Karou

Karou

Med-Surg

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All Content by Karou

  1. Most of these mistakes don't bother me. I see them charted in nurses notes, doctors notes, even occasionally in some of my favorite published books. I make them myself sometimes. What really bothers...
  2. on Getting Fired

    Coworker recently got "fired" for advising a diabetic patient that since her BSG was high, she really should not have a treat that she requested. The nurse brought the treat after the patient...
  3. Male modesty double standard

    Am I the only one who thinks at least two users on here are the same person, using multiple accounts? Maybe more? 1. There might be a "double standard" on modesty on occasion. I have never seen it...
  4. Are physicians that thick?

    I understand your frustration. It sounds like you tried what you could and alerted the right people for assistance, but no one was yet available. It would be nice if physicians realized that we have...
  5. condom catheters

    The problem with that brand is how dang expensive they are. They fell off constantly on my unit. They were also a huge pain to apply also to get that "flower" on right. For both the reliafit and...
  6. I thought the OP said they were using a stand assist (I assumed stand lift like you described), and the patient requested a "hoist" (I imagined this as a full body hoyer lift). Not the other way...
  7. You did the right thing, that is extremely suspicious. Let administration handle investigating it. I would have done the same thing that you
  8. honest mistake and treated like a criminal

    I don't have much to say except in the future you should discard/waste all the pills if any are spilled and redraw all of them again. That way you actually know you are giving the patient all their...
  9. best i quit or fired story

    I was working in a rehab facility and we had a new agency CNA on night shift. She disappeared for three hours. By the time anyone realized she was "gone" and not just taking a very long lunch about...
  10. Why do we hate admissions?

    I think it's the idea of getting an unknown patient and not really knowing what to expect (even with a good report it's still all up in the air until you see the patient). As the admitting nurse you...
  11. I am trying to come up with a way to phrase what I want to say but still be tactful... OP, I think you realize by now that your actions in responding to this patients behavior are incorrect. Other...
  12. fim testing

    I hated FIM scoring. Did you attend a class during orientation? Is there someone you can ask about some extra education materials on it? I had to attend a few days of classes and practice...
  13. I get a better response with some PCT's if I make it clear to them why I asking them to do something. "Can you take Mrs. Brown to the bathroom? I need to give pain medication to Mr. Smith. Thank you...
  14. I would call pharmacy and notify them of the order, then ask them their advice. Really we usually have a nutritionist and pharmacy decide TPN mixtures and infusion rates. If it's day time, can you...
  15. Sometimes it's the demanding patients and family members. High acuity patients and understaffing, Most often it's just the stress of being pulled in too many directions at once. It's gotten better as...
  16. The Worst Nursing Job You Ever Had

    LTC- not in general, but a specific one. I worked two shifts before calling the DON and saying I was not coming back. I felt in danger from both the residents and the staff. Many of the residents were...
  17. What is the typical hospital schedule?

    Sometimes I like a couple of weeks of 3 days in a row, with 4 off between. Sometimes I like to split it up with 2 on and 1 off then work my 3rd day. I plan my schedule around what's going on in my...
  18. Placebo effect

    Exactly what The Commuter said. The placebo effect is well documented and very real. The real issue is ethics in administering
  19. prn med help

    I know you have clarified much but I still want to be clear... He has Norco ordered as needed, tramadol as needed, and scheduled tramadol for 08:00, right? At close to six (05:50) he asked for the...
  20. It is impossible. If you have 7 patients, that is spending less than 10 minutes in each room when you go there for your "hourly rounding" and gives NO time for charting. Ridiculous. We do hourly...
  21. Could this be construed as "abuse"?

    I found my dementia patients generally didn't like being touched and viewed most contact as painful or caused them to get agitated. When I worked in LTC I used an electronic wrist BP cuff. My patients...
  22. I have stuck myself twice. The first time was with an IV. I was demonstrating our IV equipment to a student, specifically how to advance the catheter while pulling the needle back. I stuck myself,...
  23. Pay for parking?

    I pay. The hospital I work at doesn't own their their parking garages. It's not a huge amount
  24. quick questions re abx and

    As long as the antibiotics are compatible, I don't know why they shouldn't be able to infuse at the same time through the same line if connected at the y site most proximal to the patient. We have an...