smf0903

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All Content by smf0903

  1. smf0903

    Medication administration confusion???

    smf0903 replied to Mike DBD's topic in General Nursing

    I did. My point is that there is a paper trail for pharmacy-prepped, whether it's a tech or the pharmacist preparing it. Where is there concrete documentation of the RN who draws up a syringe that...
  2. smf0903

    Medication administration confusion???

    smf0903 replied to Mike DBD's topic in General Nursing

    ...and it's documented as to who prepped it in pharmacy. You have somewhere to go with a pharmacy-prepped med. If the proverbial crap hits the fan with a med that another RN drew up, they could throw...
  3. smf0903

    Gave Blood transfusion too fast maybe?

    smf0903 replied to Maria1308's topic in General Nursing

    People are so different. I had a pt once who came in with a hgb of 2. Didn't come in because they were tired or dizzy or anything like that. Pt came in for knee pain. If I remember correctly, pt ended...
  4. smf0903

    Gave Blood transfusion too fast maybe?

    smf0903 replied to Maria1308's topic in General Nursing

    That is an expected increase in hgb. One unit of blood is expected to raise hgb by 1
  5. smf0903

    Medication administration confusion???

    smf0903 replied to Mike DBD's topic in General Nursing

    I'm going to disagree with DH, I would not give meds drawn up by another nurse. Something coming from pharmacy has a name to it (which pharmacists mixed the antibiotic or what-have-you). Not to be...
  6. smf0903

    Patients Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

    smf0903 replied to Brian S.'s topic in General Nursing

    The one I remember best was an elderly gentleman who put on his call light during the night, maybe around 02:00. I went into his room and asked "Mr. ---, what can I help you with?" He yelled out...
  7. smf0903

    Garbage Report

    smf0903 replied to chacha82's topic in General Nursing

    That happened to me once. I wasn't mad that the pt had died (of course) but I was super POed that literally everyone was sitting looking at pics on their phones and this poor dead pt was covered in...
  8. smf0903

    Garbage Report

    smf0903 replied to chacha82's topic in General Nursing

    I think the worst reports are those that are given and "everything's good" then during assessment you find a ton of stuff that couldn't have even been looked at during previous shift (and I'm not...
  9. smf0903

    Q's;--Patient Attacks on Nurses

    smf0903 replied to JoRose1's topic in General Nursing

    Our facility is big on employee safety. We have had people arrested right out of the ED for that type of behavior. We've also called the cops on and they've come in for inpatients when we've had...
  10. smf0903

    Manipulative patient

    smf0903 replied to freckles23's topic in General Nursing

    If she's refusing surgery and refusing meds/care, it's time for discharge
  11. smf0903

    Fentanyl shortages or DEA policing healthcare?

    smf0903 replied to Polskijames's topic in General Nursing

    We have zero dilaudid, zero morphine, and limited fentanyl at our facility. We were told it's a nationwide
  12. smf0903

    Weird time-clock rules at work

    smf0903 replied to opalbee's topic in General Nursing

    We used to have a 7-minute rule: we couldn't clock in at say, 07:22 if we're scheduled to start at 07:30 because they went by quarter hours. Now we can't clock in any earlier than 2 minutes before our...
  13. smf0903

    IV Medication Administration

    smf0903 replied to audrey_'s topic in General Students

    I work nights in a small hospital and we do not have pharmacy there after 21:00. We reconstitute everything for any new admits (meds that have yet to be profiled by pharmacy). You should have an IV...
  14. smf0903

    Math Help

    smf0903 replied to cin808's topic in General Students

    All the information you need is there. Do you have any idea where to start? If you can start/show what you've come up with so far then we'd be able to help guide you.
  15. smf0903

    Decreased cardiac output for right-sided heart failure???

    smf0903 replied to Kickflip012's topic in General Students

    What is your patient there for? What is your assessment showing? That's what drives your nursing diagnosis/es. Sure your patient may have right-sided HF but if they are in the hospital because they...
  16. smf0903

    Hyperbaric oxygen therapy and COPD

    smf0903 posted a topic in General Nursing

    This is just a question to satisfy my own curiosity...our facility recently opened a HBOT center, and I got to wondering about this therapy and our patients with COPD. I did some looking online and...
  17. smf0903

    Dealing with the stress of nursing school

    smf0903 replied to Potatoskins's topic in Nursing Student Assistance

    Keep on keepin' on! Sometimes you'll have teachers/instructors/preceptors that you dread seeing. You just do your work, take every opportunity to learn, and power through. It's a little snippet out of...
  18. smf0903

    Pediatric Exam Question Regarding Lasix and Furosemide

    smf0903 replied to leahashleigh123's topic in General Students

    I wouldn't take that as argumentative at all :) I would have written almost verbatim what OcMurse wrote. Actual trumps a risk for/potential, and the patient is taking lasix which means they are in...
  19. smf0903

    When you have a rule that you don't 'friend' coworkers on FB

    smf0903 replied to klone's topic in General Nursing

    Ignore
  20. smf0903

    Pediatric Exam Question Regarding Lasix and Furosemide

    smf0903 replied to leahashleigh123's topic in General Students

    When I was in school we weren't allowed to give a "risk for" diagnosis as a first pick because there was always something actually going on at the moment. In that spirit, I would actually pick
  21. smf0903

    IV incompatibility error

    smf0903 replied to Pinkflower77's topic in General Nursing

    Always, always, always check compatibility. I look it up even if the off-going RN says it's compatible. I always check cr clearance as well to make sure the dosing is appropriate. A couple of years...
  22. smf0903

    "I am a nurse!"

    smf0903 replied to Emergent's topic in General Nursing

    Actually had this happen about a month ago. I showed them the
  23. smf0903

    Worried about program dismissal after death in family

    smf0903 replied to coldcore's topic in General Students

    I agree 100%. As far as I figure it, even your job usually gives bereavement
  24. smf0903

    long days, back discomfort and cracking?!

    smf0903 replied to bailyoneohnine's topic in General Students

    Stretching is paramount. I use Ben Gay or capsaicin on my back and I never wear socks other than compression socks (you'd be amazed at the difference they
  25. smf0903

    Nurse week, scavenger hunt

    smf0903 replied to Dskipp's topic in General Nursing

    If you'd like a good activity, how about having people take over patient care for an actual, uninterrupted lunch break? Our facility always has a big lunch/dinner and you know who's at it? Management....