MattNurse

MattNurse MSN, RN

med-tele/ER

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All Content by MattNurse

  1. Inaccurate respiratory rates

    MattNurse posted a topic in General Nursing

    Do you trust the respiratory rates the CNA's chart? I notice that some of the CNA's on my unit always chart the same number for respiratory rate. The other day I had 5 patients and all had vitals Q4...

  2. RN forging doc's signature

    MattNurse replied to Student Mom to Three's topic in General Nursing

    Actually you probably need to report that to the compliance officer at your hospital. It is a big no-no and if you are aware of fraud then you should call the compliance line. You probably have an...

  3. Lessons on why not to "Assume" things.

    MattNurse replied to TigerxLiLy's topic in Geriatric, LTC

    Just curious what her ABG looked like. Must be horrid as

  4. Lessons on why not to "Assume" things.

    MattNurse replied to TigerxLiLy's topic in Geriatric, LTC

    If that were my family member I would be grateful to the

  5. Help with fluids/electrolytes.

    MattNurse replied to studentnursemon86's topic in Nursing Student Assistance

    Any normal saline solution with an added ingredient makes it hypertonic. I said technically because of the way it works in the body but that does not change the osmolarity and osmolality of any given...

  6. Help with fluids/electrolytes.

    MattNurse replied to studentnursemon86's topic in Nursing Student Assistance

    dextrose is metabolized so technically NS with anything added is hypertonic, the fact that dextrose gets metabolized really makes it an isotonic solution in the

  7. Nursing diagnosis help

    MattNurse replied to Stoogesfan's topic in Nursing Student Assistance

    I would be more concerned if I had a diabetic patient on insulin around 70, less concerned with a sugar of 172, I would still cover the sugar at meal time. Even though 70 falls in the ideal range for...

  8. Nursing diagnosis help

    MattNurse replied to Stoogesfan's topic in Nursing Student Assistance

    Were any of those medications new to the

  9. Nursing diagnosis help

    MattNurse replied to Stoogesfan's topic in Nursing Student Assistance

    If this were real life you would focus on the reason for admission. The patient is not left in acute chest pain but still needs interventions to prevent the chest pain from recurring. The nurses are...

  10. Nursing diagnosis help

    MattNurse replied to Stoogesfan's topic in Nursing Student Assistance

    That blood sugar for a diabetic non-fasting is rather normal and probably won't lead to much pathology. I would go with something related to his chest pain/SOB as the nursing diagnosis, all the other...

  11. Refusing food offered by patients

    MattNurse replied to Lev's topic in Patient, Colleague Relations

    I tell patients I am eating a special diet and leave it at

  12. Help! I don't "get" vents!!!

    MattNurse replied to Penelope_Pitstop's topic in MICU, SICU

  13. Peer Evaluations- Venting

    MattNurse replied to Rose_Queen's topic in Patient, Colleague Relations

    I wouldn't want a peer review. And if it is optional I would think you would be able to opt out. My hospital doesn't do peer review. I wouldn't know what other people do on my shift. I wish I was...

  14. I don't want a male nurse! - Caption Contest Winner

    MattNurse replied to Brian's topic in Nurses Rock

    I don't get

  15. Can visitors be 'forced' to wear PPE?

    MattNurse replied to Double-Helix's topic in General Nursing

    Yes you can force for certain instances, the instance that comes to mind is neutropenic patients, I make them put on a mask when they are sick and wash their hands before entering the room. We have...

  16. Boy, did I mess up :(

    MattNurse replied to soon_2Bnurse's topic in HIPAA Challenges

    Nurses make med errors and don't lose their jobs. If you lost your job over this then the hospital must have a high turnover

  17. Is it difficult for men to get into NICU?

    MattNurse posted a topic in NICU, Neonatal

    I am looking for a change. I was just wondering if many of you work with men in your units. I always heard that most NICU nurses come from labor and

  18. Visitors who stay overnight. Vent.

    MattNurse replied to beeker's topic in Patient, Colleague Relations

    I don't think you get where I am coming from. I am not a pediatrics nurse first of all, my patient is not 5 years old or a teenager with mom and dad hanging around. My population is usually over 40...

  19. Visitors who stay overnight. Vent.

    MattNurse replied to beeker's topic in Patient, Colleague Relations

    I had a post op appi patient years ago with testicular pain in his early 20's who was too embarrassed to tell me until his mother, father, and siblings left the room. People need space to have...

  20. Visitors who stay overnight. Vent.

    MattNurse replied to beeker's topic in Patient, Colleague Relations

    I have been in the hospital and I have been with sick family members. First of all, I don't camp out in their room for days at a time. When you get sick; do you call everyone to your bedside at...

  21. Visitors who stay overnight. Vent.

    MattNurse replied to beeker's topic in Patient, Colleague Relations

    I had a visitor complain that I turned off the TV he was watching while his wife was sleeping. I told his too bad, she needs her rest and sleeping with a TV on is poor sleep hygeine, I am promoting...

  22. Staff on Resident Sexual Abuse?

    MattNurse replied to carbaminohemoglobin's topic in Geriatric, LTC

    If you are a nurse you are a mandated reporter and if you suspect this you should report it to the state. People should not be abused, end of story, while receiving care. This is disgusting it is...

  23. patho..

    MattNurse replied to mle2015's topic in Nursing Student Assistance

    MCC on iTunes U then open in itunes, then click on nursing, then click on pathophys 104. She is a good

  24. patho..

    MattNurse replied to mle2015's topic in Nursing Student Assistance

    John Campbell -

  25. Do nurses help preterm babies to exhale?

    MattNurse replied to leekm's topic in NICU, Neonatal

    Breathing is not controlled by gravity. Breathing is all controlled by Boyle's gas law P1V1 =