elthia

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All Content by elthia

  1. elthia

    Nursing as maid of all trades

    Only certain meds are available by override. such as 10 mg morphine syringes, but not 4 mg morphine syringes, yes you could do a waste, but the barcode on the 10 mg syringe won't scan into the...
  2. elthia

    How many Pt do you take care of?

    We do "team nursing" at my place of work, med surg floor at a hospital. I work evening shift. 2 RN's one of which is also charge, 2 LVN's, and 1 NA for 32
  3. elthia

    What computer charting system do you use?

    I think the VA's system is unique to the VA. It's the only one I have ever used. I have heard many nurses new to the VA state that once they get used to the system it works great. I have also heard...
  4. elthia

    Nursing as maid of all trades

    Sounds like my workplace. Except that usually we can't get into the pyxis because our biometrics is off and the stupid thing won't read my fingerprint, or the patient med list hasn't been uploaded to...
  5. elthia

    Futile Care Theory

    This is a debate that IMHO will never be settled because it is not black and white, there are too many grey areas. I've had family say "just keep him alive, his son/daughter is trying to get here,...
  6. elthia

    Share Your Saying

    No problem, actually feel rather all blushy and pleased. Care of a terminal patient is a soapbox of
  7. elthia

    How long until burn out?

    Burnout occurs seasonally for me near the end of the hospital's fiscal year. (sarcasm). I tend to get burnt out when I don't have enough staff, too many patients, not enough supplies, no one to get...
  8. elthia

    Share Your Saying

    "How much more grevious are the consequences of anger than the causes of it." Marcus Aurelius "Beware of the fury of the patient man." John Dryden "Love the heart that hurts you, but never hurt the...
  9. elthia

    Smoking among Nurses is hypocritical.

    Maybe I speak out strongly when I say smoking is an addiction, but I am a former smoker, and when I quit I went through physical and mental withdrawal. I still crave a cigarette every now and then,...
  10. elthia

    If you could no longer be a nurse?...

    Difficult one for me, due to personal circumstances at this time. I think a nurse practitioner, darn still nursing. I book reviewer for a newspaper/magazine. Eventually one day, a mother. An...
  11. elthia

    Smoking among Nurses is hypocritical.

  12. elthia

    Family Witnessing Code Activities

    I think it would traumatize me to see my loved one coded. Something that I would have nightmares about later. I'd rather not have a memory like that bouncing around in my head when I remembered that...
  13. elthia

    Family Witnessing Code Activities

    Unfortunately yes. They family members were shoving and hitting the nurses and then the code team when the code team arrived. They were screaming and cursing. Security had to drag them out of the...
  14. elthia

    Charting for behaviors

    I would chart exactly what was said. I would also chart the patient's body movement's, i.e., " the patient stepped up to CNA, was withing 6 inches of CNA's face, using loud tone of voice, right hand...
  15. LOL, the official story I heard was that the VA I work at was given an certain amount of $$$ for the fiscal year. then after the budget was made the amount of $$$ was decreased. So no OT for nurses,...
  16. Have had a NH that was sent to ER for constipation, and was admitted. Abd, soft, nontender, BS x4, no n/v. Had an ER from a different hospital call the desk demanding info on a pt on my floor. Turns...
  17. elthia

    Nurses Rule

    Please send the note. As a nurse, it is nice when you get a big thumbs up from a
  18. elthia

    Unsafe staffing

    does your state board offer a "safe harbor" option??? I'd look into
  19. I could not survive without computer charting and bar code med administration. the chart, labs, MAR, everything is linked together.You can go back as far as you need to in the patient's record. If the...
  20. elthia

    Nurses who smoke - I'm a smoker

    I think it's different, smoking cessation needs to be individualized. Some hospitals and clinics offer smoking cessation classes. Me, I just clung to the mental image of all the patients I've seen...
  21. I work for a Va hospital, and yes I know the system isn't perfect, and frankly I think the union needs to be thrown out so we can get rid of some of the worse employees. However, if you have a...
  22. elthia

    treatment of IVDA patients

    It's difficult to explain. But when you have worked in the same place and seen the same people admitted over and over for "detox, polysubstance abuse, etoh, suicidal ideations, depression,...
  23. elthia

    What Is Your Biggest Weakness?

    My biggest weakness. Certain family members, not all just a certain type. The type that are never there when something is taught to the patient, or the patient signs a consent for a procedure. Those...
  24. elthia

    What Is Your Biggest Weakness?

    I know this is months later, but I don't know if I could survive in a hospital without computerized charting and bar code med administration. Orders are written on the computer, dont' have to decipher...
  25. elthia

    Nurses who smoke - I'm a smoker

    I agree. It was a horrible experience, I left a pack on cigarettes on the counter ...and just forced myself to walk by them day after day. I ate a lot of microwave popcorn, lol. There were times when...