DutchgirlRN

DutchgirlRN ASN, RN

OB, M/S, HH, Medical Imaging RN

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All Content by DutchgirlRN

  1. Self inflicted

    DutchgirlRN replied to SCRN1's topic in General Nursing

    How utterly sad...sounds like she could use a good shrink as well as

  2. IVs.... When will I be good at this?

    DutchgirlRN replied to TigerGalLE's topic in First Year After Licensure

    It took me a good 6 months to get proficient at IV's, another 6 months to get good at them, now I'm considered the IV geru, I'm the one everyone comes to when they can't get one. Hard for me to...

  3. Self inflicted

    DutchgirlRN replied to SCRN1's topic in General Nursing

    I see patients in their homes who are diabetic, toes or feet rotting off, they claim to be compliant with their diet and medication but you see nothing but junk food and regular cokes sitting around...

  4. Generic Zoloft Anyone?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    My shrink told me that generics, although chemically the same, have fillers to change the size and shape and that by law they can be up to 25% different in the amount of chemical. i.e. a 100mg pill...

  5. What the heck is this doctor thinking? Actually not thinking!

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    hello....this is a nursing form! it's inappropriate for me to vent such issues the way i do here at work. i feel safe here on all nurses. this is my therapy not my slate for spanking the hands of...

  6. What the heck is this doctor thinking? Actually not thinking!

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    Dizziness yes, Syncope yes, Falling yes, Headaches yes. He/She has CNA's 24/7 who can take the BP at any time. I doubt a small dose of Lopressor would plummet this patient. Something is obviously...

  7. What the heck is this doctor thinking? Actually not thinking!

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    Dangerously high BP is all the clinical information I need to know. This has been going on for a week. What more info does this doc need? What if this were your elderly Dad/Mom? I'd be having a fit. I...

  8. What the heck is this doctor thinking? Actually not thinking!

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    that's what i did and he said no need to come in and certainly no need for the er.

  9. What the heck is this doctor thinking? Actually not thinking!

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    Thanks jnette, I think that's a very good idea! I better ask my DON first if that's

  10. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    Please do not insult home health nurses as group. Hospitals are not the only place that nursing is practiced competently. We all know an incompetent hospital nurse but do not call the whole staff...

  11. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    66

  12. How many of you have had "The Discussion"

    DutchgirlRN replied to Cattitude's topic in General Nursing

    I have made my wishes clear to dh and his to me. My parents have told me what they want and are leaving things up to me to decide for them when the time comes. I got some living will info just the...

  13. Is this burnout?

    DutchgirlRN replied to LilRedRN1973's topic in General Nursing

    It took me about 2 years to hit burnout. I took a 3 month break and went back. About 9 months later burnout hit again. Now I'm much older than you. I'm 51 y/o and have been a nurse for 31 y/o years. I...

  14. Please read, need your opinions, advice!

    DutchgirlRN replied to mrsbreeding23's topic in California Nursing

    Give them back their money and move on. Obviously you're not happy and it's not going to get better. I'm sorry it didn't work out for you. I'm assuming since this hospital is paying so much for nurses...

  15. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    An Update: This patient did have a DNR in the home. The pt was put on a vent with his/her permission as a temporary measure to get the CO2 down. My agency did not report the paramedic because I...

  16. Would you rather have a child said to be SS or abort?

    DutchgirlRN replied to ICURN7's topic in Ob/Gyn

    Abort for sickle cell? That is truely sad. Why does every baby have to be perfect? As we all know, those tests carry a high rate of false positives. They scare the h*** out of pregnant women. Sickle...

  17. "I work harder than a nurse in a hospital."

    DutchgirlRN replied to control's topic in General Nursing

    My location is Healthcare Survivor for good reason. I have worked in a doctor's office, in LTC, and in the hospital. What I learned working in the hospital is truely invaluable and something that I...

  18. Home Health Productivity

    DutchgirlRN replied to ALHHRN's topic in Home Health

    4 hours worth of visits per day is considered an 8 hr day when you factor in charting and traveling. Routine visits count as 1 hour. Admits, DC's, Recerts, Resumps, count as 2 hour visits....

  19. Can anyone explain MSSA vs MRSA to me?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    now that makes alot of sense.

  20. Can anyone explain MSSA vs MRSA to me?

    DutchgirlRN posted a topic in General Nursing

    I have a patient on MSSA precautions. Methicillin Sensitive Staph Aureus. I don't get it. Ok it's sensitive to Methicillin so what's the problem? I've googled with no

  21. Can anyone explain MSSA vs MRSA to me?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    Still makes no sense. It's more like an

  22. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    Thank you fr.dad. Excellent

  23. Phrase "nurse wannabe" ??

    DutchgirlRN replied to Jules A's topic in General Nursing

    An imposter is a person who pretends to be somebody else mostly to try to gain financial or social advantages. http://en.wikipedia.org/wiki/Impostor Pretending to be somebody else to gain social...

  24. Anyone know does Medicare subrogate/pay bill for MVA until insurance pays?

    DutchgirlRN posted a topic in Home Health

    Last Sunday my elderly parents (80's) were in an awful wreck. They got hit and their car spun several times and then flipped. Unbelieveable, once the firemen were able to get them out they were able...

  25. Anyone know does Medicare subrogate/pay bill for MVA until insurance pays?

    DutchgirlRN replied to DutchgirlRN's topic in Home Health

    Thank you Karen, you're the bomb! I had a feeling you would be the one with the answer I need. This is very much appreciated!