Silverlight2010

Silverlight2010

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All Content by Silverlight2010

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

    Silverlight2010 replied to CrunchBerries's topic in General Nursing

    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...

  2. Doing favors or giving gifts for patients: Unacceptable?

    Silverlight2010 replied to tariqblaze's topic in Patient, Colleague Relations

    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?...

  3. The dumbest things you've heard from a provider

    Silverlight2010 replied to PeepnBiscuitsRN's topic in Patient, Colleague Relations

    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

  4. Size matters? (IV question)

    Silverlight2010 replied to theantichick's topic in General Nursing

    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...

  5. Early prandial administration to hyperglycemic patient?

    Silverlight2010 replied to NurseCollins799's topic in General Nursing

    We still use syringes and draw from vials of insulin. Do you have individual pens for each

  6. Why my Patient did not Have Lunch Today.

    Silverlight2010 replied to Steve123's topic in Patient Safety Issues

    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...

  7. Why my Patient did not Have Lunch Today.

    Silverlight2010 replied to Steve123's topic in Patient Safety Issues

    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...

  8. What to do when patient has alcohol on them??

    Silverlight2010 replied to BSNbeauty's topic in General Nursing

    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....

  9. I am struggling with patient families lately.

    Silverlight2010 replied to jennilynn's topic in Patient, Colleague Relations

    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...

  10. I am struggling with patient families lately.

    Silverlight2010 replied to jennilynn's topic in Patient, Colleague Relations

    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...

  11. Was reprimanded and told to resign. Advice or thoughts would be appreciated.

    Silverlight2010 replied to nurse20011's topic in General Nursing

    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...

  12. Wal-Mart Walk-in Clinic

    Silverlight2010 replied to vintage_RN's topic in General Nursing

    There is a pharmacist here that does flu clinics and I've seen him do IM

  13. never been screamed at like this before :(

    Silverlight2010 replied to mmc51264's topic in First Year After Licensure

    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...

  14. Cost Cutting/Budgeting --- the patients suffer the most

    Silverlight2010 replied to abbaking's topic in Patient Safety Issues

    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...

  15. Consults??

    Silverlight2010 replied to fiveoclocksomewhere's topic in First Year After Licensure

    Where I work the consulting doctors, or occasionally their residents will come and see the patient in person. I'm unsure what they would want to know that could be determined over the phone unless...

  16. When Nurses Cry

    Silverlight2010 replied to tnbutterfly - Mary's topic in Spirituality, Religion

    I've cried at work and I came home today fighting not to cry. Had a situation at work that pushed me so far out of my comfort zone that I'd need binoculars to find it again. My patient was still alive...

  17. called in sick, nurse manager calling back (inappropriate tactics?)

    Silverlight2010 replied to jbaggins's topic in General Nursing

    That's really inappropriate. A sick day is a sick day and hounding you both over it is beyond

  18. Alert,oriented LTC patients who refuse routine nightly insulin?

    Silverlight2010 replied to Blackcat99's topic in Geriatric, LTC

    What kind of insulin would she be on that testing her sugar twice per week is

  19. Night Shift Nurses; Patient care and sleeping habits

    Silverlight2010 replied to quelynkaye's topic in Patient Safety Issues

    No option either for those of us who work rotations that include both day and night

  20. Help with IV Potassium administration

    Silverlight2010 replied to sediaz's topic in Patient Medications

    Where I work it's always been at nursing discretion. We just chart reasons for doing so. Might be a different story if the K+ was critically low and the patient was symptomatic. Even then I would try...

  21. Is Nursing as Stressful as Nursing School?

    Silverlight2010 replied to imjustme123's topic in General Nursing

    ^^ In agreement here. Steep learning curve and you never really stop learning. I had a big learning curve this morning and just try to take it all in and become a better

  22. Patient Sitter

    Silverlight2010 replied to RedSoxFan84's topic in Patient Safety Issues

    I'm kind of shocked to be honest. I've worked as a sitter and never had problems getting help from the other staff, including the nurses. I'm an RN now but if I have a patient with a sitter and they...

  23. Right or wrong? Need some advice

    Silverlight2010 replied to Miknsha's topic in Patient Medications

    Wow. Giving the med is the right thing unless the patient isn't tolerating it or the order has

  24. Right or wrong? Need some advice

    Silverlight2010 replied to Miknsha's topic in Patient Medications

    I'd give it. Vanco is generally once a day. I'd just note in my chart that the patient was away from the floor at time med was due and make further note of when it was administered. Alternatives...

  25. Please help my sanity, irate family members

    Silverlight2010 replied to NewlyGradBSN's topic in Patient, Colleague Relations

    Try not to worry about it. Easier said then done but I read what you've posted and get the picture of a patient that can ambulate to some extent and was probably otherwise progressing through recovery...