purplemania

purplemania BSN, RN

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All Content by purplemania

  1. Can you be a nurse with a suspended record?

    The Texas BON told me they look for patterns of behavior, not just one incident. Of course, it would depend on the incident. The idea is to eliminate people who are at risk to others. They have a...
  2. I need a consult and advice

    I know it goes without saying, but whatever the problem is, he would be better off not smoking. I hope you discover the root cause and he has a successful
  3. Privacy & Confidentiality in ER

    we re-modeled our ED so that all rooms are private. Since then, we have had overflow with beds in the hall. No privacy
  4. Some days I feel blech

    on the other hand, if you never brought them a patient they would not have a job. Do not apologize for doing your
  5. Overtime money

    Just be careful not to get used to that money. We have had nurses complain of not getting overtime during low census because they were dependent on that income. It should be "extra", not "expected",...
  6. Removing contacts

    Be sure to keep lacrilube in a patient's eye, or continuous saline drops, if that person still has contacts in. Otherwise the cornea might tear when the lens is removed. The eyeball needs to be moist...
  7. How much time did you take off for a death of loved one?

    OUr facility allows one week. However, if you have PTO time, and the unit can spare you, you can take extra time
  8. Nurse Emptied Sharps Container!!!!

    That nurse is an incident just waiting to happen. Our policy is that wasted meds go into the sink. The waste must be witnessed at the time it is done, of course. NOTHING except sharps should go into...
  9. I do not recommend drugs, even OTC, to help you wake or sleep. I used to rest on the afternoon before going to work for at least two hours. Sometimes I did not sleep, but I stayed in the bed anyway. I...
  10. Why do some nurses do this? And why are they allowed to?

    a recent study showed (quoted in Nurseweek magazine) showed that nurses who work evenb 3 twelves in a row are more likely to commit errors due to a lapse in judgement. She is wearing her body out. I...
  11. Labor, birth and spectators

    Who wants to see those nasty pictures anyway? There is nothing cute about it. The only cute thing is the baby and I doubt the baby will appreciate seeing those type photos in the future. The idea is...
  12. thinking about switching from OB to dialysis...

    There is always a lot to the story you cannot put in writing, but I can see where management would have a problem letting you work days when they need a strong nurse at night. Can you suggest a staff...
  13. I'm Tired Of Being Cursed Out

    I hope your facility has measures for your to complain, and press charges if necessary. If nothing else, Risk Managment ought to be tracking the number and type of incidents so to develop ways to...
  14. i feel like i have no potential in life whatsoever.......

    you will leave them in the dust one day and look back on the whole thing as a learning experience (which it is). You are learning how NOT to act. I guess they feel threatened in some way, but that is...
  15. skillable services

    what do you mean by "skillable"? Are you saying can the patient be charged for skilled nursing
  16. Underwear question

    If the pants are loose enough lines won't
  17. I believe each case should be examined individually. Be proud of what you have accomplished. Regardless of whether you get a license (and I hope you do) the fact remains your future has more promise...
  18. Competent and Risk of losing License

    Voice your concerns immediately, or make a stand and say you cannot work under those conditions. Be prepared to back it up. I turned down an otherwise good position for a similar reason years ago....
  19. taking temperatures?

    I forgot to add that tympanics are not used by our nurses on the floor, although the ER does them. The probe is too big for most kid's ears, and too many people were touching the outer ear, thinking...
  20. taking temperatures?

    we NEVER do rectal temps unless ordered by MD (and that is usually a one-time thing). There is no need to traumatize the child physically or emotionally when the information can be had much
  21. i really don't want to go back

    The important lessons you learned from this incident will last a lifetime. My first day to charge there was a death on the floor (4 yr old). I was haunted for months about what I SHOULD have done, or...
  22. Buretrol for safety in pediatrics

    we used to require them for children under 4 yr old, but they are practically obsolete now that pumps are made to not have free-flow. It is too expensive to use them when the pump is doing the work...
  23. NCLEX pass rate by all means. The point is not to have a large number of graduates, but to have graduates become
  24. RN Functions

    Be very careful. Remember, no one is as concerned about your license as you. I believe there is more autonomy in the ER than some other areas, but this may give you a false security and lead to...
  25. Clinical Evaluation Ideas Please

    If you give a letter grade for clinical rotations, then the competencies have to be measurable and objective enough to evaluate. This is hard to do and a lot of work for the instructor. We give letter...