blackribbon

blackribbon

Med/Surg, Gyn, Pospartum & Psych

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All Content by blackribbon

  1. New Process Admitting Couplets... HELP!!!

    blackribbon replied to puddles11's topic in Ob/Gyn

    I am a gynmed/surg nurse cross trained to help cover postpartum. We have about 650 births a month so keep very busy. The mother and baby are admitted in L&D during the 1-2 hour recovery offered...

  2. Daily huddles

    blackribbon replied to Jhalliburton90's topic in Ob/Gyn

    Huge waste of time! Put the important shift specific info on the assignment sheet or send out an email for general info. I also resent hearing the same info for several days in a row because it...

  3. Ask A Stupid Question . . . .

    blackribbon replied to Ruby Vee's topic in General Nursing

    This week I had orders to collect a urine specimen on an anuria dialysis patient. When we didn't send it down in two days, the doctor put in NEW orders for the same urine specimen. Since I am night...

  4. Learning Intimate Exams

    blackribbon replied to ethics&modesty's topic in General Students

    OK...I don't know that the "patient" should be the teacher...I think that takes away from the professional separation that allows us to do these kind of exams. I would be more comfortable with a...

  5. ECSTATIC to be accepted into the RN program... but still stressed!

    blackribbon replied to foxystar's topic in Pre-Nursing Students

    In today's environment, you will be happy that you took this route because the job opportunties for LPN are very limited. I work with a wonderful one who has to live with the title "Nurse Tech" and a...

  6. Blood Transfusions Question??

    blackribbon replied to jk2185's topic in General Nursing

    I run it at about 75-100 for the first 30 minutes when I am at the bedside monitoring the patient. I turn it up to 150 then if they are tolerating it well. However, our policy says never over...

  7. Holding "Ordered Meds"..... What are the rules?

    blackribbon replied to jk2185's topic in Patient Medications

    If there are parameters given and nothing indicating something new happening, I follow the parameters (and am grateful the MD took the time to put them in there). If there are not parameters or my...

  8. Travel nursing with a tiny house?

    blackribbon replied to DeenieRN's topic in Travel

    Go with a travel trailer if you like this lifestyle. They are easier to move. Easier to park (mobile home communities or RV sites). And easier to sell when you want a different option. I kind of...

  9. General Rules for Med Surg

    blackribbon replied to icthusRN's topic in Medical-Surgical

    As for the accu-chek, who cares if someone learns this in nursing school or not? It takes less than 10 minutes to learn and is done primarily by the NAs. I'd rather someone know how to think like a...

  10. General Rules for Med Surg

    blackribbon replied to icthusRN's topic in Medical-Surgical

    Are any of you ALLOWED to hang blood alone? Both hospitals I worked at (the smallest in our town and the largest), required two nurses to sign off on starting a blood infusion and again for each time...

  11. *IV infusion question!

    blackribbon replied to Renaa15's topic in Medical-Surgical

    Do you have access to micromedex at work? We have a section on it which will list if IV meds are IV compatible...you have to be very careful with anything "D5...whatever". And what is your access...

  12. Patient f/u frustration

    blackribbon replied to malapata's topic in Nurse Practitioners, NP

    I am not an NP but the one thing that stood out on your post is the psych diagnoses. Did you have anyone ask why the patient hadn't come or came late? Often psych diagnoses get in the way of...

  13. General Rules for Med Surg

    blackribbon replied to icthusRN's topic in Medical-Surgical

    If the IV catheter was not pointing toward the heart, then it would seem like you could really damage some venous valves. The venous system flows toward the heart and I was taught to try to "flush" a...

  14. Pseudo Seizures

    blackribbon replied to Keepstanding's topic in School

    I simply was trying to get across the point that these are not "fake" seizures. The kid has no control. They are not "attention seeking behaviors". Their care needs to be addressed from that angle....

  15. Pseudo Seizures

    blackribbon replied to Keepstanding's topic in School

    This is still a NURSE's forum...and this is a real health care condition that isn't just a "hard case" but requires a little bit of compassion and a bit of medical research. The question was asking...

  16. Pseudo Seizures

    blackribbon replied to Keepstanding's topic in School

    Try to imitate a seizure and keep it up for 5 minutes which is how long a normal seizure lasts. How would a kid even know what to do? They are real but have a psychological

  17. Pseudo Seizures

    blackribbon replied to Keepstanding's topic in School

    Psychogenic seizures are not neurological but they are REAL. They have a psychiatric origin and are induced by severe anxiety or PTSD or such. The patient is not in control so they are not "fake"....

  18. Pseudo Seizures

    blackribbon replied to Keepstanding's topic in School

    How completely uncompassionate many of these responses are. Psychogenic seizures are seizures that are not related to the neurological systems...so they have normal brain waves on a ECG. That does...

  19. CMSRN vs. RN-BC

    blackribbon replied to Benj2610's topic in Medical-Surgical

    I don't like the ANA's program because as an ADN my degree level (that "BC" for BSN versus "C" for ADN) is pointed out in my certifications even though I pass the same test and take care of the same...

  20. Crackers in the med room?

    blackribbon posted a topic in General Nursing

    I went to work this week after two days off and immediately had to admit a post-op patient on a PCA pump at the start of my shift. Well, the morphine relieved her pain but it also made her nauseous....

  21. Patient refusal to shower-neglect?

    blackribbon replied to MissxPriss's topic in Patient, Colleague Relations

    Is there a reason why the patient needs a shower more than once a week? As the skin ages, the skin gets more delicate and frequent showering can actually be bad for the skin. Is the patient even...

  22. Nurse Residency Programs

    blackribbon replied to NursePJ2015's topic in Post Graduate Students

    I see you are from Michigan. Yesterday, I completed my one year GN residency at Beaumont and for us it consisted of attending a 3-4 hour class on a variety of topics once a month most months. That's...

  23. Any advice for someone interested in women's health

    blackribbon replied to passion4womenshealth's topic in Ob/Gyn

    I was hired on a women's gyn/med/surg unit at a large hospital after getting 6 months med/surg experience at a very small hospital (I loved that hospital but they couldn't give me enough hours). My...

  24. What are some of the most ridiculous requests you have heard?

    blackribbon replied to Joe V's topic in General Nursing

    How about the hospital care poll that came back claiming that she was OVER medicated for most of her stay and that her family had complained about it while being there. Umm...I was killing myself to...

  25. How do you scan insulin?

    blackribbon replied to Ann.E's topic in Medical-Surgical

    Is there a way to differentiate between insulins at bedside if you have multiple types to administer at the same time and decide to hold one at