Silverlight2010

Silverlight2010

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All Content by Silverlight2010

  1. Questions about chest pain

    just agreeing with airborneinf82. good evaluation is important and checking with those who have the experience will help you expand your skills and benefit your patients. we have standing orders on my floor and we use them frequently. everything from...
  2. School nurse denies inhaler

    I read some of the comments on this story, including some by the mother and grandmother allegedly. Facebook petitions, people checking registeries for the nurses license number, calling her a fraud. Some of the replies are pretty nasty. I have a hard...
  3. Should a gay male LPN reveal his sexual orientation...

    One way to reroute the conversation in the situation you outlined would be "I hope so, how about you? Have any special plans for valentines day? Do you have a party at school or a dance?" To relationship questions; "I'm so busy with work, who has tim...
  4. Change in CPR policy

    That's weird. Why not intubate if needed?
  5. Should a gay male LPN reveal his sexual orientation...

    In a word, "No". There is usually a way to redirect the conversation that keeps you from divulging personal information and turns the subject back to the patient or something neutral. Took me a while to come up with good stock answers to personal que...
  6. Over the Animosity

    That is kind of disappointing. I work on a unit and there are many days we don't get meal breaks let alone any other kind of break and we just run from one room to the next. We hear a lot of the "us vs them" as well but really we are supposed to be o...
  7. We still use those for bladder spasms, especially for CBIs. Great stuff! Oops, forgot to hit "quote" We use B+O suppositories that is :)
  8. Sex in the workplace.....what do YOU think should be done?

    One thing that crosses my mind. How many times has this particular hospitalist left nurses hanging by not answering his pages? Betting this wasn't the first time he couldn't be reached.
  9. Sex in the workplace.....what do YOU think should be done?

    All of it could have been avoided if he'd just answered his page. But I'd be less than impressed if I needed urgent orders and the CCU resident was "too busy" to call me back.
  10. Patient claims of Abuse

    Hope someone brought that to managements attention. Not sure about legal stuff but isn't that slander or defamation of character?
  11. Patient claims of Abuse

    We document physical assessments twice a day (maybe more) where I work, depending on acuity in addition to computerized charting of ordered treatments and medications. It makes me grateful that I have a decent patient ratio so I have a little time to...
  12. Patient claims of Abuse

    I still stand behind good, objective documentation. I also stand behind reporting complaints or situations to one degree or another. It does no one any good if I fail to report a problem and suddenly the patient or their family is up in arms because ...
  13. Patient claims of Abuse

    Any documentation from day the, incident in question? Anything you wrote in your nursing notes or patient chart? Getting the impression from your post that what she is stating now, "was crying, you would do something about it etc..." isn't what happe...
  14. Patient claims of Abuse

    I'm afraid I don't have much to offer on this subject but am trying to figure out how rude= abuse. Might have to provide a little more clarification on this.
  15. Patient satisfaction..

    Sad isn't it when perfectly oriented x 3 patients/ family members (Adults?!) regress to the level of a 2 year old having a tantrum. The majority of the patients where I work are reasonable, cooperative, pleasant and help make my job a satisfying one...
  16. Patients overstaying their welcome in hospitals

    I've seen patients stay for years. Nursing homes don't have beds, the patient refuses an available bed, the family refuses the bed, nursing home can't take them due to behavioural issues, etc... Essentially these patients live in the hospital.
  17. Same patient's over and over again

    I work on a unit and have found that we have ones that seem to keep coming back over and over again. So often that we don't even find the humor in it anymore. You do your best to educate them and their families but really feel it falls on deaf ears a...
  18. Who is responsible to check the emergency cart?

    Where I work we have a schedule for when each of the carts get checked. They are "signed off" daily by someone working the night shift (supplies on top checked) and if not used the seal is broken and the contents checked weekly. The cart is then rese...
  19. To all "medical coverage is a privilege" folks:

    And I agree. Perhaps I expressed it incorrectly. There were several responses that I find I'm having a hard time even trying to summarize. It is truely mind numbing to try and sort through all the posts about different systems, states, co-pays etc. T...
  20. To all "medical coverage is a privilege" folks:

    I must say that this whole thread is an eye opener from a non-US point of view. It makes me appreciate being able to treat my patients without wondering if they can pay their hospital bill. And nurses are supposed to have a reputation as "the caring ...
  21. Visitor policies

    From roughly about 8 am until 8:30 pm with rest period from 1:30 to 3 pm. 2 visitors per patient at any time, loosely enforced. Depends a lot on the circumstances, time of day, number of visitors, and how demanding they (or the patient) are. Also de...
  22. Male RN in maternity

    I liked my maternity rotation well enough but knew going in I would never be a maternity nurse. I had no interest. However, I have seen pregnant and post-partum patients in my practice and the experiences in maternity were useful. It was easier to re...
  23. What Do You Think?: What's Your Protocol On This?

    We use filter needles to draw up medications from glass ampules. It became policy shortly after I started and is habit now.
  24. Pearson view trick doesnt work

    Is that 48-72 hours in "buisness days"? Just keeping in mind this was a long holiday weekend.
  25. Need help ASAP: question re: Swan

    Hi there. I'm a relatively new CCU nurse and we rarely get Swans on our unit. Our wonderful resource nurse who we usually call on for on the spot inservices in these cases is out on leave. I need to know: For the clamp (that little one that slides b...