secretaries, volunteers, etc? If it is the latter, it is almost certainly inappropriate. If it is the former, a case could be...
  8. psu_213

    Pyxis undocumented waste

    I once pulled Ativan on a seizing pt. Some was used, some not. The ED pharmacist actually saw me waste the unused part, but for whatever reason we did not document the waste in the Pyxis. I...
  9. psu_213

    Pyxis undocumented waste

    I agree. Make sure it is dealt with and the waste is recorded in the chart, Pyxis, somewhere. I understand the idea of 'don't poke the bear,' but given the current opioid epidemic, it would not...
  10. psu_213

    HIPPAA violation

    First, I must say, I have never seen it spelled 'HIPPAA.' What information is management getting on this so that they don't have to go through
  11. psu_213

    Getting into the Emergency department

    Excellent point. I've had nurses, and not just ICU nurses, ask me about pedal pulses in a pt being admitted for diverticulitis or about bowel sounds on someone with a pulseless, cold foot. Yes,...
  12. I'm glad you posted this. Being interrupted during med pass was a pet peeve of mine. I never made a serious med error, but I read about them in incident reports. An example--I am in the middle of...
  13. psu_213

    Getting into the Emergency department

    The thing is that you see everything and anything--and even after your orientation, it is likely there is still "stuff" you did not see. Guaranteed you will see it on your first week on your own. I...
  14. psu_213

    Med Error Advice...

    What is 100% your fault? No. Was it mostly your fault? Probably. Does it really matter exactly what percentage of error was yours? Not really. The RN should have labeled the bag, especially if she...
  15. psu_213

    When does HIPPA no longer apply?

    There was a discussion on AN a while back about a male who was sexually assaulted by another male, but the pt did not want to press charges. It was basically unanimous that the pt could not choose...
  16. psu_213

    Iffy Patient Education on Hypertension

    And this is likely not your husband's fault. At my last PCP visit, I had an individual wearing a "Medical Assistant" badge say to me "I am Sarah [name changed to protect the guilty], I'm going to be...
  17. psu_213

    When does HIPPA no longer apply?

    I really am sorry for what you went through, but is it even your call to decide not to press
  18. psu_213

    Allergic to cats in AL, what can I do?

    Get insurance or go to a clinic that does not require it. Until then, talk to your neighborhood pharmacist and see if an OTC is
  19. psu_213

    What would you do?

    Out of curiosity, what makes you think these individuals are getting away with this (the unauthorized pictures and such) because they know someone? If, indeed, they get away with something because...
  20. psu_213

    patient showering on different floor

    Did anyone (tech, etc) go with the pt? Also, did the nurse have prior discipline issues? Would you know about them if this nurse did? I would have to know more about the clinical situation and other...
  21. psu_213

    coworkers constantly checking your charting

    I know this thread is over a year old, but I will comment on it... Most of this sounds kinda petty, and would let it go; however, notifying MD of "critical" lab values is part of my hospital's written...
  22. psu_213

    Charge nurse

    I know some nurses who want to be in charge every shift they are there. I know some nurses who have refused to be/train for charge. I don't think there is anything wrong with not wanting to be a...
  23. psu_213

    Social Media and the Workplace-Don't do it

    I agree that saying this once will probably not be a problem; if it becomes a regular issue, a future employer could interpret that as "he/she has negate attitude, and may have a bad effect on...
  24. psu_213

    Warm and dead...

    Not long after I started in the ED, I took care of my first cardiac arrest pt who did not survive. I was told by my preceptor "always get a temp, because they are not dead until they are warm and...
  25. I just reread my post. Forgot to add: no pun