smf0903

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All Content by smf0903

  1. smf0903

    Remove Foley catheter and IV when resident dies?

    smf0903 replied to Ash0315's topic in General Nursing

    We remove IVs, caths and any other lines for anyone who passes, whether with hospice or not. We also give a bath and place clean gown and linens. I work in a hospital, I don't know if it's different...
  2. smf0903

    Anyone disliked ICU?

    smf0903 replied to RNbubu's topic in Critical Care

    I just started orientation in ICU after 2 years on a tele med-surg unit. It truly IS like being a new grad again. I work and on my days off I scour through books and papers looking things up and...
  3. smf0903

    Should I resign or wait for being terminated?

    smf0903 replied to txsky SRNA's topic in MICU, SICU

    I can understand that! Some people take that mile when given an inch. I'm looking at this from my little corner of the world...in our facility, those who go on for higher education (NPs and the like)...
  4. smf0903

    Should I resign or wait for being terminated?

    smf0903 replied to txsky SRNA's topic in MICU, SICU

    Wel personally I think you've got some pretty crummy management. We have a couple of float RNs who made it known to our DON that their long-term plans are to become CRNAs and they make sure that those...
  5. smf0903

    Patient is a sex offender with a tracker on his ankle

    smf0903 replied to Alex_RN's topic in General Nursing

    Would anyone have googled this patient were it not for the tracker on his ankle? Anyone can come through our doors and be a convicted child molester, rapist, killer, you name it. The idea that the sex...
  6. smf0903

    Research patient or see patient first?

    smf0903 replied to RNingBSNing's topic in General Nursing

    This may differ based on the shift too (I work 7p-7a) but I always pop in and introduce myself before looking at anything. A quick visual gives you info like how they appear (writhing in pain? Are the...
  7. smf0903

    Doctor's lying about telephone order

    smf0903 replied to Irabee's topic in General Nursing

    Does your facility tape phone calls? I would check into that. Ours does (facility phones) and it has saved a couple of people who insisted that the recordings be heard. Surely this physician has...
  8. smf0903

    Recognition of illness/condition by smell?

    smf0903 replied to Misstika's topic in General Nursing

    GI bleeds. I've never been able to smell CDiff (and I'm ok with that LOL), but a GI bleed I can smell a mile
  9. smf0903

    On-call or cancelled? That is the question!

    smf0903 replied to Eschell2971's topic in General Nursing

    This is darn close to our policy, except we get put on call really close to our shift time (like theycall at 1800/1805 when we start at 1900)...and we get paid $2/hr to be on call instead of
  10. smf0903

    Student- Handling first surgery

    smf0903 replied to BSNAW's topic in General Nursing

    Well, I must have been lucky to be up close and involved when we did L&D. The hospital I was at was about 50/50 OB/Gyn and midwives. The mom we had laboring was using a midwife and with the mom's...
  11. smf0903

    Nursing school in my 30s

    smf0903 replied to mirem's topic in General Nursing

    If you wait until the time is "right" you'll never do it. People make it through school with babies, houses, jobs, no jobs, marriages, divorces, deaths, ups, downs, you name it. Your limitations are...
  12. smf0903

    Policies for Active drug users on inpatient unit

    smf0903 replied to vegas2sfbay04's topic in General Nursing

    It'a not an issue of being the "moral police", it's a matter of getting in front of an issue so that you don't walk in on a dead patient who's under your care. We started doing patient searches on...
  13. smf0903

    Pt family pocket narcotic

    smf0903 replied to pikachu715's topic in General Nursing

    As the others have stated, an incident report for leaving the med without witnessing the patient actually taking it would be one of the steps after the incident. Secondly, I would make sure a meeting...
  14. smf0903

    hydralazine BP range?

    smf0903 replied to zacarias's topic in General Nursing

    We usually don't give hydralazine unless SBP>160, unless they are a stroke (ischemic) pt then the parameter is anywhere from SBP>180 up to SBP>220. Depends on the pt and the doc doing the...
  15. smf0903

    Hospice patient and vitals

    smf0903 replied to Goofaroo's topic in General Nursing

    When we have hospice/actively dying patients on our floor (I work in a hospital) and family is at the bedside, we ask the family if they want vitals taken, the patient turned, etc. Most times they...
  16. smf0903

    Rural Nursing Confidentiality Issue

    smf0903 replied to cjoyz's topic in General Students

    You absolutely did the right
  17. smf0903

    Alcohol Withdrawal & CIWA

    smf0903 replied to jschong93's topic in Nursing Student Assistance

    We use CIWAs on our patients. I never come out and say I'm doing a CIWA, they can be done by talking to the patient and interacting with them without coming straight out and saying "are you having...
  18. smf0903

    Delnor Hospital hostage situation

    smf0903 replied to teacupRN's topic in Nursing News

    I remember reading the initial coverage of this when news reports kept saying "the nurses were uninjured" thinking "holy cow, how awful but it could have been so much worse." It made me so angry when...
  19. smf0903

    Low Census

    smf0903 replied to allstressedout1's topic in General Nursing

    We have sign up sheets for low census. They rotate those on the sign up sheets so that the same people aren't always getting low. So if I'm scheduled Fri and Sat and am first on the sheet both days,...
  20. smf0903

    Bed Assignments

    smf0903 replied to alleycat5106's topic in General Nursing

    This is pretty much how our facility does it as
  21. smf0903

    What Did You Get For Nurses Week?

    smf0903 replied to iPink's topic in General Nursing

    We got a full moon just like everyone else that week...plus all the crazy, let's-pee-on-the-floor-and-play-whack-a-mole-with-the-staff patients that go along with it
  22. smf0903

    When your patient codes. What is YOUR role as primary RN?

    smf0903 replied to kaylee.'s topic in General Nursing

    Info. There are always enough people to do compressions, push meds, etc. As the primary RN, I am the person in the room who probably knows the most about the patient therefore I feel best suited to...
  23. smf0903

    Too Many Nurse Practitioners?

    smf0903 replied to Nurse Beth's topic in General Nursing

    Perhaps you should re-read my post. Nowhere did I say the schools were bad or the NPs graduating from them are dumb. Just because someone can pass a test doesn't mean they're prepared to be a primary...
  24. smf0903

    What's Going on with Patients Hgb?

    smf0903 replied to NerdyMedSurgNurse's topic in General Nursing

    We had a guy one time who had cold agglutinin anemia and presented very similarly. Look it up, it's a rare form of hemolytic anemia and quite
  25. smf0903

    Reconstitution guide

    smf0903 replied to sky12's topic in General Nursing

    Any drug guide should have reconstitution amounts and what to use if the insert isn't available. Honestly I've never looked for a time period because I always have used whatever the med right after...