ClearBlueOctoberSky

ClearBlueOctoberSky

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All Content by ClearBlueOctoberSky

  1. At what point do you send to the hospital?

    ClearBlueOctoberSky replied to jamd11's topic in Geriatric, LTC

    I'm not sure of the structure of your facility, however, at mine, I would have been responsible for notifying the doctor and obtaining any orders. If I felt that the patient needed to be sent out, it...

  2. Unusual Names for Medical Diagnoses

    ClearBlueOctoberSky replied to flashpoint's topic in General Nursing

    That brings back memories. My grandmother use to say that ALL the

  3. Things you'd LOVE to tell coworkers...and get away with it!

    ClearBlueOctoberSky replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    If I can survive my days off without work, YOU can survive work without me. I'm glad to know you value me, but please keep the sticky notes to a minimum. Especially when they are urgent and I'm not...

  4. How was your day?

    ClearBlueOctoberSky replied to notmanydaysoff's topic in LPN, LVN Corner

    Sure, but unfortunately to the dismay of my family, they are already gone. Glad It's my

  5. How was your day?

    ClearBlueOctoberSky replied to notmanydaysoff's topic in LPN, LVN Corner

    It was a package of Oreos for dinner type of

  6. DNS overruled MD?!

    ClearBlueOctoberSky replied to JBMmom's topic in Geriatric, LTC

    Aww, well thanks,

  7. DNS overruled MD?!

    ClearBlueOctoberSky replied to JBMmom's topic in Geriatric, LTC

    Huh. I guess I'm lucky enough to work in a facility that has a very supportive Management Team, NHA, and Medical Director. If you don't feel like you are getting enough support, then that is an issue...

  8. DNS overruled MD?!

    ClearBlueOctoberSky replied to JBMmom's topic in Geriatric, LTC

    There are lots of medical issues we can treat in house. In my facility, we do. It is only when our acute interventions fail and they need additional diagnostic work up that our services can't...

  9. Reinforcing a Perception of Reality

    ClearBlueOctoberSky replied to Davey Do's topic in Psychiatric

    Validation is good, but I have no answer for my LOL that says "I have to go home. My mother died." I will admit, I never thought about copying money for the paycheck routine, though. Thanks for the...

  10. give NOW medication 1.5 hr late, what kind of trouble I am in

    ClearBlueOctoberSky replied to treeye's topic in General Nursing

    I think what concerns me more is the disregard that you appear to have in giving a medication late. You are more concerned about how much trouble you will get in for giving a medication late, rather...

  11. Conflict with preceptor over re-checking blood glucose

    ClearBlueOctoberSky replied to sweetmama81's topic in Diabetes, Endocrine Nursing

    I don't think we a have a written policy, but I have rechecked my high's, especially when it means I need to notify the MD. I think it just makes sense. As for the OJ vs Apple Juice, we do have a...

  12. Good News!

    ClearBlueOctoberSky replied to VivaLasViejas's topic in Job Search, Interview, Resume

    Yay!

  13. My heartache and hiatus...

    ClearBlueOctoberSky replied to CheesePotato's topic in General Nursing

    Loves, thoughts, and

  14. What if the Boston bomber was your pt

    ClearBlueOctoberSky replied to imintrouble's topic in Patient, Colleague Relations

    And that's okay, imintrouble. My DOC patient's treated me far better that most of my other patients did, as well. I have seen medics mistreat patients who were responsible for death and...

  15. What if the Boston bomber was your pt

    ClearBlueOctoberSky replied to imintrouble's topic in Patient, Colleague Relations

    You treat them as any other patient, with respect, professionalism and dignity. As a Paramedic, I ran daily calls out of the DOC. At least there, I was able to implement a "Don't ask, Don't tell"...

  16. What is wrong with these kids? (Mystery Diagnosis)

    ClearBlueOctoberSky replied to Double-Helix's topic in PICU, Pediatric

    With the demographics and similar presentation, is your local CDC office involved? They might have some insight as

  17. Hangover Musings

    ClearBlueOctoberSky posted a topic in Patient, Colleague Relations

    As I sit here nursing a leftover hangover headache from last night's St. Paddy's celebration, I find my self thinking... I have just closed my one year anniversary date at my job. During the year I...

  18. Hangover Musings

    ClearBlueOctoberSky replied to ClearBlueOctoberSky's topic in Patient, Colleague Relations

    Same LOCP asked me "If you could do it all over again, what would you change?" I love him. I told him I would go to college properly. Then I told him if I had done that, I wouldn't be here to take...

  19. Treating fever with acetaminophen

    ClearBlueOctoberSky replied to Vespertinas's topic in Patient Medications

    I think when our patients are on scheduled Tylenol, you might get a masking of a fever. I feel that it happened to me last week with a patient that has a habit of going septic very quickly. He...

  20. Hangover Musings

    ClearBlueOctoberSky replied to ClearBlueOctoberSky's topic in Patient, Colleague Relations

    I like to think that I don't have too many regrets in life. I am happy with where I am. The path that I took was convoluted, but it has shaped me into the person and the Nurse that I am today. I...

  21. Treating fever with acetaminophen

    ClearBlueOctoberSky replied to Vespertinas's topic in Patient Medications

    No, I don't think you are being paranoid about it. It would be a good idea to take it to the physician, or even your NM, or DON, to try to come up with a better plan. Maybe their pain management...

  22. Treating fever with acetaminophen

    ClearBlueOctoberSky replied to Vespertinas's topic in Patient Medications

    It used to be that when she received her temps back before I was done charting, and she start to medicate with Tylenol, I would feel like I haven't done my job properly. Now, I just shake my head and...

  23. Treating fever with acetaminophen

    ClearBlueOctoberSky replied to Vespertinas's topic in Patient Medications

    The NP that I work with closely has a stance to medicate at 100.5 or above. I agree. I think a little fever is a good thing, especially when there are no s/s or no voiced discomfort associated with...

  24. RN in a Vet's office

    ClearBlueOctoberSky replied to alrighThen's topic in Nursing Career

    This is why I couldn't continue on with my two year Vet Tech Program. I completed the first year, no problem. Then to my good graces, life got in the way, and I had to go on LOA. That was my saving...

  25. admitted diverting, freaking out

    ClearBlueOctoberSky replied to 1999nurse's topic in Nurses Recovery

    I have no advice to give for you, but I do wish you positive thoughts. I would suggest that you make your location more general, to give you some