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spitfire

spitfire

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spitfire's Latest Activity

  1. spitfire

    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 painful.
  2. spitfire

    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 nothing that can be done about the density of the skin, usually younger pt are the harder stick and some of the very older folks. spitfire
  3. spitfire

    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 would we not be responsible if the patients does go out without permission if we document that. This is the original question that I was posting.I do not want my licence brought into question because my patient had an injury or worse while they are out of the hospital smoking.
  4. spitfire

    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 the doc can't read his own handwriting! Ask them to clarify the order if you can not read it.
  5. spitfire

    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 seem to let some and then not others.I do not have time to step out with a patient or want to. My concern is at a prior staff meeting this same NM stated that if we were medicating a pt for pain and let them go ouside to smoke and that pt. fell then it was our licence and he was not going to stand behind us......This week, it was ok to send a medicated patient outside. So where did that leave me if the patient did fall or was doing heroin while he was unsupervised?
  6. spitfire

    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 a raging infection. I feel set up by the nursing manager in that the staffs safety was not considered and if something did happen my licence would be brought in to question.
  7. spitfire

    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 non- smoking facility,I believe here it is a state law also. Today a patient was permitted(by the nurse manager) to go outside-with a staff member to smoke every 4 hours, he is being treated(antibiotics-I&D-dressing changes) for an infected AC from using needles. Well 4 hours turned into when ever he wanted and then he was outside in someones car smoking, when I went out to ask him to come back into the building he went off on me. Now I realize- after he elaborated on his drug abuse - that he is going through heroin/ oxycontin withdrawl and the issue for now is resolved.Does anyone here permit patients to go out to smoke with a staff member or how do you deal with these issues. There was not a written order for him to go out but I was told the MD said it was ok and to leave his nicotine patch on too.
  8. spitfire

    DUI's & Licensure

    "I'm thinking about just shining the whole nursing thing because it sounds like it might just be way too ugly with the death stuff and all that. I hate looking at dead people like at funerals and stuff. I probably would get the willys cartin' some carcass off to the morgue not to mention all the blood and poop and phlegm and stuff." This poster MUST be a sad joke, with all of his/her compassion nursing dosn't sound like the right career for you,I know I would not want you to take care of me or my family.
  9. spitfire

    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 PICK UP ANOTHER PT.I TOLD THE MANAGER THAT I WAS NOT COMFORTABLE AND DID NOT WANT ANOTHER PT.WELL SHE SAID EVERYONE ELSE HAS 8-9.I SAID WELL MAYBE THEY FEEL COMFORTABLE WITH THAT,BUT I DO NOT.I WAS FORCED TO TAKE THIS PT.LATER THAT NIGHT I HAD A PT.FALL OUT OF BED-(MY FIRST ONE)WHAT ARE MY LEGAL RIGHTS IN REFUSING PT THAT I DO NOT FEEL I CAN TAKE CARE OF?MOST OF THESE PT. ARE VERY SICK AND BED BOUND.PLEASE HELP.spitfire
  10. spitfire

    Freebies

    KAREN,SOME OF THE FREE SAMPLES GIVEN THAT I KNOW ABOUT ARE:PROZAC,ZITHROMAX,SOME CARDIAC MEDS,OFTEN WHAT IS AVAILABLE IS WHAT THE DRUG CO.REPS ARE PUSHING.THERE ARE ALSO PROGRAMS(BLIND STUDIES) THAT IF YOU ARE PICKED/ OR PARTICIPATE IN-THEY SUPPLY YOU WITH ALL OF YOUR OTHER MEDS TOO.HOPE THIS HELPS.spitfire
  11. spitfire

