CelticGoddess BSN, RN

Palliative, Onc, Med-Surg, Home Hospice

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All Content by CelticGoddess

  1. CelticGoddess

    Nursing documentation help

    I don't have to do a lot of narrative charting anymore (thank goodness) but I do have to do a lot of admissions charting. Typically I address when and where the patient came from "Pt arrived on unit...
  2. CelticGoddess

    new grad: cant find a job

    I realize it isn't GA, but upstate SC is hiring new grads. WE are actually hurting for
  3. CelticGoddess

    Question

    Nor should you take a photo of their personal record and post it on social media, no matter how famous the person in your community is. Yes, this really happened at the facility I used to work at....
  4. CelticGoddess

    6th Vital Sign

    I still like the idea of xanax atomizers (Another gomer blog entry). Add that to the dilaudid chasers and our jobs would be
  5. CelticGoddess

    6th Vital Sign

    We just did hourly rounding training (What can I say, my facility is slow on some things). All of us gagged when we had to say "I have the time". And we all pretty much said "No, we don't!" And...
  6. Eventually the charting errors are going to get caught. I know that CMS does chart audits when they come around (at my facility, we don't use TJC). Trust me, it will get caught. If not by CMS or...
  7. CelticGoddess

    Why do nurses eat their young?

    No, just no. I attended one of the top ADN programs in my state and I didn't have a stand alone pharm class. And the amazing thing about my program, all the nursing core classes and the pre-reqs...
  8. CelticGoddess

    Should I have stayed?

    The other day I had to call a rapid on a patient at shift change. I stayed for the rapid (I was the primary nurse) and gave a stat med that was ordered after the patent stabilized. By this time, it...
  9. CelticGoddess

    Should I have stayed?

    Update: I spoke with my manager and he gave me a "coaching" about staying. I also found out that the primary MD put in a report on both the on coming nurse and myself. They were claiming that we...
  10. CelticGoddess

    Discharge Orders

    The policy at my facility is to remove any peripheral IV at discharge. We are also to dc ports. However, PICC lines we need an order to dc or to keep. If the MD doesn't give us an order, we have to...
  11. I had a residents wife eat butt paste because "I thought it was thickened coffee creamer". She ate it, came up to us and asked if she was going to get poisoned. We told her to call her MD. She was...
  12. When I was a rad tech, I x-rayed a man who had a pair of hemostats in his stomach. No surgery of any kind in his history. He swallowed the hemostats. I've also seen needles and pins, dentures...
  13. CelticGoddess

    Day two after termination: Getting better

    Not in my state. I don't know about others, but I know that in SC, you DO NOT have to report if you have been
  14. CelticGoddess

    Firearms

    I conceal carry, my husband conceal carries and I don't take my gun on hospital property. Our security are all retired military or retired police (the facility pays more than ALL local law...
  15. CelticGoddess

    What time do you clock in?

    I do it because a) I am not sure what kind of report I am going to get and b) my patient population tends to be high acuity and if I don't know them, I really don't want to go into a room and find out...
  16. CelticGoddess

    Nurse Slang Yo!

    OTLP: on the launch pad Breathing Treatment: Smoke Break Nuts and Squirrels, or just Squirly: Anyone who is freaking out Jumped Ship: Pt who eloped. Usually only used for those who are with it...
  17. CelticGoddess

    (8/29) This week, I have learned......

    If a patient says he is allergic to ampicillin or amoxicillin, clarify if he means all -cillins. Anaphylaxis is not fun. Not everyone who is allergic to amoxicillin is allergic to Zosyn but if they...
  18. CelticGoddess

    (8/29) This week, I have learned......

    Sounds like a monitor tech we had at my former job. She called the supervisor and had me written up because I wouldn't put a pt back on tele. He was in
  19. CelticGoddess

    Why did you become an MA?

    I think I love you! That was
  20. CelticGoddess

    8/22 What I learned this week....

    I 100% agree that great docs are worth their weight in Starbucks. We have some really fantastic hospitalists, Onc MD's and a couple of pulmonoligist who are worth 2x their weight in Starbucks. It...
  21. CelticGoddess

    8/22 What I learned this week....

    What I've learned: When a pt is on elopement precautions, it's a good idea to put the bed alarm on. Pt's who are inclined to elope can manage to get quite a ways away from the hospital at night,...
  22. CelticGoddess

    You are NOT allergic to...

    There actually is documented proof of people having a reaction to water. It's rare but it happens. Aquagenic Urticaria |
  23. CelticGoddess

    You are NOT allergic to...

    My favorite was potassium. The person in question insisted that she was allergic to K+. One of her meds listed was K-phos. She told me that that was different. It was potassium, it was K. I asked...
  24. CelticGoddess

    Patient Death Experience.

    I work palliative, and I have NEVER found "eerily cool" about it. Sometimes it's heart wrenching, and sometimes it's welcome. But never is it 'eerily cool" And sometimes it's memorable because it...
  25. CelticGoddess

    What is your dream unit?

    In nursing school, I was one of the lucky few who got to do a rotation in Peds Hem/Onc. I have to say that was the best clinical I had. There is something special about the children. The facility I...