DookieMeisterRN

DookieMeisterRN

Cardiac, PCU, Surg/Onc, LTC, Peds

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All Content by DookieMeisterRN

  1. LTC & Skilled Nursing Facilities

    DookieMeisterRN replied to PACNWNURSING's topic in Oregon Nursing

    All the Avamere facilities are like this. I don't know how they haven't been shut down,

  2. Why does everyone seem to want to work L&D?

    DookieMeisterRN replied to IowaLPN's topic in General Nursing

    Yes, at that point in this student's roation she was just changing those darling little baby diapers and folding those cute baby t-shirts. She had yet to realize what a big hot mess leads up to that...

  3. Touching blood without gloves

    DookieMeisterRN replied to NurseLoveJoy88's topic in General Nursing

    ????

  4. Why does everyone seem to want to work L&D?

    DookieMeisterRN replied to IowaLPN's topic in General Nursing

    I haven't read through all the replies so excuse me if I'm repeating what others have said. I've talked with many NS doing rotations in L & D when I worked as s US on that unit. Many students said...

  5. question about vanc, trough, and holding the dose

    DookieMeisterRN replied to avidhunter3's topic in General Nursing

    Our pharmacists manage all vanco dosing but if yours doesn't always clarify with the MD if there isn't clear

  6. Neurontin decreases the effectiveness of PO pain meds?

    DookieMeisterRN replied to TeleRN311's topic in Patient Medications

    I would think that IV medication, if tried, would be way more effective than an oral dose that soon postop plus his regular dose of neurontin. He sounds like he should be having post op pain which...

  7. Very frustrated after taking pbsd!!

    DookieMeisterRN replied to KaHigRN's topic in General Nursing

    Your test results are supposed to be used as a learning experience to see where you may need additional education or clarification. There should be a time you sit down with your unit educator and talk...

  8. Gasp! An uninsured Nurse (rant)

    DookieMeisterRN replied to optimist's topic in Activism, Healthcare

    I've always worked FT just to make sure I have health insurance as my dh has a plan comparable to what the OP dh has. Working those extra hours gives me peace of mind. While I've been relatively...

  9. How do you deal with suspected addicts?

    DookieMeisterRN replied to OhioCCRN's topic in General Nursing

    She was practically running down the

  10. How do you deal with suspected addicts?

    DookieMeisterRN replied to OhioCCRN's topic in General Nursing

    Just for a chuckle I have to throw in that I floated the other day and had a young uncomplicated lap chole approaching her 2nd night of hospital stay. She kept asking for a fentanyl patch for pain...

  11. How do you deal with suspected addicts?

    DookieMeisterRN replied to OhioCCRN's topic in General Nursing

    This is what AN is all about. My pts pain is visceral? in origin I'm guessing since Crohns is what I believe started it coupled with numerous abd surgeries with many complications/prolonged hospital...

  12. Med error? help im going to loose ky mind thinking about this!!!!!!

    DookieMeisterRN replied to avenellpn82's topic in General Nursing

    This has been a really confusing thread. A lot of speculation with nowhere near enough information. I always suggest and practice myself to look up a med I don't know how to administer, unfamiliar...

  13. How do you deal with suspected addicts?

    DookieMeisterRN replied to OhioCCRN's topic in General Nursing

    Oh yes, you will definitely see how much narcotics a body can handle without skipping a beat. One 20 something yr old pt the other day has chronic pain and takes 80mg of oxycodone Q 3 round the clock...

  14. Is this in our scope of practice?

    DookieMeisterRN replied to klmb318's topic in General Nursing

    We don't even Have nail clippers available to us in the hospital..... cleaning when soiled, yes I can understand, a manicure,

  15. rn taking orders from an lpn?

    DookieMeisterRN replied to tofunurse<3's topic in Geriatric, LTC

    A facility I've worked agency shifts in is facing this now. After this facility admitted resident A with an extensive psychiatric and unknown at the time, a violent criminal history, the resident had...

  16. Touching blood without gloves

    DookieMeisterRN replied to NurseLoveJoy88's topic in General Nursing

    This. You've said it perfectly. Our patients have been told at admission that it's acceptable to ask every person that touches them if they've washed their hands. I haven't seen anyone ask but I know...

  17. Foley sterile field

    DookieMeisterRN replied to AJPV's topic in General Nursing

    We've also been taught it's no longer EBP to test the balloon and we are encouraged to wash thoroughly with soap, water and washcloth before the procedure. Which I hope would be standard practice...

  18. Touching blood without gloves

    DookieMeisterRN replied to NurseLoveJoy88's topic in General Nursing

    Wow people can act like such germ-a-phobes but it's interesting to watch these same people contaminate themselves by touching their eye after touching a keyboard, phone, dropping their pen on the...

  19. Facilities not on the Customer service bandwagon

    DookieMeisterRN replied to martymoose's topic in General Nursing

    The expectation though by many pts are that their nurse must bend over backwards for them. Screw the pt next door circling the drain, I'm sick. They're told they should have no pain, shouldn't have...

  20. Giving blood without an ID bracelet or Consent

    DookieMeisterRN replied to nurseryRN14's topic in General Nursing

    The facility I worked in that used blood bands also had RN's responsible for phlebotomy. We had to have 2 nurses present to witness the drawing of the type/cross and placing the blood band on the pt....

  21. Giving blood without an ID bracelet or Consent

    DookieMeisterRN replied to nurseryRN14's topic in General Nursing

    In my hospital if the pt has had surgery we do not need a separate consent for blood products as that is covered under surgery consent for that entire hospital stay. I think some posts are taking it...

  22. Facilities not on the Customer service bandwagon

    DookieMeisterRN replied to martymoose's topic in General Nursing

    The hospital I'm at is Magnet and we don't use anything like that. I did work prn for a different facility that used trackers and I thought it was assinine. You couldn't even hide in the bathroom...

  23. Giving blood without an ID bracelet or Consent

    DookieMeisterRN replied to nurseryRN14's topic in General Nursing

    I believe in the OP it says ID band not blood band. At my hospital we don't use blood bands and I didn't know what they were until I went to work for another facility prn. If the pt didn't have an ID...

  24. Littmann master cardiology or cardiology iii?

    DookieMeisterRN replied to TeleRN311's topic in Scrubs, Uniforms, Gear

    I have the master cardiology and am not too impressed. I can't wear it around my neck d/t they weight of it and the tubing always has a sticky feel to it. I may try and exchange it for a

  25. Difficult patients?

    DookieMeisterRN replied to nursingpower's topic in Patient, Colleague Relations

    But if the wonky pt knew that no one wanted to take care of them they still would think it's the nurse with the issue not them . I re-read the OP a little more thoroughly and my solution would be 'a...