smf0903

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All Content by smf0903

  1. smf0903

    What are you an "expert" in on your unit? Becoming the "go-to" guy/gal for ...

    smf0903 replied to cjcsoon2bnp's topic in General Nursing

    I'm the go-to for difficult pts and for the confused/combative little olds. I'm much better with the dementia/sundowners than I am with the 45-year-old who's just being an a$$hat. Those people really...
  2. smf0903

    Norovirus/ C diff infection control

    smf0903 replied to CoffeeRTC's topic in General Nursing

    Alcohol wipes aren't going to do any good for CDiff, it doesn't kill the spores. I'd go to whomever deals with infection control at your facility and ask...perhaps they are unaware that there aren't...
  3. smf0903

    CDiff Smell?

    smf0903 replied to student456's topic in General Nursing

    I have never been able to smell CDiff. Ever. I have taken care of countless CDiff + patients and can't smell it (not complaining!!) GI bleeds? Yup, like someone else said, a mouth full of nickels. GI...
  4. smf0903

    Nursing During The HIV/AIDS Crisis

    smf0903 replied to DoGoodThenGo's topic in General Nursing

    There is an interesting documentary on Amazon if you have access to it called "How to Survive a Plague" that discusses the interactions between the AIDS community, hospitals/facilities, the government...
  5. smf0903

    Military Wives and DEA-VA Benefits

    smf0903 replied to joannavn's topic in Government, Military

    Just giving my .02 from my experience. The last semester I used it was Spring 2015. It's a ****** to try to get ahold of someone at the VA who actually is helpful navigating
  6. smf0903

    Military Wives and DEA-VA Benefits

    smf0903 replied to joannavn's topic in Government, Military

    I used my husband'a GI benefits after his last deployment when they changed so that dependents could use it. If I remember correctly, it didn't take long from the time we changed over the benefits to...
  7. smf0903

    Intake and output

    smf0903 replied to Mujaliamal's topic in General Nursing

    0A nurse is reviewing the daily intake and output of a pateint sonsuming a clear deit. The urinary drainage bag denotes a total of 1,000 mL for the past 24 hours. The total intake is: 2 8-oz cups of...
  8. smf0903

    Transferring Bariatric

    smf0903 replied to joannavn's topic in General Nursing

    "Patient in motorized chair. Patient refuses to be transferred to bed as patient refuses Hoyer lift." Nuh-uh. This gal's not wretching her back because a patient refuses a safe method of transfer....
  9. smf0903

    Nursing Boards control of Nurses

    smf0903 replied to Cougar1113's topic in Nursing Professionalism

    I had been curious about this too, so I did a bit of searching and found this: Facebook post leaves Prince Albert, Sask., nurse charged with professional misconduct - Saskatoon - CBC News It provides...
  10. smf0903

    Initial doses for po antibiotics

    smf0903 replied to Diegot.92's topic in Patient Medications

    I would give it. Policy/pharmacy would be able to dictate the administration of the am dose. Some core measures for reimbursement require that initial antibiotic dose be given within a very specific...
  11. smf0903

    What do you do with extremely mean/disrespectful patients?

    smf0903 replied to auson16's topic in General Nursing

    It kind of depends on the patient. Sometimes you can just call them out on it ("I'm trying to help you, there's no need to be nasty.") Sometimes letting them get out whatever is bugging them (feeling...
  12. smf0903

    NH with no infection control

    smf0903 replied to mallycakes's topic in General Nursing

    https://www.nhqualitycampaign.org/files/EarlyID_Assessment.pdf Hells to the no. Here's the link to CDC site with
  13. smf0903

    Being Ordered to Give Whiskey

    smf0903 replied to purplegal's topic in General Nursing

    We had a hospice patient not too long ago who was given beer every day. So far that's the only patient I've given an alcohol to, but we do have written protocol for giving alcohol to
  14. smf0903

    Feeling extremely underappreciated

    smf0903 replied to Medic2RN_'s topic in Patient, Colleague Relations

    You probably will feel under appreciated a lot of the time, unfortunately. I have witnessed RNs at my facility who wouldn't answer a call light if the patient's room was on fire and they were holding...
  15. smf0903

    Question about an interview

    smf0903 replied to Caroline123's topic in Job Search, Interview, Resume

    "Well shoot, I was hoping to meet a smart doctor." Hopefully it was a bad joke, as Sour Lemon suggested. Good luck in the interview! Do post back, curiosity has the best of
  16. smf0903

    Med Math Matters: A Case Study

    smf0903 replied to bgxyrnf's topic in Nursing Student Assistance

    Interesting topic and gave me the opportunity to read up on something unfamiliar to me. And what gave me pause was "40 hours" I'll wait a couple of days and see if anyone else offers up answers....
  17. smf0903

    Allowed to start cardizem drip?

    smf0903 replied to Al3ksERN's topic in General Nursing

    We start and titrate them on our floor all the time. (Med-surg and I haven't done ACLS
  18. smf0903

    MIMS:"hydromorphone causes fatality"

    smf0903 replied to Joybryant's topic in Patient Medications

    Does your hydromorphone come as a multi-dose vial or just at a higher concentration? According to the article it comes as 10mg/mL...we don't even have that available to us at our facility. Ours comes...
  19. smf0903

    MIMS:"hydromorphone causes fatality"

    smf0903 replied to Joybryant's topic in Patient Medications

    I googled MIMS and it looks like a site similar to
  20. smf0903

    Only Crusty Old Bats will remember..

    smf0903 replied to Pepper The Cat's topic in General Nursing

    We had to learn how to rate adjust with the roller clamp in school (graduated in 2014). We were told that during Katrina people didn't know how to adjust rates on IVs because the roller clamp method...
  21. smf0903

    Being Pulled into the Office for calling CAT

    smf0903 replied to ryuunohime's topic in Patient, Colleague Relations

    Nope, if I were in your shoes and had a questionable picture of the patient and the doc "refused" to come see said patient I'd call a rapid response. We've done it before (we had a peach of a...
  22. smf0903

    AIDS "Patient Zero" exonerated

    smf0903 replied to JerseyTomatoMDCrab's topic in General Nursing

    No
  23. smf0903

    AIDS "Patient Zero" exonerated

    smf0903 replied to JerseyTomatoMDCrab's topic in General Nursing

    I saw this and thought it very interesting as well! My microbiology instructor is an HIV/AIDS researcher, and he said a long time ago he thought that Dugas would eventually be cleared as patient zero....
  24. smf0903

    labeling lines and IVs

    smf0903 replied to gas_passer's topic in General Nursing

    I am the labeling queen You'd never find a patient of mine with unlabeled lines. All IV bags have to be labeled as well. All dressing changes, patches, etc also have to be
  25. smf0903

    What's Rude?

    smf0903 replied to Ruby Vee's topic in Patient, Colleague Relations

    I wish I could "like" this about 5,000 times! Spot.