DusktilDawn

DusktilDawn

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  1. Rad Tech's pushing IV Narcotics for sedation

    DusktilDawn replied to GeanineRN's topic in Radiology

    I work in a Michigan facility. IV starts, IV sedation, conscious sedation are all done by RNs. Have you contacted risk management at this facility? I would ask her under what legislative guidelines...

  2. boy did I mess up

    DusktilDawn replied to ellie123's topic in Infectious Disease

    Ellie, your not the only nurse to go through this. I've had a needle stick injury. In my situation, I didn't even know which patient the dirty needle came from. I followed policy and procedure in...

  3. Upset!!! write up and patients marijuana

    DusktilDawn replied to RNGINA's topic in Home Health

    We ask because if we didn't and the patient suffered an adverse outcome from withdrawal, or an interaction with medications, WE would be held accountable. If we don't ask, the rationale for the...

  4. News of Mother's Death Left on Answering Machine

    DusktilDawn replied to Jo Dirt's topic in General Nursing

    How

  5. Lost It at Work!

    DusktilDawn replied to UM Review RN's topic in General Nursing

    Actually I don't understand why physicians don't witness and obtain their own consents. Why are we put in the middle as "witnesses." In fact I worked at a facility (in Canada) where this was done, the...

  6. Lost It at Work!

    DusktilDawn replied to UM Review RN's topic in General Nursing

    In regards to consent, what nurses are allowed to do is sign as a witness. It is the physicians responsibility to explain the procedure, the risks, the benefits, and obtain consent for the procedure....

  7. Upset!!! write up and patients marijuana

    DusktilDawn replied to RNGINA's topic in Home Health

    I had a patient calling me every foul name in the book for removing the Vicodin that someone had brought in for her (I know she didn't have it on her admission). The issue for me was that we were...

  8. Leaving LTC for hospital

    DusktilDawn replied to LPN01112005's topic in Geriatric, LTC

    This is what burns me. State requirements that do not look at the whole picture, and facilities that use them to put residents in danger and a nurse's license on the line. Why would it make sense, to...

  9. on probation because i made a mistake

    DusktilDawn replied to mom123's topic in General Nursing

    Phenergan can also be used as a sedative and as an adjunct to pain medication. I have had a lot of requests for phenergan d/t "nausea" from patients with Hx of substance abuse. I will also agree that...

  10. CNA's running assistive Living Facility

    DusktilDawn replied to MJH's topic in General Nursing

    Agreed. A relative being taken care of at home would be more of a one-on-one situation, or greater depending on the support within the home. They would not be responsible for 20-30 individuals, and...

  11. Patients always needing something no matter what.

    DusktilDawn replied to OliveVinesRN's topic in General Nursing

    Murphy's Law has a special sub-section specifically for nurses.:chuckle

  12. Dangerous coworker and unresponsive management

    DusktilDawn replied to nellwolfe's topic in General Nursing

    My question is: Who's she friends

  13. CMA vs. Nurses

    DusktilDawn replied to KuteNurse's topic in General Nursing

    I will agree that CMAs should not be referring to themselves as "nurses," in fact I consider this deceptive and fraudulent towards the patients they are providing care for. This issue you need to take...

  14. I'm so sad...sorry this is really long

    DusktilDawn replied to jessnurse05's topic in General Nursing

    Little wisdom or common sense will come from a six-pack that provides empty promises along with empty bottles. This is really someone your kids shouldn't be exposed to anyway. Actually this isn't...

  15. Tipping a doctor, acceptable?

    DusktilDawn replied to gtmoore's topic in General Nursing

    I would talk to your grandfather first before doing anything. Find out exactly why and and for what he gave the money to the cardiologist for. If you find your grandfather did give $2000 as a...

  16. New Nurse questions Illinois nrsg monitoring

    DusktilDawn replied to classactkellie's topic in General Nursing

    mas apprently fall under the illinois medical practice act, which has been ammended since the stults case, which in turn means the decision in the stults case is no longer valid law in illinois: the...

  17. New Nurse questions Illinois nrsg monitoring

    DusktilDawn replied to classactkellie's topic in General Nursing

    Not all states require certification for medical assistants. Some are trained on the job. I don't know about Illinois. As to whether a nurse whose license has been suspended would be able to work as...

  18. Noise on the Night Shift

    DusktilDawn replied to becksgr's topic in General Nursing

    I offer to close the doors of the patient rooms nearest the desk. We've become more aware of how we, as staff, may be a problem on our unit and I find that staff is significantly more quieter than...

  19. Is Ativan 10 mg po per dose too much?

    DusktilDawn replied to lorster's topic in Patient Safety Issues

    This is why I would gladly fill out an incident report with a great bit ole smirk on my face!!! ESPECIALLY since the physician requested the incident report be filed.

  20. Break anyone??????????????????????

    DusktilDawn replied to nursesue71's topic in General Nursing

    The problem is, we are not relieved for breaks. When the CNAs, ward clerks, housekeeper, etc leave the unit, who is covering for them: THE NURSES. Same on off-shifts or when staff is short, when there...

  21. New Nurse questions Illinois nrsg monitoring

    DusktilDawn replied to classactkellie's topic in General Nursing

    interesting (actually frightening) article in in regards to illinois medical assistants: http://newssearch.looksmart.com/p/articles/mi_qa4079/is_200303/ai_n9166755 nothing in this act shall be...

  22. Is Ativan 10 mg po per dose too much?

    DusktilDawn replied to lorster's topic in Patient Safety Issues

    You were correct in questioning this order. I wouldn't worry about the incident report, you acted in a manner that any prudent nurse should. Exactly why I would have questioned the dose, I would...

  23. Nursing Assistants Responsibilities-I Need Help!!

    DusktilDawn replied to ChattyRN's topic in General Nursing

    Delegation is defined as assigning or entrusting (powers or functions) to another. Entrusting means to trust and/or commit with confidence. This does include relying on another's decision making...

  24. Yeah, that's right, it's my fault.

    DusktilDawn replied to oramar's topic in General Nursing

    Zee, this is exactly why we keep coming back, for people like this who are actually the majority. These are the ones that make us feel like we've chosen the right profession and that we make a...

  25. Treating residents/patients like idiots

    DusktilDawn replied to Mirai Kangofu's topic in General Nursing

    Actually it is possible to even make a person's own name (ie: Mr. Smith) sound condescending and disrespectful if that is what the speaker intends. Tone, volume, inflection, context, and non-verbal...