RFRN

RFRN

OBGYN, Urogynecology

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All Content by RFRN

  1. Medical Charting in Family Practice.

    You did the right thing. I'm sure that nurse just wants to avoid anything coming back on her so she didn't want her name associated with not having the patient seen that day. I agree with you, the pt probably should have been seen if the MD had time ...
  2. OB/GYN interview

    I work in an OB/GYN clinic and the thing I love the best is actually getting to know your patients. You see them fairly frequently and can develop a great relationship, which also means you can assess better because you know their history. Also, I lo...
  3. medication error

    We do have 10,000u/ml in our clinic but that's the most concentrated I've seen.
  4. intrauterine pressure catheter(IUPC)

    Check with your state board - In Nebraska, our BON states - http://www.dhhs.ne.gov/crl/nursing/Rn-Lpn/advisory.htm It is the opinion of the Nebraska Board of Nursing that it is acceptable practice for registered nurses to insert the various intr...
  5. What is my PROBLEM???

    You don't have a problem, you're missing what you used to do and that is totally normal! I always say that even if I won the lottery, I'd still do what I'm doing now because I love it and I'd miss seeing people everyday! I know being a stay at home m...
  6. Ok - I have to ask why NOT aspirate? Other than the needle is in the patient for the extra half a second it takes to do this and might cause a little extra discomfort (but in my experience, patients do not notice if you do or don't aspirate). I was t...
  7. Saline in a bottle not for injection?

    Funny - we had the same issue come up in our clinic recently. Had to give 1 liter of NS IV and we only had a 3 L bag (not a bottle) that states "for irrigation". Couldn't figure out what was different but I guess the microfiltering makes sense.
  8. Is it weird that I love wound care?

    This happened to me during my preceptorship in my senior year of nursing... thank god I wasn't standing at the foot of the bed! I watched it fly about 5 feet and land at the foot of the bed... in the carpet (yuck). WHY DO SOME HOSPITALS HAVE CARPET!?...
  9. Feel out all your possible options before you decide to go for it. Agree with other posters - ask them where they usually get stuck, heat packs, gravity, tie that tourniquet tight and give them a stress ball to squeeze. I had one not too long ago whe...
  10. Help with Knowledge Deficit

    Agree with previous poster... interventions all are going to be teaching based so teaching the person how to prepare for a disaster - what is an appropriate shelter for a tornado, diff. between watch and warning, getting a weather radio, having extra...
  11. I have to say I used to feel that way but nursing has actually made me a little more outgoing. Since I have to get to know a lot of different people, I have developed some better social skills - there's nothing like helping with a pelvic exam in awkw...
  12. Keep trying!! Took me 4 month to land a job after graduating and I had a 4.0 GPA!
  13. Job question

    Start applying NOW. Depending on where you live, it is very hard to find a job right now - especially for new grads. Took me 4 months when I graduated. If you are doing your preceptorship now and like the floor you're on, make sure you let it know to...
  14. 'cattle calls' in ER waiting room?

    Good idea! We call first names in our clinic but then if two people stand up we just ask which MD they are seeing. I have been told before we can use first name OR last name but not both because that would be a HIPAA violation. To clarify, we can use...
  15. I agree with AZMOMO2, although in my facility we do not take a temperature - just ask if the patient is feeling well. Even though the flu vaccine given as an injection is inactivated, you don't want to run the risk of causing any other issues if the ...
  16. Mandated Flu vaccine?

    Working in an OBGYN clinic, I cannot see why an employee would opt out for pregnancy and I do not see any of the docs writing notes for this unless they have a true allergy. We strongly encourage all of our pregnant patient to get the flu vaccine. We...
  17. Change is scary!

    Love this - I recently had an opportunity to start learning urodynamics in our office and definitely was uncomfortable at first but now I am so happy I took this chance because I have learned so much. I am still not 100% comfortable with it, but that...
  18. Change is scary!

    Change is scary but this sounds like a great opportunity. I have only been an RN for about a year and only have worked in a clinic, but LOVE LOVE LOVE my job! True, clinic pays less than hospital but the hours and people make it worth it. I cannot se...
  19. I don't know the answer, but I agree with checking with the State Board of Nursing. I had the same issue when I graduated - I had not worked as a CNA during school due to time issues (even though I had the certification) but thought about doing it af...
  20. HIPPA violation??

    Working in a clinic, this may not be something that everyone else deals with but what would you do if you had a minor teenager come in for their annual exam and the MD did a GC/Chlamydia and pregnancy test on the patient then the parent calls for tes...
  21. Not sure about what dependent/independent means here but if I had to guess I would say dependent? Just because you cannot insert a Foley on your own judgement, need an order. And yes, a verbal order counts - just need to make sure the nurse charted t...
  22. Why does this stigma exist in relation to new nurses?

    Ok, first of all I did not object to anything I was asked to do that day. I did it all without complaining but I guess my point in telling my story was that the ER is not a good place for students. The ER I was in was not a highly acute trauma settin...
  23. HIPPA violation??

    K, got it guys. HIPAA, not HIPPA. Can't figure how to edit my original post.
  24. Working during school wasn't really an option for me since I did an accelerated BSN program in 15 months. I know some people in my class did the occasional weekend shift but for me, school was enough to keep me very busy and I didn't want to worry th...
  25. HIPPA violation??

    This makes sense to me but I just feel there are so many gray areas. Like what if we call with results and the parent answers - can we even say where we are calling from? What would you do if the parent asks why you are calling and why you can't disc...