Here.I.Stand BSN, RN

SICU, trauma, neuro

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All Content by Here.I.Stand

  1. Here.I.Stand

    Cdiff disease

  2. Here.I.Stand

    Non compliance?

    The way I've always taken the "diet order" isn't necessarily to make sure we police their intake, but 1) to ensure that the kitchen delivers the right food, 2) to ensure we know what is ideal for the...
  3. Here.I.Stand

    Scenerio

    I think my laughter just woke up my 4 yr
  4. Here.I.Stand

    Waking your patient when coming on shift?

    Just to clarify, what you are asking is how do you know if an 0400 assessment is accurate if you didn't get a baseline at midnight? Well if the pt was woken up at midnight, how do you differentiate...
  5. Here.I.Stand

    People In Pain

  6. Here.I.Stand

    What's the nicest compliment you've gotten as a nurse?

    In the ICU, after a pt who had gone to comfort care had died: her sister gave me a big hug and said "Thank you for your beautiful care. You made a horrible day easier for all of us." Once around 8...
  7. Here.I.Stand

    Essential oils in hospitals

    I didn't get from the OP that the problem is a lack of efficacy -- I got that the problem was it was making her sick. We have had scent-free policies for YEARS because this is a real issue for...
  8. Here.I.Stand

    Nursing school and parenting

    A 3 yr old has no expectations. Cake in any form -- Wal Mart bakery, box mix and canned icing, cupcakes, whatever -- three candles and some balloons, and "Happy Birthday to You" ... and he'll be...
  9. Here.I.Stand

    Halfway Through School Crisis

    Have you spoken to your advisor? There are pros and cons of any decision; it's not a bifurcated holistic+caring vs independent+complex answer. A LTC resident with reclining status relies heavily on...
  10. Here.I.Stand

    Essential oils in hospitals

    Methinks it's time for a visit to Emplyee Health to report your occupational health
  11. Here.I.Stand

    What would you do in my situation?

    I would go so far as to make a report to the BON. Patient safety overrules our guilty feelings -- and overrules attendance policies. Sorry, not sorry -- if a nurse sets foot in a NICU while febrile,...
  12. Here.I.Stand

    Repackaging Medications

    Suspension? Do you advocate disciplinary action for med errors too? Do you honestly believe the med aide had reasons other than thinking it wasteful to throw (possibly very expensive) pills in the...
  13. Here.I.Stand

    Help :(

    Wow sallyrnrrt, that's incredible. It sounds like you got some top-notch care! One of my uncles was injured by a piece of machinery as a kid; part of his shirt got caught in a rotating...
  14. If it's a prn, something like an order for 2 Percocet or 8 mg Zofran I might administer the lower dose and note "per pt request/refused full dose." If the smaller dose is effective I'd have the dr...
  15. Here.I.Stand

    Help :(

    This. I work in an urban level 1 trauma center -- in the SICU, so I get the pts that don't die en route/ED/OR. However, I hail from a town where the cows outnumber the people. (I have never been...
  16. Here.I.Stand

    Charles Cullen and Other Healthcare Serial Killers

    I was just considering checking out Websleuths! I started listening to the podcast on Blog Talk Radio and am hooked. :) Another podcast I listen to did an episode on Beverly Allitt about a year ago....
  17. Here.I.Stand

    Pts refusing to weigh

    So refusal of an unnecessary measurement is "copping an attitude?" Interesting. Weight is a measurement -- NOT a vital sign, any more than height or % of body fat is a vital sign. If the provider...
  18. Here.I.Stand

    Nurse residency

  19. in case anyone is wondering, those statistics in my last post are from
  20. I'm sure there are docs who are bigots, but the process is not the doc's decision. I've seen countless "my license is on the line!" over issues that are in no way risking a nursimg license... I find...
  21. Here.I.Stand

    About the Nature of Nursing

    You didn't miss much by skipping it, except for the time you'd never get
  22. I don't see that he was declared brain dead... so I'm thinking it was a DCD situation. With DCD, the pt is extubated (no plug pulling). Immediately after cardiac death is pronounced, the organs are...
  23. Here.I.Stand

    Acute in patient psych gowns vs street clothes

    Honest question... what exact safety risks do socks and underwear pose, that a hospital gown does not? Especially if they have a 1:1... is the 1:1 so incompetent that they can't handle a pt with...