anne919

anne919

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All Content by anne919

  1. Doctor vs Nurse

    anne919 posted a topic in Patient Safety Issues

    I work in a nsg skilled facility and rehab at the same time. Our medical director always orders continue to monitor when I report something to him. One time I reported an extremely high blood glucose...

  2. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    I am reading the threads. I learned so much insights from the replies. Thank you so much. Now it makes me wonder on what field of nursing that I really want to be in. This had been a reality check...

  3. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    Ltc wouldn't send out their resident to ER as much as possible. But when the md wouldn't give appropriate orders and we see the pt deteriorating that is the only time we send them

  4. just venting out.I know lots of you can relate.

    anne919 posted a topic in Health, Stress Management

    I am a new grad. Just passed my nclex after 2 attempts. I can say im not the smartest in my class nor the dumbest. I admit I am slow when it comes to rendering my care coz I take the time and let my...

  5. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    Thanks for your help. Really apreciate

  6. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    Maybe it is just really hard to explain the scenarios. He only order to monitor the patient in most of the cases not just this one. To make the story short to fully describe this is that most of the...

  7. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    Initially he did not order abt neither cxr. His only order was monitor the pt. He would not o rder anthing besides

  8. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    He ordered that cxr and abt after I told him that I really think and the other nurse-happens to be the resident's daughter- thinks the resident should be sent out to the hospital. We have a low census...

  9. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    This is the first time I had seen a doctor who does not order labs or xray or other exams. All he ever order is continue to monitor the

  10. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    As described by the resident's daughter, the resident does not complain or say anything. The resident tend to keep everything on her own. Last month I saw the resident grimacing appearing as if in...

  11. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    That is what I dont really get. I need to study more in depth about hospice for it is confusing for

  12. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    As much as I want to call 911, my hands are tied with sending the resident out cause we do have a policy that the md should give an order first before sending the patient out. hence the md ordered...

  13. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    Yes for the flu. What I documented was runny nose, febrile and muscle

  14. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    I also did not hang up on him I said to him that I needed to go off the phone for I have many other patients to tend to. And ill keep on monitoring the pt like the md asked me to. We do have a...

  15. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    Thanks for all your help. I might have had not fully described somethings but the patient denies difficulty of breathing but you can see that the resident is using accessory muscles. So I took that as...

  16. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    As for the diabetic hospice resident, the pt is fine, eating well and fighting for her life. But the md simply stated 'she is hospice what do you want me to do? She is

  17. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    The pt with atelectasis is not responsing with the neb treatment and she was supposed to be discharged on the next day but she started wheezing. To describe this fully: His inital order was just...

  18. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    That md is just really difficult to deal with. More residents are now having s/sx of flu that they now have confusions because of dob. Yet he doesn't want to order anything. My pt desat yesterday and...

  19. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    What I do is just log the objective assessments into the dr's log book. If the pt's lab shows impending dhn and pt refuses oral hydration and the urine's color is abnormal and going to anuria that is...

  20. Doctor vs Nurse

    anne919 replied to anne919's topic in Patient Safety Issues

    I dont document diagnosis but rather the s/sx only. All I can say is that I am no doctor and I am not really good with assessment but when im really in doubt with pt circulation I will take abrupt...

  21. violation or not?

    anne919 posted a topic in HIPAA Challenges

    Are you violating hipaa when you tell the patient's family that you are not allowed to tell any health info about your patient to their loved ones, but their loved ones is currently

  22. violation or not?

    anne919 replied to anne919's topic in HIPAA Challenges

    Makes a lot of sense now.

  23. violation or not?

    anne919 replied to anne919's topic in HIPAA Challenges

    Thanks a whole bunch because hipaa is always hard to understand for me since I work in a nsg home. We have very limited information about pt hx and advanced directives or legal docs in our pt charts....

  24. nurses eat their young

    anne919 posted a topic in Nursing Professionalism

    In every healthcare facility, I should say that we should help each other not to drag anybody down! It does not matter if you have the position or not. We are all towards one goal-render good patient...

  25. nurses eat their young

    anne919 replied to anne919's topic in Nursing Professionalism

    Every job is tough but if ur heart tells u that helping and caring for somebody is ur calling then continue studying nursing. Things are tough but when ur patient shows a relief from pain, a smile,...