smf0903

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All Content by smf0903

  1. I'm sorry about your grandpa You are exactly right that no one here has the answer but if I may add my .02 here I will say that you have to do what's in your heart and not let your actions be...
  2. smf0903

    Rolling out bedside report

    Bedside report is great in theory. In reality, it takes longer because you give one up front, no-holds-barred report to the oncoming and a pretty, generalized report at the bedside. Then there's the...
  3. smf0903

    Riddle me this Batman?

    I thought it's suppose to be kept out of the
  4. smf0903

    Are mittens a restraint at your facility?

    JC was just at our facility and we were informed that mitts are
  5. smf0903

    State Surveyors Are Here...What Do You Do?

    Isolation rooms are suddenly the place to
  6. smf0903

    How to get over fear of blood, injuries, etc?

    Everyone has their kryptonite A lot of people seem to be put off by mucus/suctioning, for some it's funky wounds, others it's broken bones...personally I can't stand eyeball stuff or seeing a body...
  7. smf0903

    Students (and others) using staff parking

    Same here. No way were we to even think about parking anywhere close to where the employees parked. Seriously, I am surprised this isn't enforced as a lot of facilities have some pretty slim pickin's...
  8. smf0903

    Digoxin Therapeutic Range

    Therapeutic range is 0.5-2.0 ng/mL. The 0.5-0.8 ng/mL is the target range but up to 2.0 is considered
  9. How to wash our
  10. smf0903

    PVCs vs ST Segment Depression on EKG

    Now that I have started things off for you, I suggest you review your EKG material because this stuff should all be explained in depth to you. You give school way too much credit. There is no "in...
  11. smf0903

    Personal Resource Notebook

    I have a small one I keep in my bag. While all of our policies and procedures are online, they have them in weird places with not much rhyme or reason where you find them. I could spend a ridiculous...
  12. We are a small rural hospital (just for background to this question). We've recently run into an issue with patients coming from SNFs/LTACs in our area. Anyone with something we didn't stock (our...
  13. smf0903

    Question about patients from SNF/LTAC

    This is what I was referring to...we carry the standard stuff and care supplies but we had someone come with a specialized (I don't recall what exactly the deal was) and the facility the patient came...
  14. smf0903

    The ridiculousness of LTC/SNF

    I think I got an ulcer reading this post. My gosh, that is
  15. smf0903

    To wash or not to wash?

    Everyone on our unit gets a head-to-toe bath every day...and all the parts Days normally perform baths, unless it's crazy then we do one at night. NPO and vent patients get oral care Q2hr. Everyone...
  16. smf0903

    Is the flu slowing down where you are?

    Not here either. Our facility has been at capacity...extra shifts for everyone. Doesn't help either that a lot of nurses and aides have been down with the flu as well
  17. smf0903

    How confident are you with reading tele

    I am always learning and will love the day when I can confidently look at a not-so-run-of-the-mill strip and know what it is. If in doubt I bounce it off other RNs (ones that know their stuff), the...
  18. smf0903

    Making ICU nurses feel guilty for using lift team...

    It's not just a patient safety issue, it's a staff safety issue. We regularly get patients weighing in excess of 450 pounds. Some patients, even when using a hover mat, we need 4 people to...
  19. smf0903

    Tips for isolation rooms?

    We keep a computer in the room when we have isolations. The computer gets cleaned when the patient leaves and the room is cleaned (we have one of the UV dooflitchies that is used in addition to...
  20. smf0903

    Transfers out of ICU

    We try to be considerate of transfers out to the floor. I work nights so if we transfer the order generally comes in at shift change. Unless we're moving someone out in order to get a new admit, we...
  21. smf0903

    Critical care med drips

    Your drug guide should have how to mix and normal doses/parameters (I use Davis and it has them). We have books made up in our ICU that tells exactly how to mix, what max rate/dose is, special...
  22. smf0903

    To airway or not?

    I don't think I ever had a test question in school with the option of "maintain patent airway" and it wasn't the answer. "Jane received a haircut on Friday and decided to treat herself to a set of...
  23. But she did violate HIPAA as the caption of the picture said "man vs train" or something like that. So unless NYC has 500 people hit by trains every day, it was a HIPAA violation because as soon as...
  24. A friend of mine is now a CRNA. He had to take out a butt-ton on loans (married, new home, 3 kids). The program he went through did not permit him to have a job for at least a year, so they literally...
  25. Ours has patient name, date, primary doctor, consult doctors, case management, room number/phone number, RN/aide, pain scale, acceptable pain level, time pain med given/next due, discharge plan, and...