SafetyNurse1968 BSN, MSN, PhD

Education, Informatics, Patient Safety

If I were in charge of the universe, there would be staffing ratio laws and unions in every state and you'd get written up for NOT taking your breaks.

Patient Safety Columnist / Educator

All Content by SafetyNurse1968

  1. SafetyNurse1968

    Suicidal Ideation and Muscle Twitches | Case Study

    First follow up post: Review of Systems: only abnormal values presented: No history of issues with menstruation. Patient does not know her heritage and didn't want to talk about why she...
  2. SafetyNurse1968

    Suicidal Ideation and Muscle Twitches | Case Study

    No stressful or traumatic incidences in past year - other results will come next week. Great questions
  3. SafetyNurse1968

    Suicidal Ideation and Muscle Twitches | Case Study

    She is fully vaccinated, is not in any pain and her diet is unremarkable for toxins. She reports no issues with digestion. More to come next week, including labs and other useful information - stay...
  4. SafetyNurse1968

    Suicidal Ideation and Muscle Twitches | Case Study

    No psych history or psych meds, her diet is unremarkable, no history of substance abuse. You'll get the labs in about a week. Thanks for participating and for the positive
  5. Chief Complaint "I've had diarrhea now for 3 years and I keep losing weight.” Patient also complains of a racing heart, headache and dizziness. History of Present Illness Diarrhea began...
  6. Month-Long Nurses Week Celebration Starts Today! Nurses Week Contest #4 Healthcare professionals have expressed vaccine hesitancy due to fear, mistrust, and misinformation. Although nurses are...
  7. SafetyNurse1968

    Unexplained Diarrhea and Weight Loss: What's going on? | Case Study

    UPDATE! Most of you figured it out... The positive bisacodyl test suggests the patient has been taking bisacodyl – a common over-the-counter medication used to treat constipation. In the...
  8. SafetyNurse1968

    Unexplained Diarrhea and Weight Loss: What's going on? | Case Study

    Negative
  9. SafetyNurse1968

    Unexplained Diarrhea and Weight Loss: What's going on? | Case Study

    Admin- directions are on first
  10. SafetyNurse1968

    Unexplained Diarrhea and Weight Loss: What's going on? | Case Study

    FIRST FOLLOW UP POST: Answers to your questions (thanks for your patience!) Abdominal complaints, bloating or explosive flatulence? No Is there any pattern to the diarrhea episodes,...
  11. Thanks for the apology - that was very kind. I know only about 10% of communication involves the written word - the rest is lost because so much of how we communicate is nonverbal. I proposed...
  12. I don't quite understand what you are saying. "That is all you're doing" What do you mean? Do you mean that there are dedicated vaccination nurses who only give the vaccine? In our state we have many...
  13. How interesting! The article I cited said that hospitals could legally require the COVID vaccine because it has an EAU. As usual, there’s a lot of conflicting information out there. I love...
  14. I live in NC and found an article about the recent shut down: “All those taken to hospitals are expected to recover, local health officials said.”...
  15. Good point! I look forward to seeing what others think of this question. There are gray areas everywhere. I love a good ethical debate. Thanks to everyone who has contributed so far....
  16. I was taught in nursing school that you had to have a compelling reason to refuse in assignment. I remember this being especially important when considering race, it’s been a while but don’t you...
  17. SafetyNurse1968

    Munchausen by Internet: The Lying Disease that Preys on the Heart

    Wow - this article is incredibly well written and insightful. I had no idea that Munchausen by internet even existed. I feel sure that I've been exposed in the past to some of these folks - as a...
  18. My heart goes out to you! I've made three med errors in my life as a nurse (20 years) and each one is as clear as the day I did it and one of them was with insulin. I'm a patient safety expert, so I...
  19. Chief Complaint The patient is a white male who states he is 25 years old. He has a deep laceration on his left knee and says, "I was running after this guy who really pissed me off, and I...
  20. SafetyNurse1968

    Repeat After Me... What's the problem here? | Case Study

    FINAL POST: After a psychiatric consult, a diagnosis of Tourette syndrome (TS) is proposed. TS is a disorder that involves repetitive movements or unwanted sounds (tics) that can't be easily...
  21. SafetyNurse1968

    Repeat After Me... What's the problem here? | Case Study

    When the patient was picked up by the police he smelled of alcohol and blew a 0.9. After putting a few stitches in the patient’s knee, you ask for a psychiatric consult, which the patient agrees to...
  22. SafetyNurse1968

    Repeat After Me... What's the problem here? | Case Study

    Outside temp
  23. SafetyNurse1968

    Repeat After Me... What's the problem here? | Case Study

    His temp is 97.5 (FYI, my temp is almost always 97.5). Interesting! Thought you might enjoy this, though it's a bit off topic....
  24. Chief Complaint A 50-yr-old male of mixed-race states that over the past six months he has been experiencing mood swings and outbursts of anger. "I'm out of control. One minute I'm happy and the...
  25. After four weekly sessions, the psychologist arrives at a diagnosis of Major Depressive Disorder. The patient is surprised, stating, “I thought with all my anxiety, the racing heart and the worry...