    Help - scared nursing student

    MES, I HAD A SIMILAR SITUATION AT THE SCHOOL I WENT TO,WE NEEDED A 79 OR ABOVE TO PASS.NO EXTRA CREDIT WAS GIVEN FOR ATTENDENCE,PARTICIPATION ETC..TESTS COUNTED FOR ABOUT 70% OF OUR GRADES,THANK GOD WE ALSO DID NURSING PROCESS PAPERS.THESE ALWAYS BROUGHT MY GRADE UP.I FOUND THAT I READ INTO THE QUESTION BEING A CNA. FIND A STUDY PARTNER JUST ONE OR TWO-MORE THAN THAT AND YOU SPEND A LOT OF TIME SHOOTING THE BREEEZE.ARE THE TESTS THOSE DAMN CRITICAL THINKING TYPES?WHEN YOU TAKE NOTES IN CLASS HIGHLIGHT ANYTHING THAT THEY SPEND A LOT OF TIME ON OR WRITE ON THE BOARD.YOU MUST KNOW THE PATHO OF A DISEASE BUT THEY WILL ALWAYS ASK QUESTIONS ABOUT THE SIGNS AND SYMPTOMS.LASTLY I BOUGHT ONE OF THOSE STUDY FOR THE NYCLEX BOOKS USED THEM TO HIGHLIGHT IMPORTANT POINTS ON ANY DISEASES.THEY BREAK IT DOWN INTO THE NURSING PROCESS SO IT IS EASY TO STUDY.GO TO YOUR INSTRUCTOR AND GET ADVICE.TALK WITH A SENIOR NURSING STUDENT THEY CAN GIVE YOU THE SCOOP ON WHAT WORKED FOR THEM.JUST REMEMBER THOSE DAMN TESTS HAVE NOTHING TO DO WITH WHAT TYPE OF A NURSE YOU WILL BE.spitfire
  12. spitfire

    Getting Full text articles online

    KAREN,THE COPIES THAT YOU PRINTED OFF SHOULD HAVE THE SITE PRINTED ON THEM ,USUALLY IT IS ON THE BOTTOM OF YOUR LAST PAGE.TYPE THIS IN TO WHER IT SAYS ADDRESS ON THE TOP OF YOUR COMPUTER SCREEN.TO SAY THE ADDRESS SO YOU CAN EASILY FIND IT AGAIN GO TO THE TOP OF YOUR SCREEN WHEN YOU HAVE A SITE YOU WANT TO SAVE AND CLICK ON FAVORITES.IT WILL SAY-ADD OR DELETE.HIT THE ADD BUTTON AND THEN THE OK BUTTON. IT THEN IT WILL BE SAVED ON YOUR COMPUTER- LIKE AN ADDRESS BOOK OR A QUICK DIAL PHONE.TO GET TO THAT SITE,AFTER YOUR COMPUTER IS ON HIT THE START BUTTON AT THE BOTTOM LEFT OF YOUR COMPUTER SCREEN AND A LIST OF PROGRAMS WILL COME UP,HIT FAVORITES AND THE SITE YOU SAVED WILL BE THERE.I'M ASSUMING YOU HAVE AN IBM AND WINDOWS. ITS MAJIC. spitfire
  13. spitfire

    Floored by unemployment during shortage

    MIJOURNEY,I FIND YOUR POSTS TO BE RIGHT ON THE MARK, ASSERTIVE,ANd WELL THOUGHT OUT. THANKS FOR OFFERING YOUR POINT OF VIEW.MANY POINTS OF VIEW GIVE US A CHANCE TO DECEIDE WHAT IS RIGHT FOR US OR GIVES US ANOTHER PROSPECTIVE WE MIGHT NOT OF THOUGHT ABOUT.ISN'T THIS THE PLACE TO BE OFFERING OUR VIEWS, DO WE NEED TO HAVE THESE CRITIQUED? I DON'T THINK SO. spitfire
  14. spitfire

    nurses and computers

    miriah, could you possibly send me info about your co. products-see my posting about electronic pharmacy-my e-mail is spitfire_93@hotmail.com thanks
  15. spitfire

    electronic phamacy

    hi everyone,i volunteered my services on our med-error commitee at the hospital.i would like to up grade our system(it is all hand written)and the error rate is high especially for transcription errors.i would like to get a pixis type dispencer for nacrs(they hand count every shift).and also computer generated med orders.the hospital says a pixis is very expensive.can anyone advise about possible used equipment,free equipment or softwear??spitfire
  16. spitfire

    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 AND WHEN DID I THINK I COULD GO ON UN-OFFICIALLY BY MYSELF....I TOLD THEM I NEEDED AT LEAST A FEW MORE WEEKS(IT'D ONLY BEEN-3-4)THEY SAID I CAN WHEN I FELT COMFORTABLE.THEY NEEDED TO HEAR THAT I WAS NOT GOING TO LEAVE-AS A FEW HAD ALREADY.SO I DID SPEAK WITH MY PRECEPTOR AND THINGS ARE GOING MUCH BETTER.peace