jmgrn65 RN

cardiac/critical care/ informatics

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All Content by jmgrn65

  1. jmgrn65

    Dress Codes

    The we solved that problem we have to wear a red laminated card with white RN on it, can be seen a long distance away so you know who your nurse is, as well as physcians and other healtcare workers....
  2. Epidurals in our hospital are on thier own pump we have one kind of pump that is used only for epidural, different iv pumps for iv. Also the tubing is tinted yellow, and has no accessible ports in the...
  3. jmgrn65

    JCAHO and Time out

    Time Out just needs to be before the procedure begins someone says this is Jane Doe and we are doing blank of the blank, of course if there is a particular site like left foot then that is mentioned,...
  4. jmgrn65

    New to TCU

    Learn something new everyday;) I have been in nursing for 14 years and never heard of TCU maybe it is more popular in different areas, what you are describing is what we would call a step down unit if...
  5. jmgrn65

    New to TCU

    Is that a typo, TCU if not I am not familiar with what it is. If it is ICU, Patient to nurse ratio is different, you will need critical thinking, monitoring of the patient is more frequently, usually...
  6. jmgrn65

    What is Telemetry?

    IT is a heart monitor that isn't hooked directly into a bedside monitor the patient can walk in the hallways of the nursing unit, and be monitored at a central location, it is usually someones job to...
  7. jmgrn65

    A weird one

    I would hope that at the very least APS is involved, there is neglect whether it is just self neglect or family neglect. Obviously the patient can not take care of herself. If she was having trouble...
  8. jmgrn65

    How long is too long....dead body

    Whether the family is sue happy or not, the question remains 'why did they not move the patient out of the room' I have many questions on this, did they know the patient was dying and if so why not...
  9. jmgrn65

    Do I really need 4WD/AWD?

    i live in Dayton i have for way too long... anyway a car is fine i would recommend something with front-wheel drive which is alot of cars, my last couple have cars have had front wheel and i could go...
  10. I would have gently reminded her that there is a law HIPPA that she should be aware of and that she would know she isn't to do that and if caught there is a very hefty fine, supposedly of 50,000...
  11. jmgrn65

    Share Your Funniest Patient Stories...

    when I worked in the general ICU we had a Freq. flyer I will call g. she was in for detox, etoh abuse most of the time. One day I was her nurse and she was a&o or so I thought, she asked " so why...
  12. jmgrn65

    Can an RN insert IV catheter?

    It is more like a competency they need to know that you know how to do the skill and safely. However I worked for a doctors office, surgery center and they didn't have me show them that I could do the...
  13. jmgrn65

    Infection

    Did you draw any of BC from the port? Just my first
  14. jmgrn65

    nedd help badly..!!!!!!

    It is unethical to accept monetary gifts from patients, as far as I know candy, cookies etc, anything of little value is acceptable. we have some type of policy on it at work. Of course I am at home...
  15. jmgrn65

    Nursing school with a GED.

    I have a GED and graduated from Nursing School in 1992 and graduated this past april with my BSN So go for it. Good
  16. jmgrn65

    Computer Charting

    We have had computer charting in our ICU's for many years now, but not on our floors. I love it. I work in the ICU as resource (PRN). I usually work on the floor. Recently we converted our meds to...
  17. jmgrn65

    Pulling chest tubes..

    We have a competency for pulling chest tubes, and pacing wires. I work on a step down unit and we have pulled them forever. For awhile someone decided we could only pull chest tubes on our cabg's and...
  18. jmgrn65

    hanging IV bags w/ the pump

    I think either way is acceptable backflushing allows you to lose less fluid and does keep you from forgetting to unclamp the piggy which is so easy to
  19. jmgrn65

    Nursing Job????

    My personal opinion is Med/surg because of the greater variety, much more to learn, however ob is sometimes hard to get into so if that is something you have a desire for, most others there will be...
  20. jmgrn65

    I Passed!!!!

    congratulations:balloons:
  21. jmgrn65

    Mandatory Holidays????

    WE have six holidays basically you work everyother one. paid time an a half used to be time and a qtr. thanksgiving christmas, new years day, memorial day july 4th and labor day. what you work this...
  22. jmgrn65

    Helicopractor Pylori???

    I don't know how bad it is, but I have had it, found out I had it when I had an EGD after a long time having heartburn. But it was taken care of with tetracylcine, peptobismal, and
  23. jmgrn65

    Well Patient Who Did Not Want to be Coded

    I understand that he spent many years in the ER and saw many things, but it was limited he didn't see all the patients that are intubated and come off the vent and return to a full recovery. In our...
  24. jmgrn65

    Questioning a Docs decision...long

    It is a sticky situation, but at the least I might I said to him "You want to discharge even with the ... restating s/s pt experience and that he was out for a few seconds. I am not an Er nurse but...
  25. jmgrn65

    Staffing requirements/rules?????

    In my opinion it is a saftey issue in my hospital there is never less than 2 nurses on the floor at all times. who is going to give you a break? who is going to help if this patient crashes or you...