annie.rn

annie.rn

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All Content by annie.rn

  1. ESRD, stopping dialysis

    I took care of two in my time working hospice. Both died very quickly
  2. student in need of help

    Did not see "greenerpastures" reply before I posted. That's a good way to look at it, too and will bolster your
  3. student in need of help

    I agree with the above posters. Additionally the choice stating that he was seen asking his doctor how many more years his kidney will give him may not show he has overcome his moral dilemma b/c it...
  4. IV pushes

    I do the same thing. It is especially helpful for IVP antibiotics and Phenergan. To the OP: here is another reason why your preceptor's technique is poor practice. Once she has "slammed" the...
  5. I don't even know where to start. I am in total agreement w/ the OP. I started a thread about an MD not doing an admission assessment and then charting it:...
  6. Sharing faith at work

    ^This^ I have prayed w/ a pt. once or twice when they have specifically asked me to and there was no one else to punt the request to (i.e.,clergy member) However, as a convert from Catholicism as an...
  7. patients on methadone plus PRN pain meds

    So true! I have a friend who is a recovering heroin addict who is on Methadone. He fell and broke his hip, requiring an ORIF. He said that his pain was insane b/c the doctors didn't want to give...
  8. Dog and 12 hour night shift

    Everybody has great recommendations so I won't add anything except bring that little pup home w/ you, pronto! There is nothing better than coming home to a loving pet. No matter how stressful my day...
  9. Can you solve this mcg to mg conversion?

    Yes, nursing 101. I was able to do the conversions in my head in just a few seconds. (I LOVE me some math!) As others have said, it is a poorly written order... ripe for the misplacement of a decimal...
  10. In case you need a reminder

    Wow! What a tear jerker! Makes me proud to be a
  11. Sticks and stones...

    I love it! Touché, my friend,
  12. patients on methadone plus PRN pain meds

    You would also take into account whether or not the person takes the prn pain medication at home. We get a lot of Pain Management patients that are very often on a long acting, scheduled opiod (MS...
  13. Long post from new orientee with questions

    I hope I am not coming off as a know-it-all but the "perfect world" way you are supposed to do this is to withdraw the entire volume from the vile, waste what you are not going to use and then bring...
  14. ^Exactly!!!^
  15. In my experience, many well off Southerners are just as racist but the difference is that they keep it behind closed
  16. Then you haven't worked with enough of them. They can be rude, condescending and demanding. The condescension is the worst. They feel like you are just a lowly nurse and your whole reason for...
  17. IVP admin rates?

    I've been doing this 20+ years and I still have to look up the push rates on some meds. Eventually you will memorize the meds you use most often. Until then, you could make yourself a cheat sheet....
  18. MD-RN Relations -- There is Hope

    *hear*, not *here*. Couldn't
  19. Studer Group "Bedside Shift Report SM"

    We give the patients a letter in their admission folder describing bedside report and hourly rounding. We get so much flak if we don't do it and the patients (the ones who like to read handouts at...
  20. MD-RN Relations -- There is Hope

    That's fantastic! I'm am particularly frustrated at the moment w/ the state of nurse/doctor relations at my workplace so I am happy to here that maybe times they are
  21. MD Falsifying Charting

    Thank you for the continued discussion, guys. As I have said previously, I will not be bringing this up w/ anyone as your feedback has lead me to see the pitfalls. Some of your stories of doctors...
  22. Last night was not the first time I have seen a doctor walk into a patient's room, never touch them and then chart a complete assessment. It happened again last night. I know this with absolute...
  23. So true! They can get away with it b/c there will always be someone to take your place. To answer the OP's question, w/o a doubt,
  24. Zofran

    Would prefer Zofran over Phenergan b/c Phenergan has to be diluted and given very slowly or you risk phlebitis. In the situation you describe, time and not blowing your IV site would be of the...
  25. Things Little Old Ladies Say

    Not at all trying to be a downer (I love this thread) but I have an observation: some of the things that we find funny coming from a little old lady would be considered totally inappropriate coming...