Karou

Karou

Med-Surg

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All Content by Karou

  1. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    Wow, I just re-read that thread, and the posters are eerily similar. Both work with corpsman and LPN's in the ED. Neither understand the definition of delegate. Both make threats about PCT's setting...

  2. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    I think this is confusing because the OP is talking about two entirely different settings. CNA's in LTC who do not have any specialized training aside from their CNA cert and whose job description is...

  3. Employers and personal private info

    Karou replied to aanyangwe's topic in First Year After Licensure

    Is it for home health? When I applied for a HH position I had to fill out and provide all of that information as well. I assume car insurance is because it's HH and you will be driving to and from...

  4. Is there a legal way to donate unexpired costly medication?

    Karou replied to pmabraham's topic in General Nursing

    I wish there was a better way to utilize medications like this. Medications that aren't expired but the patient no longer needs. We waste so many expensive medications that are perfectly

  5. $39/hr Wound RN pay in Fort Worth, TX. Fair? or should I negotiate for more?

    Karou replied to Jujubee21's topic in General Nursing

    Congrats on the job offer! For DFW, that's great pay. We have a lot of nurses from the Philippines in the area. Do you know anyone who works in DFW? If so try to contact them because I know there are...

  6. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    I didn't know that it was a protected title in some states. I have only ever lived in Texas. I did a quick Google search to see the different requirements for PCT positions and was really surprised at...

  7. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    Most nurse practice acts say you are required to follow up and check tasks that you have delegated to a CNA. Is there anywhere that this isn't a standard and requirement? I mean, the responsibilities...

  8. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    Always say no? I can't always say no, how can they? Sometimes we can say no. Sometimes we should (like in your example). But if you are ever asked or told to do something within your job description,...

  9. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    I have only worked in Texas. Here hospitals can hire people with no healthcare experience or certifications and they are trained to be PCT's. Many are CNA's though, and we also have several PCT's who...

  10. Why do nurses delegate with a power trip?

    Karou replied to CrzyNrsBSN's topic in Patient, Colleague Relations

    I can tell you are really passionate about this topic. I started out as a CNA in LTC, worked at the same facility later as an LVN, and now work in a hospital as an RN. How many LTC/NH facilities have...

  11. Are care plans valuable?

    Karou replied to Nurse Beth's topic in General Nursing

    I don't think they add any value to nursing care where I work, but they do help with charting. Adding specific problems to the care plan auto populates certain rows to our flow sheets. So when a nurse...

  12. RN's and specialty catheters

    Karou replied to AnthonyD's topic in General Nursing

    Med-surg here. Nurses can do three ways and coude's. Need an order for a three way but not a coude. If someone is having trouble then they call the urology floor and get a nurse from there. If they...

  13. 7:30 meds? Who is responsible for giving?

    Karou replied to Manda92's topic in Patient Medications

    We work 7-7 and give any meds before seven (am/pm) on the shift we work. Day shift does 07:00 meds and night shift does

  14. Be honest, what pt behaviors do you find annoying?

    Karou replied to CrunchBerries's topic in General Nursing

    All of these! How about when the patient calls at 21:00 for their dose of dilaudid that's "due", and when you go to the room they are on their cell phone and look at you like you're an inconvenience...

  15. Worst/silliest/are you serious pt complaint you've received?

    Karou replied to odaat's topic in Patient, Colleague Relations

    I, along with 5 other coworkers, was accused of neglect by a patient. On a day they I hadn't worked. The complaint was obviously untrue, but still had to be investigated and taken seriously. Everyone...

  16. Patients wants a back rub

    Karou replied to Oceanpacific's topic in Patient, Colleague Relations

    I would offer each of my patients a back rub every shift if I had the time. Unfortunately, I never do and I can probably count on one hand the number of ones I have been able to do this in the...

  17. Nurses- medical provider needs your opinion!

    Karou replied to Buckeyeqt's topic in General Nursing

    About being on call... I have always thought that the provider on call gets paid for being on call. I had someone else tell me that's not true. Does it depend on the physician group? This was from a...

  18. Nurses- medical provider needs your opinion!

    Karou replied to Buckeyeqt's topic in General Nursing

    I never WANT to page a doctor on night shift, especially after midnight. I try to address any patient concerns at the start of shift (do you take a sleeping pill? Is your pain well controlled?) and...

  19. What nursing task do you loathe???

    Karou replied to richardgecko's topic in General Nursing

    -Getting vital signs at 03:00. -Trach anything. -Sputum samples or phlegm in general. Nooooo. -Bipaps. As soon as RT puts it on the patient they have to go to the bathroom or need a PO med. Our...

  20. Strange CoWorker Stories

    Karou replied to Adele_Michal7's topic in Geriatric, LTC

    I just can't comprehend how crazy some people are. One of my family members works in the medical field but not as a nurse. This happened before she started at her current facility so she did not know...

  21. How do you handle narcissist patients?

    Karou replied to mikala3's topic in Patient, Colleague Relations

    I just want to throw this out there that I didn't think the OP was literally diagnosing this patient as narcissistic or having a specific disorder. OP described behaviors that I generally associate...

  22. Why don't you just read the chart?

    Karou replied to Guest219794's topic in Patient, Colleague Relations

    I think it makes sense that the ED usually places in the AC. It is annoying when they get to the floor and constantly bend their arm, but I understand and can appreciate why the ED uses it as their go...

  23. What's the meanest thing a patient has said to you?

    Karou replied to fangirl's topic in Patient, Colleague Relations

    I really like this! When I think about it, this statement can be true for me

  24. I am leaving LTC yet again

    Karou replied to Blackcat99's topic in Geriatric, LTC

    I worked in LTC as a CNA and LVN. I would never work there as an RN. It's sad because that population is in need of caring and competent staff, but corporate management in these facilities are so...

  25. Weird meds

    Karou replied to Naomimillerrr's topic in Patient Medications

    I wear gloves for all IV meds. I don't think it's usually necessary, but I do it more for the patients sense of safety and cleanliness. I don't don gloves just for po meds, but often I already have...