Gooselady BSN, RN

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All Content by Gooselady

  1. Gooselady

    combining PRNS

    Gooselady replied to sassyann85's topic in Psychiatric

    When I did psych, what meds we gave in emergent situations were 'preferred' cocktails entered into the MAR. The med nurse didn't have to make an independent decision, and mostly conferred with the...
  2. Gooselady

    New Grad in psych nursing. Need advice.

    Gooselady replied to RN_Incredible's topic in Psychiatric

    Not silly at all. I have some advice about something you haven't asked (and wouldn't know to!) I did mostly psych nursing, 17 years worth before I got a hair in my bum and tried something new. I did...
  3. Gooselady

    Pausing IV, clotting?

    Gooselady replied to SilleLu's topic in Patient Medications

    When you flush a saline lock, the saline within is under a tiny bit of pressure. I always clamp the line just before the last cc of saline goes in, while I'm still pushing. That makes for a bit of...
  4. Gooselady

    Social Skills in Nursing: The Art of Validation

    Gooselady replied to TheCommuter's topic in Patient, Colleague Relations

    Excellent article on an important part of being a nurse. I think most of my social skills, which are pretty good, are because I've been a nurse most of my adult life. But I didn't start out that way,...
  5. Gooselady

    anxiety vs. agitation; Ativan vs. Haldol

    Gooselady replied to aging1's topic in Hospice, Palliative

    That same dilemma was a constant go-round on the med oncology unit I worked at. Just enough patients responded best to either one or the other that the proponents of "Haldol only" never got off the...
  6. Gooselady

    Patient Rally Stories

    Gooselady replied to lifelearningrn's topic in Hospice, Palliative

    We had an 88 yr old lady who'd had a catastrophic hemmorhagic stroke, and she came to our unit (med oncology) because we did comfort care. She had a big family and they spent days visiting and saying...
  7. Gooselady

    palliative meds

    Gooselady replied to Kissy1818's topic in Hospice, Palliative

    I wonder if it is SQ because of the slower absorption rate than IV. Versed is hard core, we used it once in a while as part of a 'terminal' drip, but mostly we used Ativan 1mg/1ml. When the Versed...
  8. Gooselady

    advise requested

    Gooselady replied to janders2003's topic in Patient Medications

    I had to reread the OP. Yikes, yeah, this is reportable. It's hard to believe she did this in ignorance, we are told from first year nursing school about the proper handling of narcotics. And the...
  9. Gooselady

    Any advice for this Stagnant RN..

    Gooselady replied to xSoCaLRNx's topic in Job Search, Interview, Resume

    Are you sure you aren't me? First, there's that first year as a nurse, where you wonder what in fresh hell you've gotten yourself into . . . and then just when you can do nursing with your hands tied...
  10. Gooselady

    What do you tell yourself to get you through a shift?

    Gooselady replied to j0yegan's topic in Health, Stress Management

    I realized a few years in that I was the source of most of what made me crazy with anxiety. NOT the patients, or the other nurses, at least to the degree I felt it. They weren't the CAUSE of so, so...
  11. Gooselady

    Nurses Enabling Substance Abusers

    Gooselady replied to zombienurse13's topic in Patient, Colleague Relations

    But you are NOT helping them by denying an unmotivated addict a PRN you don't think they 'need'. Your idea of what helps them is more punitive than understanding. "Helping" someone is always a lot...
  12. Gooselady

    Frustrated is an understatement...

    Gooselady replied to NuggetRN23's topic in Patient, Colleague Relations

    When I got down to this being the third job similar issues have come up, that changed the whole context of your dilemma. I'm afraid you have to take whatever complaints you are getting seriously, in...
  13. Gooselady

    Nurses Enabling Substance Abusers

    Gooselady replied to zombienurse13's topic in Patient, Colleague Relations

    If the patient isn't motivated for sobriety, you aren't hurting them by safely giving ordered PRNs. You aren't defeating their purpose for hospitalization. It's not even illegal to be an addict, so...
  14. Gooselady

    Nurses Enabling Substance Abusers

    Gooselady replied to zombienurse13's topic in Patient, Colleague Relations

    It's a detox/rehab that is not on location, but is 'part' of the hospital. There's a psych unit on the same campus. Patients must be medically stable to do the detox at the rehab, or else they end...
  15. Gooselady

    Should I take time off? Help!

    Gooselady replied to trauma_lama's topic in Nursing Career

    I'll chip in on my regrets for not being there a heck of a lot when my kids were so little. I was a single mother, and had to work, but I still miss and regret that time the children needed me but...
  16. Gooselady

    Can't Shake Off Rude Patient

    Gooselady replied to bboy45's topic in Patient, Colleague Relations

    That's hard stuff, especially when you are new! Get to be an old battle axe nurse like me, and you'll just go to your charge nurse and say "Patient X hates my guts, can we change the assignment...
  17. Gooselady

    Nurses Enabling Substance Abusers

    Gooselady replied to zombienurse13's topic in Patient, Colleague Relations

    My hospital was in the news this last year because a patient in detox from alcohol was found dead, after obviously having seized and seized until he had a cardiac arrest. Some number of staff were let...
  18. Gooselady

    Do you think acute care nursing is becoming less safe?

    Gooselady replied to Emergent's topic in Patient Safety Issues

    That sounds about right. What's not so easy to realize is it is THIS that creates a lack of safety for patients in an already stressed environment The least we can do is not make it worse than it...
  19. Gooselady

    Can I lose my license???

    Gooselady replied to Staceyface65's topic in Nursing Professionalism

    Yes, this. There are just some impulses you don't indulge. It's like you just KNOW not to do certain things. It's more of an attitude than a specific kind of mistake. This attitude has been...
  20. Gooselady

    Nurses Enabling Substance Abusers

    Gooselady replied to zombienurse13's topic in Patient, Colleague Relations

    I agree with the other posters. I did chemical dependency nursing as a manager for four years besides caring for the constant stream of drug seeker/addicts in all other kinds of nursing. This is a...
  21. Gooselady

    Answering the "where are you going" ??

    Gooselady replied to LevitateMe's topic in Nursing Professionalism

    It's not possible to prevent gossip, they'll make it up in the absence of actual material if they are dedicated enough. Chin up, and ask yourself why you feel you need to take this so seriously....
  22. Gooselady

    Transcription error

    Gooselady replied to mak0076's topic in Patient Medications

    If this happened to you, I am very sorry it did. It's happened to me, one time a 24 hour chemo was cut one bag short, so I ended the chemo and when night shift came along, the nurse working all week...
  23. Gooselady

    Recently terminated

    Gooselady replied to beausilk74's topic in Patient Medications

    I'm surprised you were fired. We had little cubbies in the patient's room that had locks on them. We encouraged participation by family members, and I was FINE with allowing family to give...
  24. Gooselady

    How much trouble am I ? Scale: 1 to super fired

    Gooselady replied to imalilteapott's topic in Patient, Colleague Relations

    Just . . . wow! The attitude/behavior of the nursing director explains why that job is such a pit. I don't buy that anyone, no matter how high their rank, gets a free ticket to tell me to 'watch it'....
  25. Gooselady

    What can I (we) do? RANT

    Gooselady replied to Lev's topic in Patient Safety Issues

    Nursing is so NOT what we dreamed it would be. I almost gave up being a nurse at all, for a lot of the reasons you give, OP. Somehow I made 'peace' with it over the years. No matter how distorted...