magellan

magellan

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All Content by magellan

  1. Med Surg nurse being given Tele Patients

    magellan replied to Morning Glory's topic in General Nursing

    It's even illegal to mix med surg patients to that of tele, progressive, DOU, acute rehab and some times ICU patients in the first place. Here in CALIFORNIA, it's a NO NO to mix patients in one unit...

  2. Med Surg nurse being given Tele Patients

    magellan replied to Morning Glory's topic in General Nursing

    It should be a case to case basis then. If the nurse says that she's comfortable working with tele patients then let her/him handle them. If not, then let the other nurses take the tele cases so at...

  3. Med Surg nurse being given Tele Patients

    magellan replied to Morning Glory's topic in General Nursing

    Its not all about EKG or reading the strip that separate the med surg nurse with that of a tele nurse. It comes with alot of highly specialized skills when taking care of tele patients like how to...

  4. Mandated Nurse-Patient Ratios

    magellan replied to Nurse Beth's topic in General Nursing

    The reason why mandated patient ratio is not a law in any other states except California is because of Politics Over

  5. Revoked CA Nursing License so Alabama BON To Bring Charges On 25 Year Expired License

    magellan replied to Babushka1's topic in Nurses Recovery

    Next time and for all of you who is under the radar of any Nursing Board for whatever reason, tell them that I'm not signing anything. For any cause, the Board will write up some sanctions against you...

  6. Mean nurse?

    magellan replied to will_power27's topic in Patient, Colleague Relations

    It depends on the state you work in. If you are in CALI, you would have to give thorough report in whatever unit you are because we have a patient nurse ratio law so for 30 minutes, we can give...

  7. Nurses Charged in Deaths of 12 Nursing Home Residents

    magellan replied to J.Adderton's topic in Nursing News

    Ordinarily, working as a nurse in the nursing home set up, you would expect that all the patient will be stable and if there are some instances, only one or two patients would be required much...

  8. Nurses Charged in Deaths of 12 Nursing Home Residents

    magellan replied to J.Adderton's topic in Nursing News

    The whole scenario was just the worst case with small amount of resources available to the nurses with quick deterioration of the patients in just a nick of time, 12 patients would have to lose their...

  9. Nurses Charged in Deaths of 12 Nursing Home Residents

    magellan replied to J.Adderton's topic in Nursing News

    You cannot just transfer even for one patient with just the body of the elderly to the hospital. The hospital won't accept them. They need the history and physical, recent lab works, medication lists,...

  10. Nurses Charged in Deaths of 12 Nursing Home Residents

    magellan replied to J.Adderton's topic in Nursing News

    That is why I don't go to work for several days after a disaster because you will encounter a lot of worst case scenario in the job then in the end, you'll be liable for what will happen to the...

  11. Patient discharged with elevated troponin levels?

    magellan replied to CPLibra's topic in Patient Safety Issues

    That's a good sounding nursing judgement because, as a bedside nurse, we should know how to intervene properly or else money, time and effort will be wasted and yet the patient will still be...

  12. Patient discharged with elevated troponin levels?

    magellan replied to CPLibra's topic in Patient Safety Issues

    If you left the torniquet too long, it's probably you injured the muscle around it because troponin is found in all muscles. When you injured the muscle, the troponin seeps in to the blood stream thus...

  13. Patient discharged with elevated troponin levels?

    magellan replied to CPLibra's topic in Patient Safety Issues

    As with other conditions like an increased BUN and creatinine, you cannot just say that it's really a renal condition not unless you do a lot more workup because BUN and creatinine can also increase...

  14. Patient discharged with elevated troponin levels?

    magellan replied to CPLibra's topic in Patient Safety Issues

    I went to the link above which you wanted me to see. And I found out with the readings above regarding this, "Cardiac troponin T and troponin I are cardiac regulatory proteins that control the calcium...

  15. Patient discharged with elevated troponin levels?

    magellan replied to CPLibra's topic in Patient Safety Issues

    For follow up, so when troponin, CPK, MB and other isoenzymes are increased it is a pathognomonic for muscles injury but we have to know where because there are about 640 to 800 muscles in the body....

  16. Patient discharged with elevated troponin levels?

    magellan replied to CPLibra's topic in Patient Safety Issues

    Troponin is a regulatory protein complex that is integral to muscle contraction. Troponin is attached to the protein tropomyosin and lies within the groove between actin filaments in muscle tissue....

  17. Joint Commission Citing & Employee Files

    magellan replied to brockclan3's topic in General Nursing

    What's the rationale of wiping the first blood during Accu Chek? There is a newer version of blood glucose check for several years now that is out in the market which is called Freestyle Libre. It...

  18. Nurse Charged With Homicide

    magellan replied to Nurse Beth's topic in General Nursing

    If she is guilty of reckless homicide, the hospitals therefore are guilty of it every day that it operates especially outside of the State of California since they don't have patient ratio to begin...

  19. Nurse Charged With Homicide

    magellan replied to Nurse Beth's topic in General Nursing

    If she is guilty of reckless homicide, the hospitals therefore are guilty of it every day that it operates especially outside of the State of California since they don't have patient ratio to begin...

  20. Nurse Charged With Homicide

    magellan replied to Nurse Beth's topic in General Nursing

    What kind of specialty area are you in when you give it to thousands of patient in your practice? Is your primary specialty is in the OR suite, Procedure, pre-op or ICU where the patient is hooked up...

  21. Nurse Charged With Homicide

    magellan replied to Nurse Beth's topic in General Nursing

    Given the opportunity that she correctly took Versed from the machine, I don't think that Versed would be appropriate to administer the patient with anxiety in getting the scan on her to be done. With...

  22. Nurse Charged With Homicide

    magellan replied to Nurse Beth's topic in General Nursing

    There's a lot of horror stories when there is no nurse patient ratio being implemented across the board. That's why this things are happening again and again when it comes to the delivery of...

  23. Help! Tested positive

    magellan replied to Jaybird82's topic in Nurses Recovery

    That happened to me when I was taking Ranitidine/Zantac 150 mg, it was giving a false positive for methamphetamine in my urine event though I stopped the drug for one year already. There's so many...

  24. Mandated Nurse-Patient Ratios

    magellan replied to Nurse Beth's topic in General Nursing

    The operators of the hospitals across the US would always rationalize that determining nursing staffing should be based on the acuity of the patients in the unit not by patient ratio. In my 23 years...

  25. Unsafe Nurse Staffing Ratios - Not Just in the U.S.

    magellan replied to tnbutterfly - Mary's topic in General Nursing

    So this people who are not in favor of nurse patient ratio is just primarily longing for profit not for better nursing care. It's been well researched and documented since time immemorial that quality...