chrisrn24

Honestly no. It's not a terribly serious error. I would just mention it next time you see her.

Are you limited because your day care hours? Do you think that an in home day care could be more flexible? Is it possible if your SO or whoever would be able to watch the baby overnight push their own start time an hour later?

I prefer how I look with my hair down. Sometimes I go to work with wet hair too, so I'll leave it down while charting, getting report but put it up when doing personal cares with a pt.

I had approx 6 weeks of full time training before I was on my own. I was a new grad.

To me this is not black and white. There are times where I've given morphine SL PRN to a sleeping patient who did not request it and I don't regret it. PRN is up to my discretion too and I decided that they needed it for whatever reason and gave it to them. If other nurses are telling you to give a resident something PRN when they are sleeping, ask why. Perhaps the resident is complaining or showing signs of pain every morning at 0800 or something. Or perhaps the resident said "I wake up all the time at 0200 with pain but I feel bad disturbing the staff." If the person is hospice it's important, at least to me, to control pain or potential pain - so to me that would mean giving it even if they don't necessarily have pain. But if the person is on it for something else, I think it's okay to wake them and ask if they are needing pain medicine.

It may not be people with UTIs, but rather a cleanliness issue. I have some people with chronically foul urine that don't have UTIs.

I don't work in a hospital but I agree. I'm very susceptible to illness. If there's a stomach bug or cold going around at work, I never fail to get it despite frequent hand washing and cleaning my equipment religiously. I would need the best PPE offered. And I would probably suggest dressing it and staying in that room until the end of my shift...ideally there would be some kind of "window" that medications, etc. that another nurse drew up, could pass through so I didn't have to leave and risk removing and applying my PPE frequently.

We don't have this policy but we are supposed to call the DON after an incident.

Sometimes I've found that the radial pulse is not always where it should be. Feel around!

Nope if it's not at 0700 I won't go!

My mom actually was having her BP checked a few months ago and cried out in pain. She never complains about stuff so I know it hurts. I have a lady at work who is severely contracted and I can't get a BP on her ever. I feel it's cruel. Other nurses do it but I won't. Unless it's terribly necessary - unstable BP - ask your facility to have a care conference. Maybe BP meds could be d/c.

Why is Joe always flustered and insisting on changing the count? Joe would be the one I would investigate.

Obviously chart that the incident occurred in the progress notes but don't write "incident report completed." Does that make sense? You can have a copy of the incident report in the chart but don't mention it in the progress notes.

Why don't they just write "cymbalta 90 mg" and then the nurses have to figure out its a 30 mg cap with a 60 mg cap?

I understand why the office staff call them nurse - because traditionally offices are staffed with nurses and most people expect that. The title of MA may be confusing. But it doesn't mean it's right. They could just say "my assistant."