SHGR MSN, RN, CNS

nursing education

Member

All Content by SHGR

  1. SHGR

    When to give insulin?

    Hi MN-nurse, by jaundiced, do you mean judgemental, that is not at all what I meant- I mean tighter control of BG inpatient is crucial. You are right- you do not want to overcorrect- but...
  2. Y'all iron your panties, too? I don't even iron my fomitefull
  3. SHGR

    Written up for false documentation...

    One thing you can do, is have the doc/NP change some of the orders. Scheduled APAP in the middle of the night? What the what? Have that changed to PRN. Night creams? Can that be changed to BID or...
  4. I am laughing so hard at
  5. SHGR

    You know its a seeker when . . .

    Never had toradol myself, but I love giving it and seeing near-immediate relief. So nice to have some instant gratification in primary
  6. SHGR

    Rights of POA vs Resident

    Gasping for air and moaning sound like a need for morphine at the end to decrease pain and air hunger. Could you have done this in your facility? Could you have applied oxygen or done other comfort...
  7. I don't work at the hospital anymore (I'm offsite) but on med surg I just HATED when one of us was on our unit. Just the idea of taking care of one of us made me over-anxious and that my care would...
  8. SHGR

    You know its a seeker when . . .

    Phone triage: "I dropped 30 percocet in the toilet." "My bottle of pain pills spilled down the sink." " My car got broken into and my bottles of pain medicine got stolen. No, I don't have a...
  9. It used to say "not for parenteral use" and my friend got an earful from a patient who yelled that he is a parent so why was he getting that?? Or, maybe that is
  10. SHGR

    How would you feel?

    Short version- if the unit did not follow policy and procedure with hiring, then you have grounds for a formal complaint. If your feelings are just hurt, then you do not. See above. That said, I...
  11. I was extrapolating. Simple concept- taking drugs that are prescribed for you, is what you are supposed to be doing, so regardless of why you are getting a drug test- and we're all patients somewhere-...
  12. SHGR

    How would you feel?

    Ah yes...sad to say that this rarely gets the employee any benefit, only lets them use you more, and make you more mad. Been
  13. If you have a prescription medication and DON'T test positive for it, our clinic would discharge you for violation of drug
  14. SHGR

    When to give insulin?

    Yes, it definitely depends on the insulin. Lantus/detemir- should be given at the same time of day every day, regardless of meal times. Regular, 30 min before eating. Novolog or humalog, 15 minutes to...
  15. "No, we can't have the government pay for a PCW to do your laundry because you feel stressed out." --actual real-life patient request. Actual NP's
  16. SHGR

    Happy certified nurses day!!

    Why, thank you! I'm the only certified nurse where I work, so it was only a big deal to me. Yay, me! Yay,
  17. Nurses no longer get "capped," but the pinning ceremony is a special thing that managed to survive. Mine was really neat. I lose everything, so I don't proudly wear my pin like I should. But the...
  18. I wear scrubs at work. Most days I don't get too dirty educating our patients with diabetes- mostly over the phone. I've been known to go out without changing. Judge me all you
  19. The other thing that is happening is that, we seem to think it is no longer good enough to be an RN. Not important enough, or what have you, so many good nurses are becoming NP's, or going into...
  20. bsnanat2, i really appreciated your original post because i think it brought a new way to look at apn education, and really validated my decision to pursue cns rather than fnp. when i tell people i...
  21. SHGR

    how to give insulin injection?

    Insulin needles are short, so abd. shots are (unless the pt is cachectic) just naturally going to end up in fat. If you are giving in the arm, it needs to go in the back of the arm, not near the delt...
  22. The above, like x1000. Thanks for articulating this. Direct entry will work for some people. It would not have worked for me. I have learned something in every area of nursing that I've carried...
  23. SHGR

    Advice please

    This is the best AN thread EVAR. Not only do I want to work with y'all, I would place any of my loved ones or myself in your care at your awesome LTC "hotel!" CapeCodMermaid, you should write a...
  24. Mindlor, I gather that you have not graduated from nursing school yet, and you already seem so angry. Just