DutchgirlRN

DutchgirlRN ASN, RN

OB, M/S, HH, Medical Imaging RN

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All Content by DutchgirlRN

  1. Tilt Table

    I've been asked to orient to doing tilt tables and gladly agreed. I've never seen a tilt table can any anyone tell me what happens and what I'll be doing? All I know is if the patient passes out then the test is positive.
  2. I am checking into RN completion to BSN online programs. UOW seems to have a good program and very reasonable. $120 per semester hour vs UOP is $350 per semester hour as are many of the other online programs. Just wondering if any of you have any ...
  3. What are SOAP notes?

    I am an RN who went through EC to get my ASN. I hear the nursing students at work always talking about getting their SOAP notes done. What are SOAP notes?
  4. My grandson got his second set of immunizations today. I was done with work and knew where they were so I stopped in. I got there just in time to see him get the immunizations. He got 4 in 4 different syringes which I realize is normal now-a-days. I ...
  5. PT/INR instant results? Accurate?

    I have a PT/INR meter which I would liken to a glucometer. A drop of blood and it calibrates the PT/INR. I wonder does anyone know how accurate it is? The first patient I tested with it had a PT of 66.6 and a INR of 6.9. I called the doctor of cours...
  6. My SIL is an LPN who does private duty. Her patient is a quad and has to be straight cathed Q 6 hours. She claims that the patients case manager came by to make sure they were re-using the catheter. She said there was a doctors order to do so. My SIL...
  7. Baby Doe

    There is only one group of people in the United States that are required and forced by law to accept medical treatment. The argument is that this group of people are not rational autonomous individuals and that they are not able to give free and info...
  8. The new nurse throws up when the patient does. The experienced nurse calls housekeeping when a patient throws up The new nurse keeps detailed notes on a pad. The experienced writes on the back of their hand, paper scraps, napkins, etc. The new nu...
  9. I was at a sister hospital in Nashville this week attending a class. I was sitting in the cafeteria having lunch and heard a little baby giggle and then about 30 seconds of Brahms Lullaby. I heard it several times during the week. I asked someone sit...
  10. I have finished 3 days orientation in home health and so far I'm loving it. The freedom is wonderful after being couped up in the hospital for 12 hours at a time without a break. I keep hearing the term "OASIS" what is it and how does it apply to a ...
  11. Mine definately would be the patient with pancreatitis. Although they have elevated levels of Amylase and Lipase and do belong in the hospital they always seem to be the most difficult patient for me to deal with. My favorite patients are surgical. I...
  12. Ever been a unit secretary?

    Wow I had a rough 12 hours today. I came in to find out that I was going to be unit secretary for the day. I thought no big deal. I do charge all the time, how different could it be. Whew, the whole day, answer the phone, answer the call light, l...
  13. Need ideas for teaching...

    We, as I'm sure everyone does, have to document with each visit what was taught. If you continue seeing the same patient, 3 x a week, how in the heck do you keep coming up with subjects to teach the patient? From my understanding if we don't include ...
  14. Patient had chest pain at beginning shift, 2 hours behind all day, got a heart cath, tech lazy,dinemapp problems, I was sweaty, transfused blood, families OMG!, too many accuchecks, now they're locking the refrigerator where insulin is, where's key?...
  15. I've been working at the outpatient imaging center and loving it. I was asked yesterday to cross-train for nuclear medicine. When doing the cardiolytes they give Lopressor IV to bring the HR down. The protocol is 5mg Q 5-15 minutes up to 50mg. The pa...
  16. About 20 years ago I was making my initial rounds on my patients and went into a room and didn't see the patient. I knocked on the bathroom door, no answer. I went to see if he had been checked out to go to another dept for testing, no his name wasn'...
  17. i've decided since the weather is nice today i'm going to clean out my truck. you fellow hh nurses know only too well that we drag an entire supply room around with us everywhere we go. i got to thinking "gee i really never use any of that stuff". wh...
  18. Curious...using the title "Doctor" for a DNP...

    i don't know whose end you're referring to but it draws no conclusion for me. i think that's an unfair statement.
  19. When people say they are nurses but not...

    i was really curious, is it ever enforced? so i looked on my state website to see if anyone has actually been prosecuted for using the title nurse. this is what i found. it is public record for all to see but i still have removed their city of reside...
  20. Curious...using the title "Doctor" for a DNP...

    my husband had robotic surgery for adneocarcinoma of the prostate a couple of weeks ago, at vanderbilt no less. the next morning the urology surgical resident (who had been in the or) came in to examine my husband. i asked him where the urethral ast...
  21. Are there any nurses who actually enjoy their jobs?

    i currently have 2 jobs and i enjoy them both. i work 60 hours a week because my husband is out of work and he has $16,000 worth of medical bills that are not covered by insurance. 60 hours won't cover everything but it's what i have to do. luckily i...
  22. under the influence at work/sleeping on the job

    i think once you've made your concerns known to both her director and hr then there's nothing more that you can do. since neither seemed concerned i'm sure that they know more about her condition and the needs for the meds. her doctor obviously know...
  23. what to do if...

    i believe it's against the tos for any member to offer any type of legal advice. i can tell you it's not unusual for the nurses involved to be put on suspension until the issue is resolved. it doesn't imply that one or the other or both is guilty. i...
  24. Nurses malpractice insurance

    i believe that blanket statements are inappropriate and unfair to the person asking who really does not know what to do. a person may feel that malpractice insurance is a waste of money but many others have valid reasons for buying it. even if it's f...
  25. Curious...using the title "Doctor" for a DNP...

    if a nurse has obtained a doctors degree whether it be in nursing, nursing management or as a dnp, that nurse has every right to use that title in a clinical setting, as does a pt, an rd, etc... misrepresenting themselves as a medical doctor is what ...