suanna

suanna

Post Anesthesia

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All Content by suanna

  1. A fib with rvr

    The patient has no significant health history but is a DNR status? Dosn't his family love him, or is thier a BIG will? Anyone discuss with the patient the fact that if he codes we are just gonna...
  2. It's been a LONG time since I was a new grad, but what I advise the staff I'm precepting is that the day is way too big to focus on. Ask yourself "what do I need to get done in the next 30 min?" If...
  3. Disability: genuinely curious

    The same lawyers that help with SSDI also handle these supplemental employer offered STD programs. Often the requirements to get paid from these plans are as restrictive as federal SSDI. On top of...
  4. Disability: genuinely curious

  5. Did I say something wrong?

    That is part of the problem- it is frequently easier to just do it ourselves than to try to get the staff that could and should be doing some of these tasks to take responsibility for their...
  6. Disability: genuinely curious

    We pay into social security for our entire working life. We work a job with one of the highest incidents of back/spine injury in the working world. We then end up with a choice when we have the...
  7. We've known this for 20+ years. "Body Mechanics" are just a way for the hospital or Workmans Comp administrator to twist the injury to make it seem like it was the nurses fault. I have been counseled...
  8. Did I say something wrong?

    I want the shift supervisor to call me up every hour and ask if I would "Please record the VS from my patients is it wouldn't be too much trouble". Maybe pharmacy can call me whenever a med is due and...
  9. Part of the problem is the system is finding more and better ways of sabotaging us. Before CPOE you saw or spoke to the physician so you knew when there were likely to be order changes- most of the...
  10. I've been a nurse for 30 years, I'm good at my job, and almost always get through each shift with little difficulty. I enjoy my unit and my peers. I worked one position for 20+ years, and have been...
  11. No opinions please just facts

    Who in the world told you this? An employer may have a policy of not allowing staff to work if they test positive for one substance or another, but the BON (at least in my state) only prohibits...
  12. Are Camp Nurses allowed to remove splinters?

    I'm sure this is a facillity specific question. I doubt you will find a "splinter" clause in any states scope of practice/ nurse practice act. I think this is why I would be driven NUTS by camp...
  13. Still struggling with heart sounds

    I have never in my career had a physician or peer give a hoot about heart sounds. It's nice to be able to say "this patient has a loud pan-systolic murmur that I didn't hear eariler in my shift", but...
  14. Is this what nursing is really like?

    In a word- yep. If I could do my job without being the one responsible for ensuring the resident medical staff wrote appropriate orders, the pharmacy sent and timed the right meds, housekeeping...
  15. On the "computer med admin systems" issue; These things are only as helpful as the data they are fed. In todays in-patient world, patients are unstable or they wouldn't be in the hospital. That...
  16. We have a "non-punitive" "No-Fault" med error policy. It is designed to encourage nurses to report med erors instead if covering them up. It does seem to have worked- our incidence of reporting went...
  17. Without knowing the details it's difficult to respond, but as a general rule: nurses are to accept abusive belittling behavior with a smile and never make a comment back to a patient even if they are...
  18. Does this make me really horrible?

    I'm OK with the name the way it is. I don't want it spread around that Nurses are willing to work for no pay, in terrible working conditions, with little or no equipment. That may become the policy...
  19. My L&D instructor was quite up front when she said " I don't think men should be Nurses, I don't want them in my class or my clinical rotation, but since the university insists you guys (two of...
  20. I've had the same issue. I've had to get my patients boyfriend off her PICC line while they were in foreplay, and she wanted her Q2H Dilaudid injected before they got to "the good part". At least we...
  21. Threatened by patient

  22. Threatened by patient

    This has been an issue in nursing forever. If a cashier at Walmart is called every name in the book in front of the customers and co-workers, I'm betting the manager isn't long in that job, but if a...
  23. Sticky pulse-ox on forehead

    There are pulse Ox probes designed for the forehead- they come with a cute terrycloth head-band and are placed around the temple area. Manufacturer does not attest to accuracy of finger probes used...
  24. Need Help with IV Insertion

    I've posted this before but here it is again: Invert your needle. They teach inserting the needle tip down bevel up. When you do this the tip of the needle enters the vein beefore anything else. It...
  25. We were given the opportunity to donate our time, or money, or to participate is some other fundraising efforts for other worthwhile charities in our area. Nurses give so little throughout the year it...