luvin it

DANG!!! I don't have time to prechart. I'm lucky to get charting done w/i the 2 hr time frame my facility requires.. it has a computer system that allows us to change times, but, the permenent record shows the actual time and the time you changed it to. We are very JACHO compliant, but ,would this be beat to death in court??? It really feels like I should have been a stripper, seems much more admirable.

I agree w/ mattsmom81

I am sure that poster was speaking "tongue in cheek"

I would refuse to dose anyone w/ ativan 40 mg. (???). That doesn't make sense. I have detoxed may pt and have never heard of dosage like that. Also never have heard of Haldol use for withdraw. Sounds like an Internist's experiment. Would have the crash cart warm and ready.

My advice...follow protocal it does very. Use the pharmacy as a resouce as needed. Check and recheck your calculation as well as those before you. LOOK at your labs!!! PT/INR..monitor other anticoags..asa, coumadin dose daily, plavix...see the BIG picture

Patients...God love 'em...LOLOLOL

in tx u can go to the bne web site enter your data and see when a license is assigned. It saves time and costs nothing.

"I'll check on that for you"..usually stated when I already know the answer amd know that it's not what the pt/family wants to hear. Sometimes this has bought me enough time to have someone else do the dirty deed of addressing the issue of better yet have the situation change so that it much more acceptable to the pt/family.

No, you don't. I read the previous post and noticed that it kinda went into left field. The new angio-cath. shows a back flash w/ u access the vein, @ that point, I do use a pig-tail attached to a 3cc syringe w/ 2 cc NS flushed into it. Don't leave any air in it.(does this make any sense?). After I get the flash of blood into the cath. thread the remaining cath inot the vein. Then I disconnect the neddle part of the cath and attach the pig tail. Then I pull back to verify blood return,flush that back in and tape the site. In the hospital we use the pigtail to make it easier to attach Iv fluids and adminster IVP's. It would be better to find a reputable person/setting to learn and practice starting IV"S. Sometime hosptials also have details in the procedure manuel to explain the way THEY want it done. It's best to check if any questions. That would also clear up the actions of others that you question.

You are the type of nurse mentioned regarding the "I feel closer/better and more intuned to my pt and their needs." blah, blah, blah. Where is is north of He@@

This thread is soo great. I want to respond to weebizit about the acct. who gave her a death look after telling her that , instead of becoming an acct. she wished she'd been a nurse. How funny was the way she responded to you, after you said "that it's just a job".....does that acct. know what it means to clean an incontinet pt. or to decide wether to use a spacula or spoon to collect a stool speci??? To the male nurse that uses and recieves charming little "nick-names" NO WAY!! I don't give or recieve. I reintroduce myself if someone that does remember who I am and I don't call ( especially older geri pt) sweetie, honey or such.

I know that we all see the humor in the foley statement and I have heard it actually used by more than one nurse. I see it as a hostile threat and wonder if it is exactually "theraputic". In a way it's like (to me) saying to a child "if you do such & such I will do balh, blah, blah." Do you like when a pt or family says "if the Dr.s, hospital's, nurse's don't do what I want then I'll"....fill in any threat. I'm no angel, but, if we want fairness and respect then, that is what we need to exhibit to our pt.'s.

OMG I know that it is after the fact, I had no idea that it effected people who didn't work there. I am the nurse that first called the FW star telegram. There were BIG indicators that the end was close and NOBODY was telling us anything. Within 4 hrs of calling the paper, we even had TV reporting from OMCT and that was when the employees FIRST were told. I was also one of the last nurses discharging and transferring pts. To tell you the truth, parts of it were so unsafe. At one point the only staff on the cardaic stepdown unit were myself and a resp ther. we looked at one another and wondered if there was even still a code team w/i the hospital. ( the first unit closed was ED. Residents and Interns were no longer on premises) That was that last shift I worked. We had lost health benefits 6 weeks prior, w/o any previous notification. PTO was out the window. Our retirment was spared. I was due the 3rd installment of a bonus and that of course was gone. I loved the facility, staff and students. However managment of pt's admission and care were really over the top in comparison to other hospitals. I came from an affluent area and was surprised to know that less that 10% of admissions had any insurance. Bad news when were already struggling. Thanks everyone for your concern.

your paper is probably written and being graded by now. but, fyi. Nephro nurses usually initate and monitor dialysis. They access ready ports or fistulas, set the pull on the machine and monitor x3 hrs. BORING!!!! Cardiac nurses are specialized in obviouslly the heart, it's rhytm, output of blood flow affecting the pts stablitity. Output effects the mainly resp system and kidney function. Advantage once you master the skills you can do any other area of speciality. I admit that you have to THINK alot while you work. But every dx process involves cardiac function and visa-versa. Disadvatage it's not easy, it's not cut and dry. It requires crtical thinking. I have foud the job market great. Facilities smile alot at us and offer bonus to sign-on. Do we still clean poop? yes, are things always cheerful and easy. NO. But as you see I am LUVIN IT. I know that was alot of blah..blah..blah.. please let me know ifi can answer any specific questions

sharann--naughty nurse thing???? HUH??? are u for or against

I loved what you had to say. MY soapbox began the day in nursing school that my instructor informed all of us that we became nurse because WE care about helping other people and continued with you know that we are not here for the "money". First of all does that mean that airline pilots making 6 figures DON'T care about other people because they make money. Or that people who are underpaid more worthy of helping. THAT all makes me need some phenergan.

what you are questioning is right to question. This was probably not life threatening, but, could have been better. Starting w/ a butterfly is a way of establishing a saline/heparin lock. The tubing should have been primed w/ solution prior to infusion. Infusion initiated should not be direct antibiotix

Relax. I'm sure that you've passed. Learn to believe in yourself!!!

my piont exactally!!! why would insurance want to pay $10 for a family tray?? NURSES LOOK AT THE BIG PICTURE!!!! just because your pt recieves pain med. do we give the family tylenol. I have been at a hospital that was independant and closed d/t bankruptcy. Pt family feed themselves in real life and we are REAL life

most facilities I've been in always have coffee. Usually bad coffee. But, we're not starbucks. Which leads to my next point we are not restaurants. I want my patients to eat however, remember most of us (pts and staff) are spoiled in our dietary habits. Expectations are sometimes unrealistic. As for family, OMG, we nurses tend to be sooo co-dependant. The families NEED to leave for a few minutes and disconnect. Meal times are a great time for that. If we don't encourage our pts. family to lead a somewhat normal existance what happens after the crisis is over. Don't disservice people by feeling "sorry" .