spitfire

spitfire

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About spitfire

Latest Activity

  1. Insulin protocol---Q 1 hour accu checks

    We also use a insulin drip protocol, if the pt has a cell saver -vamp- I'll use that. if not I often use the ear lobe for a drop of blood - almost all say it is less
  2. Lovenox Questions

    My experience is that the abd skin varies between patients, some pts have very tough skin and it seems you almost have to really push to get the needle in, I feel bad for the pt. but there is...
  3. patients smoking

    I am interested in hearing if the hospital or you the nurse were held responsible for this patients outcome. Are we held responsible if our patient has an OK from the docs to smoke and then falls?Or...
  4. Doctor's handwriting

    Soon we will be going to all computer generated orders-that will be interesting to see some of the older docs manage a computer- so the docs will all be entering their orders. You know it's bad when...
  5. patients smoking

    The NM just wanted the patient to stay and be TX or he was going to lose his arm. Personally I don't thing patients should smoke while in the hospital ( I am not going to stop them) but they always...
  6. patients smoking

    What is the legal aspect of a pt going out to smoke and falling- or using drugs - this pt had IV access and was not asking staff to go out with him, he is a know IV drug user and is being treated for...
  7. patients smoking

    We had an issue tonight and was interested in how others deal with patients being allowed to go out to smoke cigarettes, usually patients are offered a nicotine patch and are told our hospital is a...
  8. Nurses Tooooo!

    Please I must defend some of the docs where I work,they often give credit to the nurses, I have had a few experiences where the doc has said to the pt, " thanks to your nurse for alerting me to a...
  9. I also work med-surg 3-11 and often a patient is ready to come to the floor at change of shift- we have a policy that PACU waits until we are done getting/giving report before we accept the patient.No...
  10. Low census days (whine)

    We are experiencing a decrease in patients this summer, but this happens yearly,we make up for it in the winter. We are offered low census but do not have to take it one weekend we had only 3 patients...
  11. what are my legal rights?

    HI EVERYONE,I NEED ADVICE.I STARTED MY CAREER NURSING IN SEPT.ON A MED-SURG-BUT WE REALLY HAVE EVERYTHING-FLOOR.LAST NIGHT I WORK 3-11,I CAME IN TO 7 PATIENTS AND THEN WAS TOLD-NOT ASKED THAT I WAS TO...
  12. unable to read preceptor

    THANKS EVERYONE,MY PRECEPTOR IS GIVING ME ROOM NOW AND ALSO FEED BACK SINCE I ASKED FOR IT.WE ALSO SAT DOWN WITH ONE OF THE SUPERVISORS AND TALKED ABOUT WHAT IS GOING GOOD-WHAT NEEDED TO BE WORKED ON...
  13. unable to read preceptor

    TAHANK YOU EVERYONE FOR ALL THE ADVICE AND COMMENTS-I LOVE THIS SITE!I DID APPROACH MY PRECEPTOR AND ASKED HER HOW SHE THOUGHT I WAS DOING AND IF SHE HAD ANY RECOMMENDATIONS FOR THIINGS I NEEDED TO...
  14. unable to read preceptor

    THANK YOU FOR THE INPUT.TUESDAY I WILL SIT DOWN WITH MY PRECEPT. AND ASK HER HOW DOES SHE FEELS I AM DOING AND FOR ANY SUGGESTIONS.MY HUSBANDS INPUT WAS - YOUR NOT THERE TO WIN A PERSONALITY CONTEST...
  15. unable to read preceptor

    HI EVERYONE,I AM IN NEED OF SOME INPUT.I HAVE STARTED ON MED-SURG AT A SMALL HOSPITAL,AND MY PRECEPTOR WAS VERY FRIENDLY TO ME THE FIRST FEW DAYS AND NOW OUR RELATIONSHIP IS STRAINED.I HAVE NO IDEA...