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. I will post the final answer at the end of the day
  2. FIRST FORMAL FOLLOW UP POST: Thank you for the engaging conversation! I hope you'll forgive the length of this post, but I wanted to include as much information as possible to allow you to make...
  3. The patient mentioned concern over having a brain tumor because he is incredibly anxious and worried about his health and behavior. There are many folks who automatically think they have cancer when...
  4. Yes! I love learning - thanks for that - I will squirrel that knowledge away and break it out for a future case
  5. Thank you for asking, Davey Do! When asked about sleeping habits the patient says, "I just want to sleep all the time. I'm so tired." He has struggled with wanting to go to church and has felt too...
  6. Chief Complaint An 85-yr-old Cherokee woman living in a skilled nursing facility in Western North Carolina (WNC) has been reluctant to socialize or join in activities. She has lost 10 lbs in the...
  7. SafetyNurse1968

    Case Study: Does this Cherokee Woman Have Dementia?

    FINAL POST This patient is not demonstrating any signs or symptoms consistent with delirium or dementia. What she does have is chronic constipation related to immobility, dehydration and lack of...
  8. SafetyNurse1968

    Case Study: Does this Cherokee Woman Have Dementia?

    So many great suggestions! Here is some of the information you requested. The patient had a CT scan after her fall and it was negative. If I have missed any of your questions - please don't hesitate...
  9. Presentation A 45-yr-old, white, premenopausal woman presents for her annual exam. About 5 weeks ago, she noticed a small, painless lump in the upper outer quadrant of her left breast. "I didn't...
  10. SafetyNurse1968

    Case Study: It's a Lump, but is it Breast Cancer?

    Diagnosis: Core-needle biopsy of large left breast mass: pathology consistent with invasive ductal carcinoma (infiltrating breast carcinoma), tubules observed in 85% of sample, 3-5 cell divisions...
  11. SafetyNurse1968

    Case Study: It's a Lump, but is it Breast Cancer?

    Thank you so much for your questions and comments! Here is the first update: Finding a lump in your breast can be frightening — but although breast cancer is the most common cancer found in...
  12. Chief Complaint A three-day old male infant is brought to the ER with vomiting and diarrhea by his 22-yr-old white mother. The mother states, "It started yesterday. He sleeps all the time, but...
  13. SafetyNurse1968

    Case Study: Newborn with Vomiting and Diarrhea

    Thank you so much - I've posted before that I'm a generalist, so I always appreciate it when folks who know more than I do add to the
  14. SafetyNurse1968

    Huge Zoom Mistake....Nurse Instructors Caught!

    As the chair of the diversity, equity and civility council at my SON, I want to suggest that you recommend the students go to the dean. This is unacceptable behavior on the part of the two instructors...
  15. SafetyNurse1968

    Case Study: Newborn with Vomiting and Diarrhea

    And the answer is...Neonatal Abstinence Syndrome. Neonatal abstinence syndrome (NAS) can occur in response to newborn withdrawal from drugs taken by the mother during pregnancy. It is a group of...
  16. SafetyNurse1968

    Case Study: Newborn with Vomiting and Diarrhea

    Thank you for your patience! I know you want a lot of labs and tests, but I wonder if after reading this second update below you'll know exactly what it is? After the infant is admitted for...
  17. SafetyNurse1968

    Case Study: Newborn with Vomiting and Diarrhea

    Excellent questions! More data coming
  18. SafetyNurse1968

    Case Study: Newborn with Vomiting and Diarrhea

    You’re on the right track- more info coming
  19. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    Congrats!! Wow! That’s an incredible achievement. Thank you so much for supporting our learning:) good luck to you- we need more FNPs - so many folks will
  20. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    I was also thinking about all the nurse practitioners who use allnurses. And those who are going to school for their NP. This kind of critical thinking is great
  21. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    This is just for fun -no one is suggesting that nurses diagnose. It’s just to help us with our assessment skills and to know what to be alert for to tell the
  22. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    Spot Angel definitely did get it right. Nice
  23. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    The answer was posted - just scroll back to yesterday to see the
  24. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    Excellent- thank you! I so appreciate the knowledge. I’m a generalist, so I really enjoy it when folks who know more than I do chime
  25. SafetyNurse1968

    Case Study: Joint Pain, Rash, Hair Loss - What's Going On?

    Like what? The issue with lupus is there are no specific labs that I know of. I’m here to learn as well. Hope I haven’t left something