psalm

psalm RN

Staff nurse

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All Content by psalm

  1. Can you imagine the outrage if OR nurses walked out on a surgery that was going "beyond their shift"? Or is there something in their contract that they can stay until their role in the surgery suite...
  2. What do patients say that irks you?

    "Don't bother me, I want to sleep." Sorry, but you were admitted for DKA, and we are monitoring your blood sugar and blood pressure per doctor's orders to save you from
  3. SIGH.....You know, it just never fails.

    Cats still need to be in, in extreme weather. I can see your kitty on the top of the car,
  4. Do nurses make the worse patients?

    ...maybe, maybe not! I have called the hospitals my stepmom is a patient in and asked to talk to her nurse. First thing I do is apologize for my father's behavior!! I know how awful it is for a...
  5. I have used: "Will this matter in 100 years? Then let it
  6. Wildest lab values you've ever seen?

    My 9 month old baby boy had a WBC of 132,000. He had osteomyelitis of the ankle joint and had surgery to drain it. Hospital for 3 weeks for IV antibiotics (this was in
  7. I'm sorry for your loss and
  8. Grr! "Customer Service" Nursing Gone Crazy!

    Sorry, I refuse to call my patients "clients". And it's patient care, not customer
  9. Why do many nurses look down on LTC?

    ...I worked in LTC before moving onto an acute care setting in a hospital. I can't tell you how much my ltc experience helped me at the bedside. I would notice subtle changes in an elderly pt. that...
  10. Before surgery I could smell one of the docs' aftershave and said I liked it, but I loved English Leather. Then I got a shot of something in my IV and I said (blush)..."All my men wear English...
  11. Do you want to report her because she is a "trouble maker" or because you see a conflict of interest? Who assigns her to her mil? Is her care for her mil getting in the way of care for her other...
  12. Can an employer penalize you for calling-in due to illness?

    FMLA is only for full-time employees where I work. I went part-time due to health so I wouldn't get penalized for missing work due to illness. I can do it because we aren't dependent on my salary....
  13. You know you work nights when.......

    ...you get paid by the hour, so you should get paid for every hour worked. I would fight that & I hope you
  14. now I know why patients have ER problems...

    I was in my hospital's ER as a patient in mid November with chest pain. I was seen and set up with a hep lock and monitor quickly, labs & ekg done quickly and seen by a doc. I had pain meds...
  15. Why should a patient void before surgery?

    Here's a great opportunity to do use/develop your critical thinking
  16. EKG strips!?! All I see are lines and stripes!!!

    Look on http://www.youtube.com for ekg and acls videos. You will learn
  17. Grr! "Customer Service" Nursing Gone Crazy!

    My standard answer for nonessentials is "I will get to that when I can, or I will ask an aide to get that for you." Prioritize. Yes, it's hard when there are squeaky wheels, but my assessments;...
  18. MY OPINION......

    One of the few reasons I carry an inhaler is for the smell of smoke, from cigarettes, cigars, pipes and wood burners. I can no longer enjoy bonfires or cookouts (I stay inside). The above are all...
  19. Stethoscope with Cooties

    When I am gowned and gloved in an isolation room and discover the pt. doesn't have a designated stethescope, I will use mine with a glove covering the end. I then have to reglove and then put my...
  20. Tricks to getting patients to do what you want?

    There is a belief of some cultures for women not to bathe after childbirth for 6 weeks because it opens the body up to evil spirits. Yikes! So how far do we go with autonomy of our patients if they...
  21. being "clean" when emptying a colostomy

    Place a towel under it before you open it to empty or burp it. Depending on its position and ease of emptying, I wear either a gown or no gown...if I wear a gown I will ususally say I am for the...
  22. Is he ambulatory? Have him walk or change position and see if that helps next shift you have with
  23. Whats the deal with all the crying?!?!....

    During pediatric rotation I started crying in class when we were covering leukemias. My friend's nearly 8 year-old son died of ALS after a grueling 9 months of illness with little remission. My...
  24. passing meds for 57 residents??

    Too much to expect a competent nurse, one who won't cut corners that could endanger her residents and her staff. Does your state have a hotline for elder endangerment? Some states do...you can call...