blackribbon

blackribbon

Med/Surg, Gyn, Pospartum & Psych

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All Content by blackribbon

  1. EPS or seizure

    blackribbon posted a topic in Psychiatric

    I am a med/surg nurse who does contingent nursing on the psych floor. I had a patient go into what I believed to be an alcohol withdrawal seizure. After the event, another nurse questioned how I...

  2. EPS or seizure

    blackribbon replied to blackribbon's topic in Psychiatric

    Okay...I wouldn't have suspected EPS if the patient wasn't on psych meds that had that potential side effect. This was a psych unit where every patient has prn Haldol at the very least. He was also...

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

    blackribbon replied to Joe V's topic in General Nursing

    I had a teen patient who was scheduled for an abortion and family thought they could fly to Europe for Christmas two days later. She was admitted with a tonsil infection that almost had her throat...

  4. Bedside Reporting

    blackribbon replied to Bluebell.'s topic in Medical-Surgical

    I still prefer a quick report outside the patient room and then a quick good-bye/hello in front of the patient to make the change smooth and address any questions that might need to be address by the...

  5. How do you scan insulin?

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

    How does scanning a sticker not attached to the actual vial protect the patient? Couldn't you in theory, scan the right sticker but pick up the wrong med and draw it up? We scan the bottle that we...

  6. psych/med surg

    blackribbon replied to wayemika's topic in Medical-Surgical

    I am a med/surg nurse that floated to the psych floor as needed. I absolutely have both on my resume. Now, the psych unit is at a different hospital than my primary job and isn't as frequent but I...

  7. overwhelmed med/surg nurse

    blackribbon replied to sbostonRN's topic in Medical-Surgical

    How on earth do you pass all your meds and assess 6 patients and still have the assessments charted by 10? I am happy if I finish assessing and passing meds by 11pm...sometimes I can chart as I go...

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

    blackribbon replied to Joe V's topic in General Nursing

    A post op day 4 patient who thought the RN was necessary to escort her to the bathroom every time. She was in her 30's and totally stable on her feet. She also refused to learn how to call my phone...

  9. Healthcare System Fail: Is This Why Nurses Are Overwhelmed?

    blackribbon replied to arthurbaird0's topic in General Nursing

    One of my co-workers wore her fitbit to work and it said she walked 6 miles on a single

  10. Breaks

    blackribbon posted a topic in Medical-Surgical

    Our floor is very big on forcing nurses to take breaks. Sounds like a good problem to have, huh? Except that when you go on break you hand your patients off to your nursing "buddy". That means that...

  11. Bedside Reporting

    blackribbon replied to Bluebell.'s topic in Medical-Surgical

    It is suppose to involve the patient in their care more and build trust. I think it does the opposite in that it just frustrates the nurses. I can't discuss procedure or lab results that have come...

  12. Breaks

    blackribbon replied to blackribbon's topic in Medical-Surgical

    I covered a nurse who was running downstairs to get a coffee. She was gone 10 minutes max. In that time, a doctor finally returned her page (long over due) ... yeah, and I knew nothing about the...

  13. When you just don't want to go to work....

    blackribbon replied to dec2007's topic in General Nursing

    I have put a time limit on staying in this position...a day when I can consider transferring to a different unit or changing jobs completely. It helps take the "this goes on forever" aspect away and...

  14. new grad with a psych degree, but no experience

    blackribbon replied to heynow1313's topic in Psychiatric

    Apply anyway. There is a shortage of nurses who actually like psych nursing. I am a med/surg nurse and was hired for a position that listed two years clinical experience. At the time, I had 5...

  15. Bedside Reporting

    blackribbon replied to Bluebell.'s topic in Medical-Surgical

    We have it and I hate it. My patients are usually asleep when I am handing them off and they need their sleep. Since it is officially mandatory, we tend to huddle around the sink whispering in the...

  16. Mock codes

    blackribbon replied to Gampopa's topic in Medical-Surgical

    I have been at my current hospital for 9 months. I had two mock codes in training and two run by the floor as an annual training thing. One code...followed by a debriefing and then a second for a...

  17. Psych nurses: What have you learned from working with substance abusers?

    blackribbon replied to E.Renez's topic in Psychiatric

    CIWA for alcohol withdrawal isn't just based on patient reporting...there is a very specific rating scale that allows for visible/tangible signs to be included in the scoring. For example, I actually...

  18. Made a child with cancer cry.

    blackribbon replied to Girlafraid13's topic in PICU, Pediatric

    You didn't make a kid with cancer cry. You made an unruly child cry...this kid just happens to have cancer. He still needs to be held to the standards of society or else he will not have any friends...

  19. side rail use in private duty homecare

    blackribbon replied to Nursing.capps's topic in Private Duty

    For the nurse who is wondering about how 4 rails up is considered a restraint, evidence based nursing has show that there is a significant risk of injury related to patients attempting to exit a bed...

  20. New hire RN accused of being "mean."

    blackribbon replied to NS885RN's topic in Medical-Surgical

    never

  21. New hire RN accused of being "mean."

    blackribbon replied to NS885RN's topic in Medical-Surgical

    I am a med/surg nurse and a contingent psych nurse and I don't like a lot of psych nurses. They are hard and assume that every patient is "attention seeking" or "med seeking". I love working with...

  22. August 2015 Caption Contest. Win $100!

    blackribbon replied to Joe V's topic in News, Announcements

    "Management is finally listening. Let me introduce our newest Mental Health

  23. Med-Surg Nurses: How many phone calls do you take per day??

    blackribbon replied to Cola89's topic in Medical-Surgical

    I'd say I get about half that at night...but I promise the phone rings to just tell me "huddle at 11pm" or "inservice at 6am" when I am up to my ears in an isolation room but also waiting for a doctor...

  24. You're Not Dehydrated.

    blackribbon replied to Anna Flaxis's topic in Emergency

    Sometimes though, the problem doesn't show up on the labs in the ER. My husband always felt better after getting a bag of IV fluids when he was fighting cancer. He hated being in the hospital but he...

  25. You are NOT allergic to...

    blackribbon replied to BuckyBadgerRN's topic in General Nursing

    I assume all allergies are real until proven otherwise. Yes, I have had the patients who are "allergic" to every pain killer known to man except dilaudid. I know differently but that is for the...