JeneraterRN

JeneraterRN

OB, Med/Surg, Ortho, ICU

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All Content by JeneraterRN

  1. MD orders no external monitor on Pt w/ preterm contractions

    I'm not sure about having a Dr's order for FHM, we can initiate it per protocol, though. She was 33 wks, and we don't have a NICu. It is better for us to fly out a laboring mother than try to...
  2. MD orders no external monitor on Pt w/ preterm contractions

    Nope. No daily NST's. That's why I was puzzled. She was stabilizing, but not out of the woods. She didn't want us to even do prn checks for contractions. I did anyway to protect myself.
  3. Learn To Say It Correctly!!

    "Stats" is annoying, but I think alert and orientated (instead of oriented) drives me even more crazy. "Pancreanitis," "Prostrate," and "Nuculer med" instead of nuclear med are other irritating...
  4. MD orders no external monitor on Pt w/ preterm contractions

    Thanks again for the responses! I have a little more information now. The reason the previous nurse was given to not monitor the mother was because it would "concern her" if we were monitoring her...
  5. MD orders no external monitor on Pt w/ preterm contractions

    Thanks for your response! I have to admit that I monitored the Pt anyway when she had an episode of contractions. It's so nice in case of litigation because that particular strip shows her...
  6. Odd behavior with psycosomatic symptoms

    Thanks to all who responded! To answer some of the questions: he refused a psych consult because he's not "crazy," he did have GI issues which he told me I was completely wrong when I told him my...
  7. Hello everyone! I've noticed something odd and I was wondering if this is an identified behavior and what the name would be. I recently had a patient that c/o chest pain intermittently with clear...
  8. Do I ask people to be references for me?

    When you ask, make certain to let them know what you are applying for and if they are willing to give you a good reference (emphasis on the good). I didn't specify one time when someone said she'd be...
  9. It's not legal, but it happens. It did to me. My new boss wouldn't tell me what she said, but she told me never to list her on any application ever again. It must have been pretty bad, and I was...
  10. Z-coil Shoes

    Wow, does anyone remember moon shoes from the early 90's? That is what those remind me
  11. Overnight Care for children?

    That would br fantastic! My hubby works odd hours and I work the 7 pm to 7:30 am shift. My family gets tired of emergency child care
  12. Average number of patients for RNs in Montana?

    Hey there, welcome to our great state. Our ratios in our hospital are not so bad, five is usually max. I've had more in a dire emergency but that is seldom. Four is pretty
  13. Anyone use Meditech computer charting?

    Meditech is only as good as your systems operator. Ours has some ridiculous mistakes such as under the muskuloskeletal surveillance you can chart breast and penile weakness, or better yet, a cranial...
  14. What is your WORST ER story?

    There are many difficult things about nursing that will haunt you. It is unfortunate that your first experience was so bad, but as time goes by, I find that death isn't always so bad. The ones that...
  15. Ooo ooo... Forgot about this one. I was in our ED on exam room when I heard, "Wash my pecker, wash my pecker!". Apparently it's a very bad idea to get drunk, take off your clothes, and fight the cops...
  16. I had one come in to remove a tick. I looked at her when she said she wanted to check in and said, "You really want to pay $400 to have this tick removed when you can do it yourself fairly easily?"....
  17. I was once told of the "gentle art of manipulating" an MD. Our small hospital has a wide variety of personalities among the MD's, and really only one is regularly a problem. There are a few of us...
  18. RUSHED NARC COUNT

    This may sound pessimistic, but rushing a count can be a symptom of a larger problem. Rushing the count may be an attempt to fluster and confuse to conceal missing narcs. If you are in this...
  19. Average # of admissions and discharges per shift

    Hello! I work in a critical access hospital in rural Montana. We all work in OB, med/surg, ortho, and ICU. If I'm on M/S, I usually have 4-5 a shift w/ occasional admit and really only discharge if...
  20. is it wrong to sit on a patients bed?

    I agree with many of the respondants. Sitting on the bed may seem too familiar too some, but most will dislike looming over them more. I haven't in the past because I was taught not to, so I kneeled...
  21. Funny things patients say !

    When I was training to be an RN, I was cleaning up a suprapubic cath site on a quadrapalegic w/spastic muscle paralysis. He had some arm and leg movement, so apparently I was tickling him during the...