KMSRN

I think most places have paid time off (PTO) rather than dividing sick time from vacation time. The issue is not sick time vs vacation time but calling out at the last minute. Calling it PTO does not change the fact that it is inappropriate because...

If you notice, pharmacists and physical therapists now require a doctorate for entry level. OTs, dietitians, social workers require at bare minimum a bachelor's degree and most have a masters. Nursing has refused to raise the bar on education and i...

If I may respond. I work in Staff Developement and I develop and administer the medication test at my facility. I strongly advise that nurses use a calculator because, although most can do the calculations manually, it leaves much more room for err...

I just did some research for a report on cultural aspects of pain management and what I found was very disturbing. In study after study it was found that minorities received considerably less pain medication than non-minority (whites). These are a ...

According to the way range orders are interpreted at our facility, you did the right thing. If the lowest dose is not sufficient, the remainder of the full dose can be given but then the 4 hours starts at the time the remainder was administered.

To get past prejudice everyone need to "understand the issues and dissect them". Contrary to the stereotype, faith and thought are not mutually exclusive.

In the first place it is HIPAA - Health Information Portability and Accountability Act - not HIPPA. In the second place, what the heck is a HIPAA code?

Morphine can be given orally, intravenously, intrathecally, subcutaneously, and rectally. It can also be given IM but I sincerely hope no one is giving pain meds IM anymore. Morphine can also be given subcutaneously as a PCA or continuous infusion ...

I disagree with telling the charge nurse. The RN is in charge of their patients - why add another level to the process? It is one more opportunity for misunderstandings and mistakes. The patient's nurse needs to deal directly with the physicians e...

I am orienting a group of brand new graduate nurses. One of my questions for them is going to be, "What is your primary function as a nurse?" I have my own opinions and ideas but I would be interested in input from others. As nurses, what do you t...

thanks for your response - it is very thorough and a good description of orientation. it is so much information thrown out in a short time that by the time nurses get through orientation they are in information overload.

I agree with operating as an independent licensed professional.

My granddaughter's name is Boston. I'm not sure if that goes under this thread or under unusual names. At first no one liked it but it grows on you. And the name suits her - she looks like a pretty little Boston.

Forget filing a variance or a complaint - go for criminal charges. It is totally inappropriate not to mention illegal for this bozo to lay hands on you. Where is adminisration in this? I'm glad to see your coworkers backed you up. It makes me mad ...

Get a GOOD junk yard dog lawyer now! I went through a similar situation while I was in nursing school and my kick a** lawyer saved the day. There is no such thing as an amicable divorce especially when money and kids are involved. Having said that...

When you borrow money you sign a contract stating you will pay it back in a prescribed manner, for example $200 on the 1st of each month. If you don't pay it back as agreed, you are basically stealing from the lender, causing them to lose money on y...

I don't understand why you would give a double dose of phenergan, aside from all the other comments and legal implications, since it isn't a pain med. Very poor judgement all around.

Hopefully you would have said "Dr regardless of my title I was asking you for your professional opinion as a favor to the attending. I will be more than happy to tell him you are unable to give it and will document this conversation in the patients m...

Hopefully you are not using answers on a bulletin board as a basis for your medication adminstration. Do you not have current drug books on your unit? If nurses are not drawing up insulin correctly it is a med error - fill out a QCC or incident repo...

Dubin is the one you want.

As previously posted, if you buy something on credit and don't pay the bills, as agreed, you are stealing. It is a character issue (most of the time). If you will steal from the credit card company or the landlord, or the bank, why should I believe...

Whether or not an RN can pronounce death depends on the laws of your state and the policy of your facility. As practicing RN you should be familiar with both.

I agree with everyone not to place a PEG or give IV fluids but I am with you Mermaid on the NPO order - it should be "Diet as Tolerated". I believe it is unethical to deny someone in that condition food or fluids. She will probably not eat or drink ...

I am working on my MSN in a program that uses teleconferencing and online courses. I prefer the online classes because I can work on my own schedule. The classes I have taken, both online and teleconference, use the Blackboard program that has diff...

In most institutions that I know of, nurses are hired by the department manager along with HR. The department manager is well aware of when new hires are coming on board and should have preceptors lined up well ahead of time. Staff development usuall...