PatricksRNMommy

PatricksRNMommy

PCU/Telemetry

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All Content by PatricksRNMommy

  1. ER handoff report to floor

    PatricksRNMommy posted a topic in Emergency

    In the past when receiving patients from the ER, they printed a report to the floor and then called to give a verbal report. Now the process has changed to improve pt flow. Now, the report is printed...

  2. Fair Patient assignments

    PatricksRNMommy replied to GoNightingale's topic in General Nursing

    I am a charge nurse and when I make assignments for the next shift I look at several factors: 1) Patient acuity - I try to split up "total care" patients as much as possible, as well as isolation...

  3. Your body did what?!?

    PatricksRNMommy replied to pink_shoes99's topic in General Nursing

    I had a patient when I was a fairly new nurse who had gone into SVT. While we were waiting for another nurse to bring in the adenosine, the charge nurse asked the patient to bear down like she was...

  4. Does anyone know...

    PatricksRNMommy replied to dioness's topic in General Nursing

    The MRSA patients are on isolation for a reason, to protect caregivers and visitors who go into the room. As long as you are following proper contact precautions (gown and gloves) and thouroughly...

  5. DNR does not mean do not treat, people!

    PatricksRNMommy replied to rnto?'s topic in Geriatric, LTC

    I can't stand that! There are quite a few doctors at my facility who get the attitude of "Why are you calling me, they are a DNR" if we call with concerns about a patient. And if you try transferring...

  6. Errors that you caught...

    PatricksRNMommy replied to sabrina_RPN's topic in Patient Medications

    I came in one morning and got report from the night shift nurse that my patient had come in in rapid afib and was on a heparin drip and a cardizem drip. The heparin drip had started at 900 units/hr...

  7. Is bedside report a HIPAA violation with 2-4 patients sharing a room?

    PatricksRNMommy replied to Paulieg69's topic in HIPAA Challenges

    Just being devil's advocate here, but then wouldn't almost any contact with that patient be a HIPPA violation if you are discussing with them their plan of care, ordered med/treatments, diagnosis,...

  8. Just wondering...

    PatricksRNMommy replied to NurseFrustrated's topic in General Nursing

    They absolutely can and they should, IMHO. At my facility the PharmD calls the doctor for order clarifications UNLESS the original order was a telephone order written by the nurse, in which case it is...

  9. Chief Complaints

    PatricksRNMommy replied to saymo82's topic in Nursing Humor

    I always find it funny when someone presents to the ER at 2 am on a Saturday with "headache x 6 months" or "foot pain x 2

  10. Pulse oximeter

    PatricksRNMommy replied to sarpound's topic in General Nursing

    The end-tidal co2/pulse ox machines have an adapter that we plug into the call light system and then we set the alarms for whatever parameters we want to be notified of. It's very helpful, except when...

  11. Pulse oximeter

    PatricksRNMommy replied to sarpound's topic in General Nursing

    On our post-ops, we wire the O2 sat and end tidal co2 monitor to the call light system and if the numbers drop too low the call light alerts

  12. scared about to quit ...

    PatricksRNMommy replied to erin01's topic in General Nursing

    Talk to your manager, be honest, tell her your concerns and issues, and see what your options are.... Sometimes when you talk things out, a solution will present itself. Bottom line is that you have...

  13. ER handoff report to floor

    PatricksRNMommy replied to PatricksRNMommy's topic in Emergency

    Agreed, both are very different... Busy in their own ways, though. We have had ER nurses float to the floor and could not stand it d/t all the charting, the constant phone calls from family, doctors,...

  14. ER handoff report to floor

    PatricksRNMommy replied to PatricksRNMommy's topic in Emergency

    There are some fabulous ER nurses out there that I know do their best to make sure the patient is taken care of and that important information is passed on to the floor nurse, and I appreciate those...

  15. How much IV fluid to give?

    PatricksRNMommy replied to brownbook's topic in General Nursing

    Shouldn't this be based on a doctor's order or a writtin policy or protocol? What if the patient had an adverse reaction from being overhydrated that was unexpected and you were not covered by a...

  16. Things you'd LOVE to be able to tell patients, and get away with it.

    PatricksRNMommy replied to AngelfireRN's topic in Patient, Colleague Relations

    To the PIA VIP patients: "I don't care if you know the CEO, the President, or the Pope, I care for all my patients the same, so you need to sit down, shut up, and I will get you a newspaper when I am...

  17. maybe I wasn't being nice.....

    PatricksRNMommy replied to hearthelper's topic in General Nursing

    We all have our areas of expertise... I work on PCU/Tele/Stroke floor so if a patient on med/surg is on a cardiac med or has a cardiac history that they are not knowledgable about or they think a...

  18. ER handoff report to floor

    PatricksRNMommy replied to PatricksRNMommy's topic in Emergency

    After reading some of these posts, I really want to make it clear that I was not bashing ER nurses. I know you are very busy in the ER and I do everything as I can as a charge nurse to get patients up...

  19. ER handoff report to floor

    PatricksRNMommy replied to PatricksRNMommy's topic in Emergency

    I didn't say that it was, all I was trying to say was that what is happening now is not working.... for the patients, for the nurses, and for relationships between the ER and the floor... I just want...

  20. ER handoff report to floor

    PatricksRNMommy replied to PatricksRNMommy's topic in Emergency

    I just feel like patient care should be the priority, and bringing a patient up to a dirty room to a nurse who can't give them the care that they deserve just isn't fair to anyone.

  21. maybe I wasn't being nice.....

    PatricksRNMommy replied to hearthelper's topic in General Nursing

    Instead of criticizing and joking about the med/surg nurses, maybe you could have given them some helpful tips on how to best handle a situation like this in the future. Not all med/surg nurses are...

  22. What does "charge nurse" mean to you?

    PatricksRNMommy replied to notjustanurse's topic in General Nursing

    I am a full-time mid-shift (2-10) charge nurse on a PCU/Tele floor and usually do not take patients unless someone calls out/goes home sick or all the nurses have a very high acuity patients and are...

  23. Is this too much or am I crazy...what are your units like?

    PatricksRNMommy replied to emersushea's topic in Cardiac

    It has been my experience that they will give you whatever you will take... If the charge nurse accepts that a transfer is coming out of the unit on sn insulin gtt or a dobutamine gtt running higher...

  24. PCCN exam

    PatricksRNMommy replied to beachfashionnursing's topic in Cardiac

    I passed about a week ago and used a program from med-ed Med-Ed > Online Education > Login Portal.... There are lectures from Cammy House-Fancher that you can stream and outlines and practice...

  25. Been an RN for 6 months..why do I still dread giving report?

    PatricksRNMommy replied to TorsadesDePointesRN's topic in General Nursing

    Darn, I hate it when I forget to lock up my goat... hehe.. sorry it's been a long day and you made me