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Silverlight2010's Latest Activity

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  1. Be honest, what pt behaviors do you find annoying?

    1. Patients with ongoing issues, i.e have been having problems with chronic pain, joint problems, GI issues.....not necessarily the reason they were admitted, but it is still a problem. When the doctor is in to see them on AM rounds, they consistentl...
  2. Doing favors or giving gifts for patients: Unacceptable?

    Give gifts, no. Exchange of contact information, no. Errands or favors...we take that on a case by case basis. Who is asking? What is the favor/errand? Why is the patient unable to do this themselves? Patient have any ulterior motives? Are any staff ...
  3. The dumbest things you've heard from a provider

    The dumbest thing I've ever heard was "we can't give this patient ondansetran because he's not a cancer patient" We use it for our heart patients when gravol and maxeran just don't cut it.
  4. Size matters? (IV question)

    I work in a critical care unit that stocks 22, 20, and 18s on our supply cart. We do have 16s and 14s on our crash cart but I've never seen them used. I use several criteria in my selection. I look at the size and condition of veins (and arms). What ...
  5. Early prandial administration to hyperglycemic patient?

    We still use syringes and draw from vials of insulin. Do you have individual pens for each patient?
  6. Why my Patient did not Have Lunch Today.

    The problem with this is that what it takes for the patient to be satisfied and what is good nursing care (or is even practical) are frequently two different things. I work on a unit that often receives high praise from patients (not clients or custo...
  7. Why my Patient did not Have Lunch Today.

    A complaint that you did a great job but just didn't spend enough time in her room afterwards? This is a complaint worthy of wasting anyones time? Maybe the patient needs a gentle reality check along with the patient advocate and manager who thought ...
  8. What to do when patient has alcohol on them??

    The nurses on one unit back when I was a student would confiscate the alcohol and lock it up, making sure to document how much was in the bottle. Can't have a patient that is drinking in their rooms. Not safe to administer many medications if the pat...
  9. I am struggling with patient families lately.

    I'm a little curious and am wondering what is your specialty or area of employment? Your only three posts all contain the theme "if you can't handle the families then find a different profession". A lot of families are truly scared and stressed but m...
  10. I am struggling with patient families lately.

    I'm just wondering if someone could fill me in on who pays for the drinks, sandwiches, guest trays and so on. Is this a "cost of buisness" or does the patient end up paying for this on his or her bill. I can't imagine insurance companies footing the ...
  11. If I had a nickel for every patient that didn't ring to report chest pain (or other "I need to know about this" type symptoms...). My favorite is the patient that reports chest pain long after the fact to the cardiologist during rounds but never let ...
  12. Wal-Mart Walk-in Clinic

    There is a pharmacist here that does flu clinics and I've seen him do IM injections.
  13. never been screamed at like this before :(

    A coworker and I both had patients like that about a week or so back. Rapid-fire questions and "requests" but wouldn't let you finish a sentance. Somehow expected us to be mindreaders in the process as well. A lot of "I want" and "go get me" but woul...
  14. Athabasca University lpn to bsn program

    I haven't taken any of their nursing courses but have taken some of their accounting courses. I had no trouble with those and have been considering taking some of their french courses as I find their distance education easier to fit into my shift wor...
  15. Cost Cutting/Budgeting --- the patients suffer the most

    Isolation and non-isolation patients rooming together to save on sitter costs? Wonder how long that will last after the first lawsuit by an outraged family/ SDM if the non-isolation patient becomes infected. Housekeeping duties? When do they think th...