steelcityrn

steelcityrn RN

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All Content by steelcityrn

  1. The Mockery of Nursing

    Why Lord,
  2. Which one is more stressful: med-surg or LTC

    I would vote med surg due its ever changing events that can take place. At least when its LTC, you are used to the patient and
  3. what's a 23 hour observation unit is like?

    All the above and to add it can be up to 72 hours now and called out patient care. This also is used to prevent another re-hospitalization used as a negative statistic against the hospital. Hospitals...
  4. Are nurses being replaced?

    Insurance companies are not going to pay for acute care without a licensed professional taking care of them. There may be virtual nurses used in the future, but I do not believe they will ever be used...
  5. Agree with the others. Time to walk to H.R. They know how to deal with
  6. Will I be held responsible ?

    My point was maybe there was nothing to document, as it was not a true wandering situation. Now that your saying it was, I like the other agree you do not document on anything you did not witness or...
  7. Will I be held responsible ?

    I would probably want more information about a patient "attempting"to wander. Was it something as simple as walking towards an
  8. Getting Sick at Work

    Oh yes, fell in a wet floor. leople probably thought it wasn't anything big, but besides a knot on my head and a sore back, I had a very rare post traumatic cataract form immediately. If you hit your...
  9. Time to call a duck a duck, part II

    My point is "Its all
  10. Time to call a duck a duck, part II

    Nursing also happens behind a desk. Upon looking at pages and pages of documentation, I cannot tell you how many times I have to talk to the direct care nurse to have a patient re-evaluated for a...
  11. Lots of young people on disability?

    I recently met a distant relative at a funeral who is diagnosed with bi-polar. He could not sit still at his own mothers funeral. He was her only child. He was disheveled, had no one there who he...
  12. Ativan...do i hold or give?

    If a medication is not ordered as a prn, you need to report the lethergy to the physician. The order may be changed to 1-2 prn qhs. Once the patient has been on fentenyl for a while, they may need...
  13. Admissions and Privacy

    If that is your facilities policy to ask all of those questions, then so be it. I usually say something like " I know there are alot of questions here for you to answer, do you want family in to help,...
  14. Disruptive co-worker

    Yup, nothing like a negative person to try and spoil the teamwork. Work even harder to over come
  15. Continue to monitor as you are a supervisor. Continue to be aware of the need to assess her medication rounds. You as a supervisor need to make her aware that you are making sure all medications are...
  16. Is this the wrong field for me?

    It may not be the wrong field, just the wrong place to
  17. wow-ltc is crazy!!!!

    LTC is hard. Its very demanding work, and you have alot of family contact. Its not for
  18. Facebook almost cost me my job

    I can see how facebook can cause alot of problems! Many times people portray themselves in a certain way, maybe for a laugh. But today, whatever you say on these type of sites can be read by everyone....
  19. HIPAA VIOLATION?

    This is public information. You can read deaths in papers or online. They usually say where a person passed away at. I do not see a legal issue here at all. Now if she stated why or how the patient...
  20. Feeling bad, like I "ratted out" a nurse

    Only one side of the story here folks. This was a good nurse with a good reputation. Im on her side, and I don't care what you others think. Im not going to pull quotes here and rip others apart. When...
  21. I would put the house supervisor down. If they ask for the other name and number then you provide it. She really could only say that you were employed there during that time period, but you never...
  22. Do you do venipunctures as a nurse?

    You do alot of venipunctures in homecare. I would say we see as many labs ordered as
  23. Feeling bad, like I "ratted out" a nurse

    What if she said she took half a benadryl to help her sleep and it was still making her tired hours later. What if she said she took 5 hour energy and had alot of nervouse energy, a darvacet for for...
  24. MRSA precautions in the ER?

    Thats one benefit from electronical records. This would come up immediately for the staff to
  25. Schedule blood draw times.

    Usually where I have worked, ordered labs would fall to a certain time where routine labs are drawn. This would be 4 pm, 7pm, 10pm ect... Stats would be drawn asap. There would also be timed draws...