CountryMomma ASN, RN

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All Content by CountryMomma

  1. CountryMomma

    Today's cringeworthy event..

    Often times that saying is meant in a very sarcastic or droll
  2. CountryMomma

    Today's cringeworthy event..

    I'm sorry, I must have missed the part in my job contract that requires me to pet the nurses who lack the basic common sense to NOT PICK UP USED SHARPS WITH NO PPE. This isn't a new vs old nurse...
  3. CountryMomma

    Capturing charges is main function of EMR

    I was recently informed in a medico-legal inservice that shift summary notes are no longer required, everything should be found in the EMAR flowsheets. Funnily enough, one can't charge off of shift...
  4. CountryMomma

    A sobering story-------

    Did you do anything to prevent or report these alleged errors? Call out the nurse doing it, repot to the charge or manager, use a pt safety line? If not, why? Imho, if you did not, you are complicit I...
  5. CountryMomma

    When a patient signs out AMA...

    I close my eyes, take a deep breath, and wish them the best while acknowledging that I probably will see them again in much worse condition, shortly. To go along w JBN, there may be factors at play...
  6. CountryMomma

    A sobering story-------

    That first article was rubbish. The second article was much more readable. I'm indecisive. I do feel that a medication error of that magnitude deserves a corresponding consequence. Any time a...
  7. CountryMomma

    Will my diabetes affect my future in nursing?

    I work with quite a few diabetic nurses and nurse aides, both DM I and II. Doesn't seem to slow them down or hinder them in the least bit. Good luck with nursing school!
  8. CountryMomma

    What's the funniest most unusual baby name?

    My eldest son has a Larkin in his class, and none of the kids seem to think his name is out of the ordinary. Honestly, my son's class is quite diverse in names - there's Peyton(f), Larkin(m),...
  9. The moment I stop using my good judgment and just blindly follow the physicians is the moment they hunt me down and shove my stethoscope (oh excuse me, a doctor's scope) up my rear. My attendings...
  10. CountryMomma

    what to do if you are told not to come back to clinical site?

    Oh blow your self-serving martyrdom out your anal orifice. If you truly respected vets you wouldn't have been so rude and presumptuous to the OP. Your post was like one big "but I've got a black...
  11. CountryMomma

    Stupid things that nurses say

    I was working with a fairly new quad when lab came in to draw. She was prepping his arm as I did trach cares for the AM, and suddenly she piped up "ok, now you're going to feel a little poke!" I kinda...
  12. CountryMomma

    Top ethical concerns to RNs

    Allocation of scarce resources, especially in populations that continually squander them. Lack of discussion in the lay population on what exactly a code consists of, and what that will do to a 94 y/o...
  13. CountryMomma

    How are you assessing alcohol withdrawal?

    I'm on a M/S unit and we take q1hr CIWA pts. We don't turf unless their CIWA scores are above 28 or they have respiratory depression. We try very hard to make a nurse w a q1hr pt have 3:1, but...
  14. CountryMomma

    How are you assessing alcohol withdrawal?

    We use CIWAs with VS. Treat with ativan, librium, and haldol/zyprexa. We prefer our actively detoxing pt's remain mildly sedated. Our docs do as well. I take the CIWA very seriously and will make the...
  15. CountryMomma

    Is this true?

    I'll be sure to inform the ED that the AC is off limits, despite the pt's obvious need for a few liters of blood/fluid expander. I'm sure placing an 18ga in the 3" of inner medial forearm they approve...
  16. CountryMomma

    Best MD note

    Our surgeons seem to rely heavily on templates, as a post-surgical progress note instructed nursing staff to dangle pt at bedside that evening, then ambulate tid starting tomorrow. This on a pt...
  17. CountryMomma

    Hitler, an ICU charge nurse, receiving morning report

    This is being shared far and wide by moi. Too good not to
  18. CountryMomma

    Are you taking 4 medications? Maybe you can help!

    34 y/o female, Caucasian Midwestern American, diagnosed with IBS-d, GAD, chronic intermittent major depressive disorder, post-chole digestive issues. Medications : Venlafaxine 75mg qHS Alosetron 1mg...
  19. CountryMomma

    IV starts in arm with a DVT

    I've seen quite a few UE DVTs in our IV drug abusing folks. A few isolated hypercoagulated oncology
  20. CountryMomma

    Patients taking selfies in clinical areas

    No, I wouldn't tape it. I also made sure the nurse was not in the pic - I've had pt's take pics of me giving care and I'm not impressed with the
  21. CountryMomma

    Patients taking selfies in clinical areas

    I took a picture of my son as he came out of his MAC. I made jokes about saving it for graduation, but I really took it so I could reassure the grandparents out of state who were very nervous about...
  22. CountryMomma

    Outside of Nursing..

    Along with being a nurse I am a mother to 3 boys (2 with ADD that requires medication, behavioral modification, 504s, and frequent chats with school professionals), wife to a wonderful husband who...
  23. CountryMomma

    Middle East Doctors

    If healing bodies was as simple as praying for health, I'd be out of a
  24. CountryMomma

    How long is your commute?

    My friend has a 45 min commute on the ELL - she took up knitting and donates her stuff to the shelters in her area.
  25. CountryMomma

    Near Misses, Close Calls, etc.

    IV KCl replacement ordered for pt with a PIV, no CVC. Warning label on the bag indicating that it was a CVC-ONLY infusion concentration was conspicuously missing. I had spiked and primed the tubing,...