rn/writer RN

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All Content by rn/writer

  1. rn/writer

    Help with Care Plans

    Don't focus your efforts on the nursing diagnoses when you should be focusing on the assessment and the patients abnormal data that you collected. These will become their symptoms, or what NANDA calls...
  2. The protracted tension a bully creates takes a physical toll. Adrenalin ramps up. Muscles tighten. The mind races long after the shift ends. The longer a targeted employee is exposed to abuse, the...
  3. rn/writer

    Brian Short News

    To those who didn't know Brian, this is just a story. To those of us who knew and loved him and his family, it's a deep heartache and a nearly unfathomable mystery. "Sources" can be wrong or...
  4. rn/writer

    Brian Short News

    This is unspeakably sad. I was a moderator and guide here for a number of years and helped with the AN booth and the ATI conventions several times. My husband participated, as well, and would...
  5. "I gave the wrong med, and I'm just sick about it." "Today at work I dropped a full specimen container. My co-workers think I'm a total idiot." "I make all kinds of little mistakes. Now I feel so...
  6. rn/writer

    Crying babies

    Not sure how old this kiddo is, but if mom smokes, she might have been going through nicotine withdrawal. I've noticed that breastfeeding seems to help with that, as they get a little nicotine in the...
  7. We use all of the above, depending on the situation. I would also encourage you to consider the source of the pain. Is the patient sore from pushing? Did she pull a groin muscle? Did she have...
  8. rn/writer

    How Not to Get Taken Advantage Of

    It's fine to share possessions, food, clothing, etc. freely and without reservation, because no one is going to be graded on eating the casserole or wearing the donated jeans. Patient safety won't be...
  9. rn/writer

    How Not to Get Taken Advantage Of

    Generosity does not require you to enable poor study habits. Sharing your notes, calendars, concept maps and other materials without a darn good reason could mean that, far from being a better...
  10. rn/writer

    Possible termination for HIPAA violations

    If you were asked to assist or cover for another nurse and you looked up information for that purpose you should sign the chart and also note what you did. This covers you by showing that you had a...
  11. rn/writer

    HIPAA Violation?

    I was thinking more along the lines of giving a new med or doing discharge teaching. I agree with you that it isn't necessary to go through the whole shebang each time. Sorry that wasn't expressed...
  12. rn/writer

    HIPAA Violation?

    If the bracelet can be used to verify name and date of birth, that part of the review does not need to be stated out loud. But the rest of the med review--name, action, dosage, times, and other...
  13. rn/writer

    HIPAA Violation?

    Wow. I was not expecting such common sense in a government directive. Good information to have. Thanks, EricJRN and
  14. rn/writer

    Losing respect for nursing students

    It isn't about age so much as maturity level. Some folks are level-headed and responsible at twenty. Some are still self-centered and undisciplined at forty. Maybe it's time for clinical sites...
  15. rn/writer

    Let RN license lapse to get out of "Old" new grad rut?

    I would check with your state BON. Letting your license lapse is a pretty extreme measure. Some states do not allow an easy reinstatement. They may require more education or have other hoops for...
  16. rn/writer

    Can a pt hyperventilate themselves into resp failure?

    Five seconds of not breathing does not constitute apnea. Think about it. A low-normal respiratory rate of 12 breaths per minute would mean five seconds between one breath and the next, and that...
  17. rn/writer

    Sexual Orientation Question

    NOT asking about sexual orientation makes it seem like "that which shall not be discussed." It's the elephant in the room. Young people especially might be hesitant to initiate conversation but...
  18. rn/writer

    County Psych Closing :(

    This seems short-sighted at best. Some patients are not "community-based" material and will endanger themselves or others without close supervision. Where in WI are
  19. rn/writer

    Adoption Policy???

    You're wanted here. Thought you'd want to know
  20. We can't tell from this one interaction if the husband has control issues, dominates his wife, is a bully or is simply a caring man who feels protective of the woman he loves. People often show their...
  21. rn/writer

    Adoption Policy???

    Yow! This was not a good situation for anyone involved. Your facility needs to have policy in place for the most common adoption scenarios, including one in which the birth mother doesn't want to...
  22. rn/writer

    Hyperthermia

    I hope you meant "cooling." Seems like cooking was already
  23. rn/writer

    question: can you chart on a pt. being rude?

    Document what you see, hear and feel (not emotions but things like getting hit or scratched)--not what you think it means. Not, "Patient became rude and hostile," but, "Patient threw wash cloth,...
  24. rn/writer

    Glucometer to use on multiple patients

    This is probably moot since you've already gotten hold of the supplies, but doing a blood glucose on someone tells you very little about their overall diabetic/non-diabetic status. You can get a...
  25. rn/writer

    Depression, why!

    Just so you know you're not alone, here is a link from another nurse with a speech problem. She got some good advice along with much-needed encouragement. Don't give up just