DutchgirlRN

DutchgirlRN ASN, RN

OB, M/S, HH, Medical Imaging RN

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All Content by DutchgirlRN

  1. Deducting Mileage and Other Items from Taxes?

    DutchgirlRN replied to DutchgirlRN's topic in Home Health

    Thanks Kat, That's an awesome

  2. Productivity Expectations for Rural Areas

    DutchgirlRN replied to mousie's topic in Home Health

    Full time is 30 patients per week. Admits, Recerts and Resump's each count as two visits. The only Oasis we do are for Medicare and Tricare. The rest are non-oasis. 90 % of our patients are non-oasis....

  3. Short-staffed Nursing

    DutchgirlRN replied to UM Review RN's topic in General Nursing

    I feel unsafe when we are understaffed. The administration does all they can to get enough help including working themselves. My NM has worked many a night shift. Understaffing is sometimes...

  4. Lap tops and Phones..This is too much

    DutchgirlRN replied to onconurseRT's topic in General Nursing

    We have the same carts with laptops and I prefer to have them. Our med errors over the past 4 years have dropped over 90%. For numbers like that I can stand pushing it around. We have to take it into...

  5. do you feel like the CNA's run the floor?

    DutchgirlRN replied to babynurse223's topic in General Nursing

    It's definately preferable but not always possible. Giving morning meds depends on the patients 8 am BP. I trust our CNT's unexplicably. They are professionals in what they do. If any vital sign is...

  6. I Passed Boards!!!!!!!!!!!!!!!!

    DutchgirlRN replied to BlessedbyGod's topic in NCLEX Exam, Programs

    CONGRATULATIONS RN !!!!

  7. Why Does It Seem That RN's Hate Us and Hospitals Don't Believe In Us??

    DutchgirlRN replied to brown eyed girl's topic in LPN, LVN Corner

    I love the LPN's I work with. They are excellent diagnosticians and their clinical skills are the best. I learn from them all the time. I used to be an LPN so I understand both sides. The reason for...

  8. Failed Abortions

    DutchgirlRN replied to Kalico's topic in NICU, Neonatal

    The doctor knew the child would not survive, the doctor didn't want to be sued for doing nothing. Which was actually the kindest thing to do. The mother expected the child to be delivered dead and...

  9. Failed Abortions

    DutchgirlRN replied to Kalico's topic in NICU, Neonatal

    Thank you fergus51, that's what I've heard from anyone I've ever asked. Even though I know in my heart that it's true, I appreciate hearing again.

  10. Failed Abortions

    DutchgirlRN replied to Kalico's topic in NICU, Neonatal

    It happened in our nursery 15 years ago. The mother thought the baby was stillborn and we were not allowed to tell her otherwise or do anything to help the baby who was delivered at 21 weeks. The...

  11. Aspirating for blood when giving injections to infants?....Have the rules changed?

    DutchgirlRN replied to DutchgirlRN's topic in Patient Medications

    You guys have made me feel better. I didn't want to go in there complaining if things had changed and obviously they have. He is fine this morning. Very slight temp but has a minor right ear infection...

  12. Stiff Person Syndrome

    DutchgirlRN posted a topic in Medical-Surgical

    I have a new HH patient with Stiff Person Syndrome. It's so strange, it is very much like MS except that overnight the patient gets limber and in the morning is able to walk, shower, drive, etc...by...

  13. Ever caught a visitor playing with an IV pump??

    DutchgirlRN replied to TweetiePieRN's topic in General Nursing

    Yes, especially family members. I tell them politely that they have to leave the pump alone. If they don't then I tell them after one more warning they will be asked to leave. That does the trick. I...

  14. Stiff Person Syndrome

    DutchgirlRN replied to DutchgirlRN's topic in Medical-Surgical

    No it doesn't have anything to do with calcium. It is a neurological disorder. I checked up on this patient last week following her 5 x 1 gm solumedrol doses and she said she is doing better. Staying...

  15. How much did Excelsior program cost you total? For those that have completed program

    DutchgirlRN replied to MereSanity's topic in Online Distance Learning

    We have a CPA who is also a lawyer. He said Excelsior does qualify. He claimed it for me for 4 years in a row as I went along. Never a

  16. TAB's?

    DutchgirlRN replied to jrring1019's topic in Ob/Gyn

    I am so sorry for your experience. I had a similar experience at 28 weeks but my choice was made for me before we had to decide, I had a fetal demise. I am so sorry for your experience, I understand...

  17. Awesome ACLS Website !!!

    DutchgirlRN posted a topic in General Nursing

    I'm going for ACLS renewal on Tuesday. I'm going with two of the doctors but not worried. One is soooo smart and really does know everything but is so sweet and helpful and never makes anyone feel...

  18. made a big mistake in clinical.... now what?

    DutchgirlRN replied to luv2shopp85's topic in General Nursing

    love2shoppe85, I'm sorry you're going through this. As far as saying "I'll do whatever I want", I'm sure you now realize that wasn't the brightest thing to say but hey at the moment it happened you...

  19. Awesome ACLS Website !!!

    DutchgirlRN replied to DutchgirlRN's topic in General Nursing

    I renew tomorrow...... The classes for nurses was full so I'm in the class with the doc's, should be fun and interesting! I'll let you know tomorrow

  20. Narcotic Irregularities

    DutchgirlRN replied to AlexCCRN's topic in Patient Safety Issues

    Gee I wonder why they are not connected to the pharmacy? Seems as though they would want them to be. Thanks for explaining that there are differences, I honestly didn't know.

  21. made a big mistake in clinical.... now what?

    DutchgirlRN replied to luv2shopp85's topic in General Nursing

    Whoever it was who told on you was so wrong and should have minded her own d*** business. You did a stupid thing, you didn't get hurt, you learned from it and that should be case closed. I'm glad to...

  22. Discharge orders you'd LIKE to write!!!

    DutchgirlRN replied to LoriAlabamaRN's topic in Emergency

    Doing home heath and driving on the interstates I am beginning to understand that thought process. I actually thought of it yesterday, thought hum...that's not really such a bad idea. The one DC...

  23. Discharge orders you'd LIKE to write!!!

    DutchgirlRN replied to LoriAlabamaRN's topic in Emergency

    Doing home heath and driving on the interstates I am beginning to understand that thought process. I actually thought of it yesterday, thought hum...that's not really such a bad

  24. How much did Excelsior program cost you total? For those that have completed program

    DutchgirlRN replied to MereSanity's topic in Online Distance Learning

    Remember you can deduct all the expense's from your

  25. IV Gamma Globulin, what to watch for?

    DutchgirlRN posted a topic in Home Health

    I have a HH patient who I will be starting an Gamma Globulin infusion next Tuesday. I have other patients who take Gamma Globulin IV for 3 days continuously and they have been for years. Never a...