Susie2310 replied to DoubleblessedRN's topic in General Nursing
Well, we do train, or at least I hope that we still get to implement clinical skills/clinical teaching that we have been tested for competency on in skills lab along with use of the Nursing Process, on patients in clinical settings eg. acute care hos...
My understanding is that in my state regular RNs' can be sued for negligence for following physician orders that they would be expected to know, with an expected RN level of knowledge, are likely to harm the patient or that would be contraindicated f...
Susie2310 replied to Terry Ann Donner's topic in COVID
I see this as a remedy for problems with access to care experienced by some people. This is a problem in my area - long waiting times in the UC/ER, staff and provider shortages, difficulties/inability to get through to a Practice on the phone. I un...
Susie2310 replied to Terry Ann Donner's topic in COVID
Not necessarily. As far as I know, the recommendation is that Paxlovid is started as soon as possible or within 5 days of a positive Covid test. Some people are unable to get an appointment with their physician within that time period.
I think we have to be careful of presuming that family members are generally ill-informed and just get their health care information from the internet.
My experience is that some people within the health care industry appear to be very threatene...
Susie2310 replied to Brenda F. Johnson's topic in COVID
The reasons for patient changes in behavior regarding health care utilization are, in my view, much broader and deeper than simply the fear of catching Covid/being exposed to Covid in a health care facility, but, so far, health care facilities focus ...
Susie2310 replied to Terry Ann Donner's topic in COVID
In my area recently, the Urgent Care was so busy that it was hours before one could be seen after registering. Recent experience with the ER waiting room was similar, and some patients are spending upwards of 12 hours in the ER. There are shortages...
In my state there are laws/regulations that govern RN, CRNA, and pharmacy legal responsibilities. In the type of situation you described, I would want to clarify my responsibilities, CRNA responsibilities, and pharmacy responsibilities, with my stat...
Susie2310 replied to Kim Valentine's topic in General Nursing
In addition to the list of possible causes of delirium provided by the OP and others, I understand the following can also be causes/contributing factors: polypharmacy; certain medications; opiates; hypoxia; kidney failure; hypoglycemia; sepsis; anemi...
Susie2310 replied to Kim Valentine's topic in General Nursing
I think the family presence is a hugely important aspect of both preventing and recognizing early symptoms of delirium and of counteracting the symptoms where possible through re-orienting the patient, interacting with the patient, and providing as m...
Susie2310 replied to Kim Valentine's topic in General Nursing
Thank you for bringing our attention to this very important topic.
I remember reading a study that showed delirium is under-recognized by nurses in the ER setting, due, if I recall correctly, to lack of knowledge of the symptoms, which without...
I think the changes in Admitting procedures that mean patients can spend many hours on Observation status have resulted in a lot of difficulties for patients/family and staff. This, combined with Covid and shortages of certain Providers.
In the ...
Susie2310 replied to Wishiwasretired's topic in General Nursing
In regard to comments about the nursing shortage, I have to say that I don't see this problem in my area. I'm not convinced even that there is an overall shortage of nurses, more that employers are very selective about who they hire. I don't see ma...
