Libby1987

Libby1987

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All Content by Libby1987

  1. Nurse's Week Gifts from Employers

    Libby1987 replied to twss2323's topic in Patient, Colleague Relations

    We have a very small budget so we're giving a small but indulgent gift card (no company logo products!), cards with hand written words of gratitude and making breakfast. We can't give generous...

  2. Ng tube feeding- aspiration

    Libby1987 replied to dhoomboys's topic in General Nursing

    Checking for residual isn't as common practice as it used to be and we don't do it in the home as regular practice but if someone is telling you to discard gastric residuals, you should refer to your...

  3. Medical errors the 3rd leading cause of death??

    Libby1987 replied to ShaneTeam's topic in Nursing News

    I can see reasonable defensiveness in cases like the one you've described where a sick person dies from a SOP treatment. However the types of errors I catch, mostly medication and often they're...

  4. Is it a calling or am I just crazy?

    Libby1987 replied to emmi004's topic in General Nursing

    I don't believe in the whole calling thing. How can you be called to the whole role when you haven't experienced it yet? Are you called to be pulled in every direction at once with a lack of resources...

  5. Ng tube feeding- aspiration

    Libby1987 replied to dhoomboys's topic in General Nursing

    Going way back when we used to aspirate, I think it was aspirate over 60ml (100ml ?) was flushed back and the feeding was delayed. And then clear the tube with water. You aren't discarding the...

  6. Medical errors the 3rd leading cause of death??

    Libby1987 replied to ShaneTeam's topic in Nursing News

    I have a friend who had a grave error committed repeatedly with multiple staff and depts involved, not a single one questioned it. Of course no one is/was being forthcoming. We wouldn't have even...

  7. Depression and nursing

    Libby1987 replied to canoehead's topic in Health, Stress Management

    Do you have a routine in the morning? Could you add something that would be both self care and enjoyable? When I've gotten in that place lasting more than a few days, I've added a ritual i.e. 10...

  8. Made a "bad" decision 3 months ago, I JUST heard about it.

    Libby1987 replied to qaqueen's topic in General Nursing

    She did all of that in less than 30 minutes? How long into patient A's bath did patient B expire? 10 minutes? Leaving her to do the whole shebang in 20 minutes? That had to be a lot of rushing around....

  9. 5 8 hr shift vs 2-3 12 hr shift

    Libby1987 replied to ahrajo1458's topic in General Nursing

    For getting a year's experience in order to advance, I'd go for the 3-11 schedule on tele because nights messed me up in everyway. You'll still see a lot of medical on tele with chronic illness and...

  10. How is this cheat sheet?

    Libby1987 replied to Atownshend's topic in Home Health

    Don't these cheat sheets seem like duplication of work? Maybe it's because I've done hundreds of Oasis' on paper that the questions/format are pretty much seared in my memory but it seems like these...

  11. Doc calls nurse coworkers monkeys...

    Libby1987 replied to Cola89's topic in Patient, Colleague Relations

    Seriously, if this is more than benign unit culture (and it sounds like it is) I wouldn't engage in the back and forth, once you go there you lose your credibility if you want to make some form of a...

  12. Doc calls nurse coworkers monkeys...

    Libby1987 replied to Cola89's topic in Patient, Colleague Relations

    In front of the same people when he starts the name calling/as he is doing it, "Whether you are trying to be funny or just flat out hostile, it stops or *I* will follow it through to HR for...

  13. New grad, need advice! CNA performing RN tasks

    Libby1987 replied to The Lady Kate's topic in General Nursing

    At this point I would press my preceptor to both clarify the infractions and demonstrate the process when the infractions continue

  14. Nursing and all that paperwork

    Libby1987 replied to allnurses's topic in General Nursing

    We probaby do more paperwork in HH than anywhere else. Learning and understanding the requirements and having mental templates for the different conditions and/or comorbidities make for more thorough...

  15. Do you miss the bedside?

    Libby1987 replied to chacha82's topic in General Nursing

    Spent 2 years at bedside, 1st year as an extern, 2nd as an RN in a residency program then placed on a surgical floor. I went to HH after that for the regular work hours that lined up better with my...

  16. 5/01 WILTW: Margaritas and Oral Thrush

    Libby1987 replied to Purple_roses's topic in General Nursing

    I didn't read all of the comments. You lost me at steak and margaritas aren't my best possible chance of survival. Not sure where I'll go from

  17. Piggy back off "Irrational Patients"

    Libby1987 replied to SleeepyRN's topic in General Nursing

    I'm not justifying how they speak to you, I'm offering a different way of handling and diffusing it a bit by reducing some of their anger, which is better for you and them. You can keep doing the...

  18. What are your views on male nurses

    Libby1987 replied to jared.butler90's topic in Men in Nursing

    I get asked all of the time 1) how long and do you like being a nurse? And 2) why aren't you married? (When I've responded, "because I don't have to be" some of the older women damn near high fived me...

  19. Piggy back off "Irrational Patients"

    Libby1987 replied to SleeepyRN's topic in General Nursing

    I'm rarely sweet and apologetic and I don't ignore the yelling but I do validate their pain and delay in rx etc. Nor am I play acting, I validate from a place of sincerity. You're understaffed, yes?...

  20. What are your views on male nurses

    Libby1987 replied to jared.butler90's topic in Men in Nursing

    Our popular HS Receiver (small town) who's headed to play college ball plans to go to nursing school, it was announced on Football Senior Night, no one batted an eye. Most probably thought it was a...

  21. Would a person like me have a chance to finish the nursing program?

    Libby1987 replied to lyudmila777's topic in General Students

    I did until I read this. Your grades aren't a big concern but you might be too fragile. The referenced post was not remotely close in depth nor number of the discouraging moments you will encounter...

  22. Piggy back off "Irrational Patients"

    Libby1987 replied to SleeepyRN's topic in General Nursing

    Other than the outliers, I don't deal with agitated patients in the popular way often advised on this forum. I'm not burnt out and my/our patients end up less agitated, which is good for everyone...

  23. Hospital with Money Back Guarantee

    Libby1987 replied to twss2323's topic in General Nursing

    Did you all not hear what they're refunding? Not the big chunk that insurance covers but the patient's copay or deductible. 80 refunds for a total of 70k (or 70 for total of 80k). They might not have...

  24. Bit off more than I can chew?

    Libby1987 replied to mrsw1984's topic in General Nursing

    Those symptoms need to be reported to your nephrologist but I'm healthy and I couldn't do it. If you have nursing experience, why not home

  25. New OR nurse who wants to quit in less than 6mos

    Libby1987 replied to CaliNurseLouisiana's topic in First Year After Licensure

    Since I don't know OR, I don't know if what they're doing is reasonable or not. I'd want to get a consensus from those who do know and go with that. I have received some apps from nurses who clearly...