Biggirl71

Biggirl71

Med/Surg/Tele, Neuro, IMU

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All Content by Biggirl71

  1. Blood Transfusion during Dialysis

    Biggirl71 posted a topic in General Nursing

    I am employed in the Quality department of an LTAC. We use contract dialysis nurses to come in and perform dialysis on our patients. I am reading through a chart today and I find out that she infused...

  2. Does a pressure ulcer = incident report???

    Biggirl71 replied to optimist's topic in Geriatric, LTC

    Incident reports are important because they allow for trending of issues. So, if your patient is discovered to have something new; wound, abrasion, skin tear, etc. document it on an incident report....

  3. Husband Worried

    Biggirl71 replied to kittypie's topic in Home Health

    I am a home health nurse and I work in and around Houston. I am here to tell you that I bring my husband with me on calls that are located in parts of town that I am uncomfortable in. I have arrived...

  4. While you're at it...can you clean my poop too?

    Biggirl71 replied to Miller86's topic in General Nursing

    I use reverse psychology on patients over a certain age. I say to them, "Who is going to do these things for you when you are discharged home?" When they can't answer the question, I say to them,...

  5. Charge Nursing in Acute Care Settings

    Biggirl71 replied to MomRN0913's topic in General Nursing

    I see the charge nurse as a resource not an extra person to do the work for all of those in her charge. The truth is, as nurses, we should be autonomous but also know when to ask questions. I would...

  6. Associates vs Bachelors Degree

    Biggirl71 replied to ysin's topic in Diploma, ADN, BSN

    Everything that I am reading these days is leaning toward the BSN as entry level for RN's. Because of the wicked nursing shortage (right now ~100,000) and the expected increase (~800,000) over the...

  7. Gonna get stuck?

    Biggirl71 replied to marinka18's topic in First Year After Licensure

    Who knows, you may fall in love with your new position and not want to leave. . .just a

  8. No Narc count????

    Biggirl71 replied to ennylyecats's topic in General Nursing

    I would also like to add that anyone who practices above board would not have issue with counting. . .it just makes me wonder about these nurses. .

  9. No Narc count????

    Biggirl71 replied to ennylyecats's topic in General Nursing

    I would stick to your guns and training on this one. Count, each and every time you take responsibility for the cart. Who cares what everyone thinks of you. The truth is, you're there to make a...

  10. dealing with difficult students

    Biggirl71 replied to bsyrn's topic in Nursing Educators, Faculty

    I am speaking to you as a nurse, not an instructor. I have a vivid memory of the first few days of class where the instructors talked heavily about "accountability." That lesson has resonated with...

  11. New to home health- HELP

    Biggirl71 replied to nurse955's topic in Home Health

    I work for a home health agency in The Woodlands and a LOT of the referrals we get are for one-time assessments for insurance companies. The assessments are MMSE's for claims on long-term insurance...

  12. BP: how high is too high (at 2am)? i.e., when will Pt stroke out?

    Biggirl71 replied to allthesmallthings's topic in General Nursing

    The thing that jumped out at me was the hx of ETOH. Usually, the patient will tell you they have a "couple drinks" and that generally means many more! I would be concerned that the b/p is going up...

  13. HELP! They are investigating my license :(

    Biggirl71 replied to abigl's topic in Nurses Recovery

    First things first. Arizona is a "right-to-work state." This means that an employer can fire you for any reason and without union protection, you are at their mercy. If there is an Accudose or...

  14. Lip care for patient on oxygen

    Biggirl71 replied to MissIt's topic in Hospice, Palliative

    Correct. Water-based is the way to

  15. New to home health- HELP

    Biggirl71 replied to nurse955's topic in Home Health

    OK, I am employed part-time with a Home Health Agency in Texas and I am considered the Alternate Administrator (on paper). The very little I know is as follows: 1. You can design your own forms...

  16. Is it true that "right to work states are against unions?"

    Biggirl71 replied to virgo,student nurse's topic in Collective Bargaining, Union

    Texas is a right to work state and they are totally against unions. However, I am from Wilmington, Delaware and I come from a union-heavy family so I believe in the need for unions. When you are in...

  17. forgiveness--how do you define it?

    Biggirl71 replied to nurse2it's topic in General Nursing

    My understanding of forgiveness is that it is a decision, not a feeling. So when one forgives, it is a conscious decision. Forgiveness is not something that one will necessarily feel. So, we can...

  18. Lip care for patient on oxygen

    Biggirl71 replied to MissIt's topic in Hospice, Palliative

    Mouth care is a pet peeve of mine as a nurse. I would use anything available including Vitamin E, surgi-lube (which is the same as KY), some of the oral swab kits come with a tube of lip goo that...

  19. Will never write order again w/o permission from doc

    Biggirl71 replied to *Posh*'s topic in General Nursing

    I am so sorry this nurse is learning the hard way that the rules are in place for a reason. The truth is, anyone can report us to the board. It could have been one of her co-workers, her manager,...

  20. when and how do you know if your employer turned you into the BON?

    Biggirl71 replied to lovingbnaRN's topic in General Nursing

    After reading all of the posts, I am still coming back to the issue that you are taking out so many narcotics that it flagged you in the system. Who worked in your position before you? Did they have...

  21. Bitter dried up nurses that need to RETIRE

    Biggirl71 replied to mindlor's topic in Patient, Colleague Relations

    I am not a "bitter dried up nurse that needs to retire" but I am a nursing PROFESSIONAL that commands respect because I have spent my entire adult life educating myself on how to best take care of...

  22. when and how do you know if your employer turned you into the BON?

    Biggirl71 replied to lovingbnaRN's topic in General Nursing

    What happened? You will find out soon enough. If it is for practice issues, it may take several weeks but the board will send you a registered letter. At that point, depending on the severity of...

  23. Second Career?

    Biggirl71 replied to Leaving the Law's topic in Male Nursing Students

    I have been a nurse since 1999. I started out in surgical nursing and went into oncology. I was then asked to be the night supervisor of a 46 bed med/surg/tele unit. I did that for 7 years. I am...

  24. Danced out of the testing center!!

    Biggirl71 replied to LMICHEL,RN2B's topic in NCLEX Exam, Programs

    Congrats to you! I have faith that you passed because you are so sure you did! Back when I took the test in 1999, I had to wait 2 weeks for my results and it was excruciating! I too got 75...

  25. Blood Transfusion during Dialysis

    Biggirl71 replied to Biggirl71's topic in General Nursing

    I forgot to add that this Quality gig is new for me. I have spent my career in Management/Supervisory positions and I have dealt with nursing issues all along. However, working in the Quality...