MassED BSN, RN

ER

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  1. MassED

    how to remedy this situation?

    well isn't 6 years um... YEARS?? What's the beef? Why not boast, gracefully. Boast away. I have a feeling the poster meant to type MONTHS. Just my thoughts, otherwise that's an idiotic statement,...
  2. MassED

    Hyperkalaemia and saline

    Mattiesmama, D50 is usually given 1 amp (about 20 ml prepackaged I think) for hypoglycemia, and it is pretty thick - should have a good line, otherwise it can clot. I try to push it with some saline...
  3. MassED

    Being trained by CNA to do procedures

    I would have had the resident (I'm talking physician resident) show me, politely turning down the CNA, telling her that as a nurse, you have to be trained by a licensed, trained, professional for that...
  4. MassED

    Drug Calulation Problem

    I always use "desired over have" - always.
  5. MassED

    Hyperkalaemia and saline

    wouldn't hang normal saline. Likely insulin drip w/ glucose and Albuterol via neb. Usually provide IV Calcium gluconate and PO Kayexalate as well. I have not used Sodium Polystyrene ... Sorbitol has...
  6. whaaatt? Failed to start the Dopamine? Was there a reason why, maybe?? Sorry for your
  7. MassED

    My Preceptor is making life miserable!!

    I would be matter of fact with the educator. I would also bring the manager in on that meeting, or request him or her to be present. I would explain that you are not a new nurse, but new to this...
  8. MassED

    Physical Therapy drops pt and doesn't tell RN??

    well an incident report was done. Bad for the Physical therapist to not tell you, but you did the report - most people do those much later, when they have time anyway, because the reporting process...
  9. yeah, and if you were drug-seeking, that doc would know Zofran would not be the drug of
  10. oh I've had those patients too - who just reprogram the smart pump, or open their fluids - or change those settings for their family member. It's crazy. I can't imagine overstepping those...
  11. I had a patient recently who said she was a nurse, but last worked in a hospital 20 years ago, but still... she asked me (with an IV in her arm) when she was getting her IV so she could get pain...
  12. I don't mention it unless they ask what I do. I use laymen's terms when talking outside of my own
  13. I think I'd look for another job... that's just not worth
  14. she should be getting help.... are you all a union hospital? I'd be looking to protect myself..... quickly
  15. for in the ER, bedside report is quite literal, but we are just in the room to say hi, I'm so and so nurse, taking over for so and so nurse. You're being admitted, or waiting for a CT report, I'll be...
  16. I would agree there's a HIPAA issue, regardless of you not stating a name, you're talking about that patient in front of other patients. Incidental or not, the only safeguard of patient information is...
  17. Personally, I would take the job that best fit my child's schedule and ignore the petty gossip at work. Remembering in the back of your mind why you're there. Do your job and go
  18. I can't believe that nurse called you at home! Insane! Sounds like you did all that you were to do, did all that was ordered, and sounds like a relatively standard day. You did all that you could do,...
  19. I think I'd have to quit that. Where's the line between nurse and waitress there? I'd be outta there. Complaints would come flying in with me!! No waiting hand and foot on ESI 4's or visitors... huh...
  20. that's way above and beyond for you to do hourly checks of glucose. If I were that nurse, I'd have said, thanks, but your job is to be the family member right now, I'll be doing the nursing work, but...
  21. oh god do I hate "oohhh NURSE!" Drives me up a
  22. which is why one should chart a patients behavior. Demanding, multiple requests, etc. Document document document, so if and when they do make a complaint, it is well documented how you handled her...
  23. I'd have done same thing and been thrown out right there along w/
  24. MassED

    UTI and penile piercing

    yikes.
  25. must be the "magic" age of