canoehead BSN, RN

ER

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All Content by canoehead

  1. I drew labs when I started an IV line for about five years in another ER, and was completely ignorant to order of draw. Never had a lab come back with a bad result that wasn't confirmed bad with a...
  2. canoehead

    Team player

    If you are relieving her in turn the next shift, I suggest you let her know that you need to come in 45 minutes later than usual. Apologize, but if you aren't getting paid for the extra time, you...
  3. canoehead

    Very concerned

    I would have done as you did, OP, including giving the Levimir. I would have added a 3am blood sugar check, but since she didn't drop til after 6am, its possible the same thing could have happened to...
  4. canoehead

    Peer to Peer Review/Feedback

    I was peer reviewed a few times. I picked three coworkers, and my manager picked three to fill out the evaluation form and turn it in. The day I went over it with my manager I asked about one of the...
  5. canoehead

    Advice for on what you would do.

    I'd leave. I'd get another job and bail. You don't deserve to be treated like
  6. I wouldn't have diluted it. I would have administered it with a meal, not on a completely empty stomach, but firing sounds harsh Unless that particular patient is careplanned for
  7. I did work in a hospital that had an arrangement with local police, their policy stated we would call police when a person of interest was discharged, and they would come take custody. But without...
  8. We've got a whole new world opening up to kids. They have to wrap their minds around issues that adults are having trouble with. How can they be expected to make a reasoned knowledgeable decision...
  9. canoehead

    Texting in nursing

    I am not pleased about facilities wanting to use our personal cell for texts, they should be providing secure ones. I don't want to be going home with all that available on my phone. And I don't want...
  10. canoehead

    HR for facility. Not for employees.

    If your charting is missing, and you are being reviewed because a patient went to ICU and you didn't do anything wrong, this is a situation where I'd just leave. I don't know why they are doing that,...
  11. No, no, NO!! Do not show weakness! She will use it against you, even if you are trying to improve communication. For many reasons, including your manager's issues, and your difficulty going to work...
  12. canoehead

    what should i have done.

    Sounds like a hot mess. If he's catatonic, or close to it, you should be able to do an assessment. Same if he's post ictal. Anyone in withdrawals HAS to put up with an assessment in order to be scored...
  13. I also was 19 during my first year nursing. If you continue to show good judgement, hard work, and maturity, that little blip of more supervision will wear right
  14. canoehead

    Thai cave boys in hospital

    Even without the contagion issues, its probably wise to keep a lid on who comes and goes from the room. The media would be packing the hospital if they thought they could interview them. Masks help...
  15. canoehead

    Is it jealousy ??

    I started nursing in 1990, and made mistakes daily. Not mistakes that you'd write someone up for, but trying to patient teach and getting mixed up, or offering milk and sugar in tea to a diabetic,...
  16. canoehead

    Patients & Pet Peeves

    I very much mind people that set their alarm to get meds, but don't wake up until its been blaring for 3-4 minutes. If I know that's happened, the meds get delayed until they wake to
  17. canoehead

    SHHHHH, dont tell anyone I'm a RN

    You may have passed your boards, but you can hold off on activating your RN license as long as you want. Tell him you are going to wait to pay your final dues so you can continue your present
  18. canoehead

    Question about nursing, law enforcement, and HIPAA

    Be aware that it may be illegal for you to answer a question, but it's not illegal for police to ask any question. And if you let them stand in the room, or just outside the curtain, they are allowed...
  19. canoehead

    Best thing about being a nurse?

    Things that are a mystery to the public are old hat to us. Death, labor and delivery, size and shape of genitals, how people normally act under stress and what to do about it. As a regular person I...
  20. canoehead

    What happens when you fail a fit test?

    I much prefer the hood to the N95 mask, but I've never failed a fit
  21. canoehead

    Dazed and Confused: Blurred Lines

    I also think you should discuss this with your supervisor. Your coworkers are treating you poorly, its disrespectful and dangerous. You need to start saying no, and there will probably be conflict,...
  22. canoehead

    Assisted living turned nightmare

    Put in for no lunch break/OT every day, take the discipline, he's not going to fire you because no one else will do the job. Wait a year, then sue his ass off for double the
  23. canoehead

    IV insertion: 20 gauge vs 22 gauge

    If all you can get is a 22, send them, and let anesthesia use their excellent IV skills to start a bigger one. They can hydrate, and probably have an ultrasound. They definitely have a surgeon that...
  24. I ask if the patient prefers them up or down, and phrase it so they say "up." Just verbally worry that they might fall out because the stretcher is thinner than their bed at
  25. canoehead

    Eating the patients' food?

    Reprimanded about the food...never. I even openly stated that if I sweat it out at work, I will replenish at work, when coworkers snarked about me drinking the unit's soda. But when the hospital...