jmgrn65 RN

cardiac/critical care/ informatics

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All Content by jmgrn65

  1. jmgrn65

    Is this inappropriate?

    jmgrn65 replied to 2shihtzus's topic in General Nursing

    not to mention looking at her chart is a major hippa
  2. jmgrn65

    why do I always have to ask but they don't

    jmgrn65 replied to oramar's topic in General Nursing

    The hospitals do because of joint commision, but doctors offices are accredited by joint commision. But it would make sense for doctors office to do
  3. jmgrn65

    Learning medications

    jmgrn65 replied to woodland21's topic in First Year After Licensure

    Looking meds is part of nursing. No one can possibly know all the meds.You will learn and know alot as time passing. depending on where you work, you will give a certain group of meds consistently and...
  4. jmgrn65

    Checking placement on a PEG tube?

    jmgrn65 replied to Skwidward's topic in General Nursing

    checking for residual will check for placement in PEG
  5. jmgrn65

    1st job in CCU

    jmgrn65 replied to neko11111's topic in CCU, Coronary, Cardiac

    ask questions, when there is a procedure or code get in the room to observe or take notes. Titrations in real life is fairly easy, because of the pumps. be aware you will probably become overwhelmed...
  6. jmgrn65

    Held Down and Forced to Take The FLu Shot

    jmgrn65 replied to Nurse_FF_EMT's topic in General Nursing

    How are in earth can they even think they can get away with that. What if someone has an allerigic reaction. Assualt and battery!!!! it is that simple. those employees need to go to the
  7. jmgrn65

    Do you now wish that you chose another career?

    jmgrn65 replied to AspiringNurse7's topic in General Nursing

    I love nursing and have always loved it. There are so many different things you can do in Nursing. School Nursing Nurse Practitioner Nurse Educator Case Management Office Nurse telephone triage nurse...
  8. jmgrn65

    A Flutter irregular, it is A Fib?

    jmgrn65 replied to meimeiy's topic in CCU, Coronary, Cardiac

    Atrial flutter is not always regular, the best way to tell them is Flutter waves look like saw teeth, an Fib looks like a squiggly
  9. jmgrn65

    MDs should obtain & have patients sign consent

    jmgrn65 replied to riley50's topic in General Nursing

    THis what occurs at my hospital. I don't have them sign unless the Doctor has spoken to them first. Usually if a doctor is asking for the consent to be signed he has spoken to them, note i said...
  10. jmgrn65

    Delegating

    jmgrn65 replied to bluebreeze's topic in General Nursing

    D/C generally means discharge I think you are on the right track. I am thinking this is team nursing. SO the RN will be ultimately over all the patients. THe patients that you assigned to UAP, they...
  11. jmgrn65

    anybody else have trouble with Stentor?

    jmgrn65 replied to ebear's topic in General Nursing

    We have been using Stentor for years, really no problems. If passwords are a problem than that is the IS or IT (whatever you might call them) problem and they need to be made aware of it. If it x-rays...
  12. jmgrn65

    D.i.c.

    jmgrn65 replied to zlatamoya's topic in General Nursing

    Have seen DIC a few times, main treatment is Heparin. Treatment of symptoms if hgb is low then of course blood and Platelets. Have seen pts
  13. jmgrn65

    The Circumcision Discussion

    jmgrn65 replied to jmspeach's topic in Ob/Gyn

    and better yet when the foreskin gets actually cuts into an erect member, it can actually cut off the circulation. I have seen this in LTC with older confused
  14. jmgrn65

    Job problems. HELP!

    jmgrn65 replied to Otessa's topic in General Nursing

    Well reading the posts I think the answer is obvious. To take the job 5 mins away, pays more and is nursing. Good
  15. jmgrn65

    Issues with a doc...(long)

    jmgrn65 replied to registerednut1221's topic in General Nursing

    It needs to go up the chain of command, don't jump the chain. Then it won't be handled the way it should. Take it to the Medical staff office, of Chief of Staff, VP of Medical Affairs. then up CEO, if...
  16. jmgrn65

    coding a vented patient

    jmgrn65 replied to poppy07's topic in MICU, SICU

    ACLS Guidelines say to take them off the vert and bag with 100%
  17. jmgrn65

    How would you have handled this?

    jmgrn65 replied to WTTsMom's topic in General Nursing

    We always made special circumstances for situations like this. We would let the family in and keep door closed if
  18. jmgrn65

    Ten Reasons Why American Health Care Is so Bad

    jmgrn65 replied to HM2VikingRN's topic in Activism, Healthcare

    1. i agree our costs are high, but that is partially due to paying for the indigent. 2. don't really have an opinion on this one, don't understand. doctors are paid quite well. 3. low compared to...
  19. jmgrn65

    Ten Reasons Why American Health Care Is so Bad

    jmgrn65 replied to HM2VikingRN's topic in Activism, Healthcare

    People in Canada are dying, waiting on Heart Surgery. No one system is perfect, at least we have healthcare and anyone can get it. Just go to the Emergency Room or to a clinic. Some countries don't...
  20. jmgrn65

    Low census policy at your hospital?

    jmgrn65 replied to 2ndbach's topic in General Nursing

    If the units census is down and we have too many nurses than it is possible someone would have to float to another unit. IF there aren't any needs than a nurse stays home until the next staffing...
  21. jmgrn65

    calling a code

    jmgrn65 replied to abbysmom's topic in First Year After Licensure

    call a code when no pulse or no breathing otherwise call the rapid response team. Some people are overzealous and call a
  22. jmgrn65

    Is it a needlestick if the skin is not pierced?

    jmgrn65 replied to sunny59's topic in First Year After Licensure

    no, if you are going to worry about every thing. You will make your self sick with
  23. jmgrn65

    Hospital Administrator Fired for doing jury duty!

    jmgrn65 replied to student456's topic in General Nursing

    I didn't think you could be fired for serving on a jury. Just like you can't be fired for serving in the armed
  24. jmgrn65

    Pushing drugs for the Man bother anyone?

    jmgrn65 replied to somebody's topic in General Nursing

    fyi cant find a meaning for holipathic but can for homipathic homeopathy (also homœopathy or homoeopathy; from the greek, ὅμοιος, hómoios, "similar" + πάθος, páthos, "suffering" or...
  25. jmgrn65

    Pushing drugs for the Man bother anyone?

    jmgrn65 replied to somebody's topic in General Nursing

    Well I wish you would have posted before I did, because i would have said "yea that";). You said it much better than I