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. Chief Complaint 70 y/o Asian American female is brought to the Emergency room by her spouse and daughter with nausea and vomiting. The daughter states, "Her fever has been over 102°F for the last...
  2. Chief Complaint R.W. is a married, 34-year-old Hispanic female with two young children who presents to her primary care provider with a productive cough, stiffness and pain in her hands and feet...
  3. Chief Complaint "My son died a month ago. He was stationed in Afghanistan. I think I'm still in shock. For the last few weeks I haven't slept well. I keep waking up in the middle of the night, my...
  4. Chief Complaint "For the past few days I've been feeling run-down. I can't stop coughing and I'm out of breath. It can't be COVID – I already had it a few months ago.” History of Present...
  5. SafetyNurse1968

    Nursing Informatics?

    I'm a professor of nursing and I love healthcare informatics (the collection, analysis and use of data, and the transformation of data into knowledge to support patient care). As you may know, the...
  6. I am working on the 7th edition of Sewell's Informatics textbook (about to be Millers informatics in October) and found myself looking for a way for nursing students to self-assess their competencies...
  7. SafetyNurse1968

    The Wrong Dose - A True Story of Medication Error

    Where is the hospital at which you work? I'm curious as to how you plan to use it? I don't mind if you do use it, just
  8. I sat down with Margo in her dining room one evening to talk about a medication error she made when she was a new nurse. I asked Margo to tell me a bit about herself. She hadn't always wanted to be a...
  9. SafetyNurse1968

    The Wrong Dose - A True Story of Medication Error

    I wish I could! I no longer pay for the podcast support. Thanks for
  10. I hope you've read my article about the Next Gen NCLEX, Next Generation NCLEX - Are You Ready?, which debuts in the Spring of 2023. One new component includes stand-alone items. Two stand-alone items...
  11. Chief Complaint Headache, dizziness, right distal arm paresthesia 3-4 days, confusion, recent history of mental impairment along with bradyphrenia (mild cognitive impairment or slowed thinking and...
  12. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    FINAL POST This patient has Diabetic Ketoacidosis (DKA) likely brought on by a urinary tract infection. DKA develops when your body doesn’t have enough insulin to allow blood sugar into your...
  13. SafetyNurse1968

    Next Generation NCLEX - What Is a Bow Tie Question?

    So nice to get some positive feedback -thank
  14. SafetyNurse1968

    Next Generation NCLEX - What Is a Bow Tie Question?

    The NCSBON is phasing in the next GEN NCLEX in the Spring of 2023 for entry into practice. So this will be the test nursing students will take after they graduate from nursing school. I wrote an...
  15. SafetyNurse1968

    Next Generation NCLEX - What Is a Bow Tie Question?

    Thank you for bringing this up. I definitely should revise it-she has a fever so that is one sign infection so that is a mistake on my part -I shouldn’t have said no signs of infection, however...
  16. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    My apologies, the PaO2 is supposed to be 95! PaO2 is 95, somehow it got deleted by the computer
  17. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    Check comments for FIRST
  18. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    Please don’t leave your diagnosis here- post it in admin. The responses are for questions and for sharing your nurse brain with new nurses/students. What assessment details are most important and...
  19. SafetyNurse1968

    Four Days of Nausea, Vomiting and Fever

    FIRST FOLLOW UP POST: Excellent observations and questions – thank you for the rationale! Here are the medicines she is taking: bitter melon (Momordica charantia), often called bitter...
  20. SafetyNurse1968

    Next Generation NCLEX: Are You Ready?

    Safe staffing laws are a must! I do think we could do a better job as educators with clinical judgment skills. I don’t think more clinical hours is the answer- higher quality clinical...
  21. A little history (we aren't changing the NCLEX just to torture you!): 50 years ago, when the nursing process was first defined, nursing was much more task oriented and basic. We've evolved and the...
  22. If you haven't already, Forensic Nursing: Sexual Assault Nurse Examiner – Part 1 and answer the survey on your interest in forensic nursing. Have you ever thought about it? Why or why not? Lacy...
  23. Chief Complaint Patient presents to ER with pelvic pain that she says is 10/10. She is crying and hunched over, clutching her stomach. She says, "I can't stand this for much longer. It's been...
  24. Yes! I’ve had pelvic floor PT and it’s incredible what they can do. It’s fairly invasive- the PT had her hands in some places this young lady wasn’t open to. It’s a difficult proposition for...
  25. SafetyNurse1968

    I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    You didn’t offend- thanks for the