NurseSpeedy ADN, LPN, RN

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All Content by NurseSpeedy

  1. NurseSpeedy

    Patients Say the Darnedest Things

    NurseSpeedy replied to allnurses's topic in General Nursing

    "Hey, I need to borrow your scissors " Says confused patient in
  2. NurseSpeedy

    Patients Say the Darnedest Things

    NurseSpeedy replied to allnurses's topic in General Nursing

    Patient: "I'll be right back! I have to leave to go to my methadone clinic right now but I will come right back". This was an ER that we spent over an hour and several attempts to FINALLY get IV...
  3. NurseSpeedy

    Is it customary where you work to recheck BPs manually?

    NurseSpeedy replied to klone's topic in General Nursing

    I always recheck. In the acute care setting, when calling a doctor to report an abnormal BP and looking for intervention, the first response I would get was "recheck it manually"...um, that is the...
  4. NurseSpeedy

    Narcotics disposal in home

    NurseSpeedy replied to SCgirl1962's topic in Patient Medications

    Not hospice either but a question that I struggled with when at an ALF. The kitty litter was used for a wasted medication (ex: refused, fell on floor, etc)...but if the patient died we were required...
  5. NurseSpeedy

    April 2017 Caption Contest - Select $100 Winner!

    NurseSpeedy replied to Joe V's topic in News, Announcements

    Now I know why the ER moved to the top floor. It's too bad we didn't work out the kinks to the new Express Patient Transit to Room System before going live-it seems he got stuck in the shoot. Hey, at...
  6. NurseSpeedy

    April 2017 Caption Contest - Select $100 Winner!

    NurseSpeedy replied to Joe V's topic in News, Announcements

    I don't think a camera or net bed could have helped prevent this new
  7. NurseSpeedy

    regarding ratios: 5:1 days, 6:1 nights

    NurseSpeedy replied to nursewall-e's topic in General Nursing

    Take
  8. NurseSpeedy

    COPD 96% on RA hypoxic?

    NurseSpeedy replied to NorthernNurse BSN,RN's topic in General Nursing

    Wow. Too much O2 for a COPD patient can actually harm them. If they are truely 96% on room air (considering this is accurate), then they do not need O2. To throw a whopping 4L on them is overkill....
  9. NurseSpeedy

    Witnessing Consent

    NurseSpeedy replied to Apples&Oranges's topic in General Nursing

    Our system is electronic so we get an electronic order for witness consent. The order includes the doctor and the procedure. The doctors notes (hopefully) include notation about the conversation with...
  10. NurseSpeedy

    Questioning a doctors order

    NurseSpeedy replied to MrsJt's topic in Patient, Colleague Relations

    If this is the case then maybe management needs some clinical education about infection control, especially since there's no confirmed negative results in the chart. And by clinical education I am NOT...
  11. NurseSpeedy

    April 2017 Caption Contest - Select $100 Winner!

    NurseSpeedy replied to Joe V's topic in News, Announcements

    Nurse: "All right Sir, you need to stay in your bed so I can listen to your lung sounds. I promise I am not in possession of any sharp objects to stick you with or tubes to insert through primarily...
  12. NurseSpeedy

    Tell on yourself, if you dare...

    NurseSpeedy replied to audreysmagic's topic in General Nursing

    I did the same thing as a student and I'll never forget
  13. NurseSpeedy

    Tell on yourself, if you dare...

    NurseSpeedy replied to audreysmagic's topic in General Nursing

    My long term friend was interviewing for the NSA. The recruiter needed to interview me as part of the background check and it had to be in person. He was already forewarned that I worked atleast 6 12...
  14. NurseSpeedy

    Tell on yourself, if you dare...

    NurseSpeedy replied to audreysmagic's topic in General Nursing

    I've mistaken enough spouses/partners for the child/parent that I have learned to never, ever assume! I now start the conversation into this territory with "And you are...I've been doing this long...
  15. NurseSpeedy

    Foley in patient with undiagnosed urinary crystals

    NurseSpeedy replied to notanumber's topic in Patient Safety Issues

    I second the urology consult. I've removed many Foley catheters that were left in long term when a patient was sent the the hospital that I worked at with UTIs (we are going back a long time when...
  16. NurseSpeedy

    April 2017 Caption Contest - Select $100 Winner!

    NurseSpeedy replied to Joe V's topic in News, Announcements

    Nurse: "I have no idea how he got up there. I swear!" Management: "The ER mentioned you whining about how you were going to hit the ceiling if they sent you another confused admit today" Nurse: "Yes!...
  17. NurseSpeedy

    Orders from hell...

    NurseSpeedy replied to Leonardo Del Toro's topic in General Nursing

    Ah, yes, the home o2 eval. Especially crazy when they are only 90% on 4L/min at
  18. NurseSpeedy

    Orders from hell...

    NurseSpeedy replied to Leonardo Del Toro's topic in General Nursing

    Respiratory or blood pressure parameters for a comfort measures only patient's
  19. NurseSpeedy

    Orders from hell...

    NurseSpeedy replied to Leonardo Del Toro's topic in General Nursing

    diet orders for a patient with an NGT to
  20. NurseSpeedy

    Orders from hell...

    NurseSpeedy replied to Leonardo Del Toro's topic in General Nursing

    I worked at a teaching hospital years ago when orders were hand written (no computer to prompt someone that the order may not be advisable). Each year we got a new set of interns. Without fail I would...
  21. NurseSpeedy

    LPN in assisted living: Is it time to look for a new place?

    NurseSpeedy replied to Lpn6123's topic in LPN, LVN Corner

    ALFs are notorious for crappy staffing and high turn over. Management is all about the bottom line-MONEY. Find a new job because things will only get worse with this situation. In my experience, jobs...
  22. NurseSpeedy

    Unreasonable requests

    NurseSpeedy replied to emmafrancis's topic in General Nursing

    I first try to refer them to when the doctor rounds, especially for unreasonable requests. If they are still in my face I give them the office number, where they can request to speak with the doctor...
  23. NurseSpeedy

    why can't nurses get safe staffing laws passed

    NurseSpeedy replied to lee1's topic in Activism, Healthcare

    Mandated numbers would be a nice start but it will never take into account the workload of a specific assignment. My facility does a pretty good job of not going over a given number of patients per...
  24. NurseSpeedy

    April 2017 Caption Contest - Select $100 Winner!

    NurseSpeedy replied to Joe V's topic in News, Announcements

    Somewhere, the maintenance team just joined rapid response
  25. NurseSpeedy

    April 2017 Caption Contest - Select $100 Winner!

    NurseSpeedy replied to Joe V's topic in News, Announcements

    "Darn it, he had to go do this at shift change! This incident report wil take FOREVER to fill