MattNurse

MattNurse MSN, RN

med-tele/ER

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All Content by MattNurse

  1. promoted to supervisor on subacute nurse with lower salary

    MattNurse replied to biju27's topic in Geriatric, LTC

    sounds like they are trying to screw you. So tired of administrators and their budgets, it is flawed thinking on their part and not your part to be promoted to more responsibility and less pay, and...

  2. Fired from first RN job...does it get better?

    MattNurse replied to namiller1213's topic in Nursing Career

    Antibiotics and blood thinners are not controlled substances. The drugs you have to worry about are barbituates, benzo's, opioids, hypnotics/sedatives, muscle relaxants, addictive drugs. I don't...

  3. Does your unit have to absorb the cost of sitters?

    MattNurse replied to NBMom1225's topic in Patient Safety Issues

    Has your unit tried net

  4. Help, am I overreacting or is this normal???

    MattNurse replied to spicy1's topic in Medical-Surgical

    I would do it but wouldn't like it, I didn't become a nurse to do aid work. If they offered me night off w/ vacation pay I would so take that rather then work as an aid all night. Also, I wouldn't...

  5. I need help with prioritization.

    MattNurse replied to Liebchen's topic in Nursing Student Assistance

    Cellulitis is an infection and treated as such, is the patient on antibiotics? I don't recall WBC count from prior posts, but I would take out Risk for infection and just write infection aeb Fever;...

  6. I need help with prioritization.

    MattNurse replied to Liebchen's topic in Nursing Student Assistance

    Just remember you are still a student and this is a very difficult care plan and a very complicated patient. If you prioritize ineffective tissue perfusion over fluid volume excess or vice versa and...

  7. I need help with prioritization.

    MattNurse replied to Liebchen's topic in Nursing Student Assistance

    I don't think fluid volume excess is a bad idea.... patient is close to dialysis with that potassium and GFR. Also with heart disease and all the edema. How did his lungs sound? Does he have...

  8. I need help with prioritization.

    MattNurse replied to Liebchen's topic in Nursing Student Assistance

    "So do I concentrate on the cellulitis part of his problems? Do I address his diet? Hypertension? lack of activity? They are all so closely related, I don't know where to start? They all seem...

  9. Just tattoo DNR on my chest. . . it's been done!

    MattNurse replied to TiffyRN's topic in General Nursing

    permanent

  10. E.D nurses "set up to fail"

    MattNurse replied to nurs2012's topic in Emergency

    Thanks, interesting. I have read that most recent update and it says "Evidence shows better outcomes for administration times less than four hours. " I never came across...

  11. E.D nurses "set up to fail"

    MattNurse replied to nurs2012's topic in Emergency

    I guess it is my hospital policy for 4 hours, either way my opinion is to start quickly when ordered stat. You are right, some nurses thrive in the ER. I did when I graduated from nursing school. My...

  12. E.D nurses "set up to fail"

    MattNurse replied to nurs2012's topic in Emergency

    You are rude calling me a liar. I am offering advice to the OP who asked if nurses are set up to fail. I don't care if you believe it or not, and not sure what your motives are for saying I am...

  13. E.D nurses "set up to fail"

    MattNurse replied to nurs2012's topic in Emergency

    Antibiotic orders were 5 & 1/2 hours old when I got report, I looked at the orders. I looked at ED census. And I also discussed this with my carpooler on the way home from work and she told me...

  14. E.D nurses "set up to fail"

    MattNurse replied to nurs2012's topic in Emergency

    i agree with you, the other day i had a patient being admitted after being in the ed for 6 hours. patient was being admitted for pneumonia and i looked in the mar and noticed that nothing was signed...

  15. for those in LTC..what songs do your residents like?

    MattNurse replied to AshleyinSTL's topic in Geriatric, LTC

    Try one of those Rod Stewart old time CD's, Paul McCartney has a new CD out of

  16. If There Was A Major Epidemic / Pandemic Would You Report For Duty?

    MattNurse replied to DoGoodThenGo's topic in General Nursing

    I would definitely not go in if I thought I was probably going to die by doing so. It doesn't matter if you have kids, I don't need to risk my life to save someone else or even help them die...

  17. Bad preceptorship assignment

    MattNurse replied to tajlemm6's topic in General Students

    Any time you put yourself out there on this site you will draw negative critics. I notice in almost every thread that people are negative and attack. Behavioral health is awful IMO. In med/surg you...

  18. Nursing Student Needs RN Advice On Discharge Teaching

    MattNurse replied to milosmom's topic in Medical-Surgical

    I draw pictures and teach the underlying physiology of their disease (we have whiteboards in the rooms), I give comparison's that they can relate to in real life. When I give written material I take...

  19. Where does the law step in?

    MattNurse posted a topic in General Nursing

    I am just curious if anyone has ever called the police on a patient for threatening them or hitting them. Some patient's are of mentally sound mind yet still swing at nurses and hit them and I am...

  20. exposure to the Operating Room

    MattNurse replied to wishiwereanurse's topic in Operating Room

    I had to go in school, hated every second of

  21. Etiquette in the OR?

    MattNurse replied to trauma_lama's topic in Operating Room

    I heard stuff like that in nursing school too, it was disappointing and still is disappointing when I hear it now. I wouldn't say you are green because you are a student, and you will not necessarily...

  22. When to apply for a job

    MattNurse replied to MCGNurse's topic in First Year After Licensure

    When you have a license to practice nursing you should start applying. Otherwise I think you are wasting your time. Unless there is some special new grad program. My unit hires mostly new grads but...

  23. Patient died...

    MattNurse replied to samiam4's topic in General Students

    I don't see how a nursing student could possibly cause the death of a patient as long as you have a licensed nurse supervising anything you do that could cause the death of a

  24. blood draw from PICC

    MattNurse replied to littlegreenfrog's topic in General Nursing

    Turn off all of the drips/fluids for 2 minutes before drawing. Swab w/ alcohol the port and the tops of the tubes. Then I draw back 7 ml of blood from the proximal port. Prior I add up the...

  25. Why can only nurses call the MD?

    MattNurse replied to wooh's topic in General Nursing

    Don't do it is you are so tired of doing it. Is it a policy in your hospital or something? I don't call the doctor for any specialty period, and they know it. I know some of the nurses will so...