babynurselsa RN

ER, NICU, NSY and some other stuff

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All Content by babynurselsa

  1. babynurselsa

    Was this normal?? (kinda long)

    If by panicking you meant you went and got help and was unsure what to do, then you did fine. You got assistance. What I have always done when I encounter something new is hit the books and study...
  2. babynurselsa

    Need advice re: fired from job

    I am sure that the reason that she was fired was the lack of reporting, not the fact that she gave the wrong meds. Whenever in doubt consult the policy and procedure manual. It is scary to be a new...
  3. babynurselsa

    Who is at fault?

    An incident report is simply about stating the facts as they occurred. Facts being the operative word. Just write the IR as you observed it. Good
  4. babynurselsa

    advance directives for hospice pts.

    Many patients and families when signing up for hospice care are not ready to sign a DNR. A big part of hospice care is about what the family is comfortable with. I had a few that did not have an...
  5. babynurselsa

    Who is at fault?

    Why does someone HAVE to be at fault? Sometimes things just don't go planned. Good
  6. babynurselsa

    pt husband keeps moving the toco!

    Yes, many IV pumps do have a little button on the back to lock out anyone messing with them. I try to be real casual about activating it so that they do not know that is what I am doing....
  7. babynurselsa

    pt husband keeps moving the toco!

    I outright tell them that they are not to touch these things. I let them know that that is my job to do so. I also let them know that if something untowards happens to their loved one they will be...
  8. babynurselsa

    Skin care for Premature Neonates

    I have worked at couple of places that we initiated an aquaphor protocol. http://www.kidsource.com/kidsource/content3/news3/skin.baby.html http://www.nichd.nih.gov/cochrane/SOLL7/SOLL.HTM By the...
  9. babynurselsa

    DNRs and ACLS

    No, you would require a physician
  10. babynurselsa

    Rules for the ER (long)

    Grammie, you stated it beautifully. You get what this thread is all about. For those who "don't get it" this is probably not a thread that they will enjoy. I have found this thread entertaining...
  11. babynurselsa

    a pill to make the pain go away

    http://www.wjla.com/headlines/0106/294053.html I saw this in teh paper yesterday. Sounds
  12. babynurselsa

    avioding criticism in documentation

    I describe, rather than label behaviors. "Pt speaking in loud angy voice with tense expression, saying F*(& you repeatedlt to staff." "Pt slapping at staff during assessment" I find a few direct...
  13. When someone exercises their right to NOT wear their seatbelt, they violate my right for my tax dollars to go to something besides their care as a vegetable in some convelescent center from their...
  14. babynurselsa

    Doctor refuses to acknowledge VA doctor

    What about contacting the Ombudsman for the Nursing home. The family can do
  15. babynurselsa

    A burning question...

    CHeck with your local burn center and see of they will send someone to come and do an inservice. Most of them would be happy to do
  16. babynurselsa

    Urine Drugscreens without pt's permission?

    Our UDS screens did not have chain of custody but our mec screens
  17. babynurselsa

    How long is the wait???

    Again I will say that there is no way to forecast wait times. Things may be fine when the person calls or checks in, but that does not mwan in 3 minutes you are not going to get a code, or an AMI, or...
  18. babynurselsa

    HIPPA question

    If your knowledege of the childs health is per email from another family member or even just another acquantance it does not fall under HIPPA. If you are employed by the system where he is a patient...
  19. babynurselsa

    ER disclaimer

    I HATE TRIAGE. I would rather have unsedated surgery than go to triage. I would rather you parked a dump truck on my foot, I would rather have a root canal by the dentist in the "Little Shop of...
  20. babynurselsa

    Urine Drugscreens without pt's permission?

    Pt sign a consent for tx. The only additional things that we have consent for usually are invasive prcedures. A drug screen may be important information in dx or implementation. What if pt was...
  21. babynurselsa

    Dear nurse, I really don't want to bother you

    Chaya, I do understand your original question. Let me take this from the original quote that you posted. My perception of the original quote ( or maybe my personal experience) is that the person...
  22. babynurselsa

    How long is the wait???

    My pat answer. "We do not give out that information. If you are having an EMERGENCY, then check in and we will be happy to see you." I just know in the bottom of my heart that one day someone is...
  23. babynurselsa

    9 months to plan this...buy a camera!

    UHHHH Marie...... I see that CONGRATULATIONS is in order. I haven't been on much last couple of weeks si I guess I missed the
  24. babynurselsa

    You experienced ED nurses will get a kick out of this.....

    Yep, dumb people tricks are the meat and potatoes. I also frequently say that stupid should hurt
  25. babynurselsa

    Scorned by Maternity

    I am sorry for your problems. Some places are very hard on new faces. I have been to a few of them. My suggestion is to look around at other favilities in your area for a maternity position. Not...