SaoirseRN

SaoirseRN

Member

  • Content

    650

  • Visitors

    11,067

  • Followers

    0

  • Likes

    11

All Content by SaoirseRN

  1. Food police?

    SaoirseRN replied to mschelee's topic in CCU, Coronary, Cardiac

    I had a post-op lap appendectomy patient call a taxi at one in the morning (he returned from the recovery room at just past midnight) to bring him McDonald's! Surgeon had ordered diet as tolerated,...

  2. Rude embarassing comment by midlevel

    SaoirseRN replied to amzyRN's topic in First Year After Licensure

    Ask the charge nurse. If there is an issue then she can hopefully help. If not, perhaps she'll even have good advice for

  3. Food police?

    SaoirseRN replied to mschelee's topic in CCU, Coronary, Cardiac

    You can educate but you cannot always stop a capable person from doing what they want. Just be sure to document the education and if the patient still has a Big Mac delivered, document that too. Make...

  4. Morphine and comfort care.

    SaoirseRN replied to Alnitak7's topic in Hospice, Palliative

    It's not necessarily the morphine that makes them "sleep". That's part of the dying process, and while yes, morphine is a CNS depressant, often what it does in end of life care is make their rest more...

  5. Changing dressing on Groshong

    SaoirseRN replied to cm8816's topic in Infusion, Intravenous

    Is there a policy and procedure system where you work? Either online or paper format. It should tell you the specifics on protocols for the type of catheters you use. As others have stated, BARD...

  6. Could I get some quick tips on IV starts?

    SaoirseRN replied to j_tay1981's topic in General Nursing

    I always use a manual BP cuff, inflated to about 90mmHg (less for tiny thin skinned folks) instead of a tourniquet. I can use a tourniquet if need be, but I find the BP cuff gentler on veins (they...

  7. Rude embarassing comment by midlevel

    SaoirseRN replied to amzyRN's topic in First Year After Licensure

    A better answer would have been, "I didn't give the nitro because the patient was not responding to it. Dr. Attending is aware, and I've given Xmg of morphine with some effect." I don't agree with how...

  8. Do physicians have authority over nurses in the hospital?

    SaoirseRN replied to sjalv's topic in Patient, Colleague Relations

    Physicians have authority over the care of their patients, but no, a physician in a hospital setting has no right or authority to direct the nurses as in your examples, OP. Some might try (I have yet...

  9. Nursing Policy and procedure manuals

    SaoirseRN replied to Kstayce630's topic in General Nursing

    Also perhaps consider the possibility of making this into an online (intranet) based policy and procedure system. A big undertaking at first, but then individual policies could be re-done on a case by...

  10. INSULIN DRIPS

    SaoirseRN replied to mombuxx's topic in Critical Care

    Med surg. We usually try not to have insulin drips on the floor because they are heavy workload when our ratios are 1:4 or 1:5. We have a pre-printed protocol, which starts with an insulin bolus...

  11. Being directed to get a patients son a ride home

    SaoirseRN replied to unappreciatedrn's topic in Patient, Colleague Relations

    If mom doesn't have money for bus fare, then social work would be your best bet. The CC really should have taken that on herself

  12. PATIENT posting pictures on Facebook

    SaoirseRN replied to nkochrn's topic in Patient, Colleague Relations

    I once had the daughter of a pre-op urology patient photograph me and a coworker applying his anti-embolism stalkings, and me starting his IV. This was pre-Facebook (or at least, before Facebook...

  13. Family Members/Patients Who Write Down Your Name

    SaoirseRN replied to abbaking's topic in Patient, Colleague Relations

    I would say, "I don't give out that information." If they insisted, I would repeat my initial statement, and direct them to the clinical coordinator of whichever unit I was working on that day if they...

  14. Why Nurses Don't Want to Be Identified in Public?

    SaoirseRN replied to Mully's topic in Patient, Colleague Relations

    Quote the bible to your heart's content. My lack of religion doesn't make me a selfish person. Knowing the bible doesn't make you a selfless one. Everyone has moments of selfishness, religious people...

  15. Why Nurses Don't Want to Be Identified in Public?

    SaoirseRN replied to Mully's topic in Patient, Colleague Relations

    And it's my duty as a human being to recognize when I can't help a situation. Tired, hungry, and post night shift is not when I can just give of myself to another except in an extreme case. My point...

  16. Why Nurses Don't Want to Be Identified in Public?

    SaoirseRN replied to Mully's topic in Patient, Colleague Relations

    Part of compassion is recognizing when you do not have enough energy to commit. If you are too tired to give your all in such an interaction it's kinder to avoid it than to struggle to listen and...

  17. ER Doc, "I need Succ!"

    SaoirseRN replied to Adenosine6's topic in Emergency

    A med surg nurse probably shouldn't have been running for the meds in this

  18. Why the heck do I have to be assertive???

    SaoirseRN replied to JaRoJoCT's topic in General Students

    Being assertive doesn't mean being loud or changing who you are, it means being able to stand up for yourself and your patients, knowing when to set boundaries (you can be nice without being a...

  19. The weirdness of taking Vitals Signs.

    SaoirseRN replied to StanleyNickels's topic in Medical Assistant, CNA/MA

    Although really, if a patient is breathing well enough to notice you counting and change their rate because of it, chances are they are not having any difficulties with their breathing. Same with...

  20. "I don't want an admit..."

    SaoirseRN replied to MessyMomma's topic in Patient, Colleague Relations

    I will personally take an admission ASAP. If I can't, and I tell ER I need half an hour, because it's me they know I honestly need that. I am part of a float/relief pool and sometimes I have an...

  21. Pronouncing patients death

    SaoirseRN replied to ambrosial's topic in Hospice, Palliative

    I work in acute care and we require a physician's order. The "nurse to pronounce" order is part of our preprinted palliative (hospice) orders, but sometimes for an unexpected but not surprising death...

  22. Can we recommend a medication to a doctor to prescribe?

    SaoirseRN replied to stallion8797's topic in Patient, Colleague Relations

  23. Best advice for when a patient insists on asking you personal/awkward questions?

    SaoirseRN replied to ScarletCeylonRN's topic in Nursing Professionalism

    Those who insist, you have to be more direct and set the boundary firmly but professionally. "I'm sorry, these are subjects I don't discuss at work, and I would appreciate you stopping this line of...

  24. Can we recommend a medication to a doctor to prescribe?

    SaoirseRN replied to stallion8797's topic in Patient, Colleague Relations

    It would only be out of your scope if you gave the med without an order. I phone doctors all the time with suggestions or requests. Your "recommendation" is no different from me saying, "My patient...

  25. TWIN male nurses

    SaoirseRN replied to twinner05's topic in General Nursing

    I work with identical twin male nurses. I can quite easily tell them apart, but it's amusing when they are both working and usually end up both wearing navy blue scrubs, or when one is days and the...