avado

avado BSN

CEN, PCCN

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All Content by avado

  1. Is this discipline or discrimination for being autistic?

    avado replied to Nurse Beth's topic in Career Advice Column

    I been a nurse for twenty years now in same facility. I always know social interactions have been painful for me and over the years it's becoming more apparent that I have to mask and mimic other co...

  2. frustrated with HUC and process

    avado posted a topic in General Nursing

    Is the norm with the EHR that nurses verify CPOE meds only, ancillary or both? Does your HUC triage phone calls during med pass times? Do you have a system down to prevent distractions? I am...

  3. TPN infusing when to change PICC drsg?

    avado replied to avado's topic in Infusion, Intravenous

    Thank you and appreciate your

  4. TPN infusing when to change PICC drsg?

    avado posted a topic in Infusion, Intravenous

    I have been a nurse for twenty years and was offended that the newer nurses looked at an old ancient vague policy regarding TPN infusion to look for dressing changes wrote an CPOE order that drsg...

  5. COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    avado replied to CardiTeleRN's topic in Disaster Preparation

    I am quite aware of ARDS and YES I have done vents but when the family member has "Hope" that resting the lungs will help their mother who has severe CHF? IS a poor message! I knew she would be dead...

  6. COVID: I'm ready to leave the hospital until the end of the pandemic guilt

    avado replied to CardiTeleRN's topic in Disaster Preparation

    Thank you for speaking up. Distant family member who was on bi-pap doing well and got off but then had a set back. Second, daughter was told she was getting vented "to let her lungs rest" right...

  7. COVID-19 Freebies, Discounts, and Resources for Nurses and Medical Professionals

    avado replied to Brian S.'s topic in Disaster Preparation

    What is your gear for Isolation patients? Do you have disposable stethoscopes? One mask/goggles to use for each patient? Currently, I have one n95 mask for each isolation patient and goggles/shield...

  8. Legalized Recreational Marijuana - What Will You See in the ED?

    avado replied to traumaRUs's topic in Emergency

    Don't forget the crushing chest pain from over-eating

  9. Legalized Recreational Marijuana - What Will You See in the ED?

    avado replied to traumaRUs's topic in Emergency

    I have seen in a teen would was extremely thin and developed all the clinical signs in C.H.S as example needing to take hot showers, tiger balm, smokes a bowl a/day, retching, and losing weight with...

  10. Nurse Bullying

    avado replied to amanda.sheerene's topic in Nursing Professionalism

    I would love to fill this out!! Lets say a nurse adn, been in the same organization for 30+ plus years was able to convince administration, hospital board, few doctors, and rumor mongering the staff...

  11. Tired of this manager

    avado posted a topic in Nursing Professionalism

    I am fed up with our interim manager. She is basically a wall. When I asked there is no policy or a failed order set with issues for patient safety, the answer why don't you make that policy for me?...

  12. Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    avado replied to Nurse Beth's topic in General Nursing

    I know that often our pyxis if your finger and height doesn't match up you can pull up the person or med next to it. I really do have to slow down. Last month, I had tylenol liq ud mixed in Ibuprofen...

  13. occurrence report=doctor hates me

    avado posted a topic in General Nursing

    Well, This has been bugging me. I wrote an occurrence report for a rapid response and then patient died within a short time frame after a procedure. My manager told me that I was in the wrong for...

  14. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    yes and no its something that could be used but in reality the patient died and my occurrence report was simple but the message to the manager to look into it went too

  15. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    Seriously, we had no policy except another department policy that is over 7 years old. That is how messed up it is where I work. Yes, I have taken my lumps from my annoying write up. I usually write...

  16. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    Good question.. not to make waves I guess. Why can't it be simple and used as a study? It shouldn't deter anyone. Its just

  17. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    It was guessed as sepsis. i was not present for RR but was told my manager the day out of surgery something was amissed and two other people verified what I was seeing. I just come back to find out...

  18. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    Manager knew of device, the OCR was simple, pt came in for observation status, had a rapid response, transfer to ICU then DNR within 3

  19. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    Yes, it is a fine line. I appreciate your

  20. occurrence report=doctor hates me

    avado replied to avado's topic in General Nursing

    Pt was an observation from a minor surgery that needed rapid response and later died from possible sepsis within three days. No medical doctor following? It was simple occurrence report complication...

  21. verifying telephone orders!

    avado posted a topic in General Nursing

    What does a real hospital do when a nurse takes a verbal or telephone order? Our process is to read back the order and place into computer entry, our hospital wants us to stop what we are doing and...

  22. verifying telephone orders!

    avado replied to avado's topic in General Nursing

    I know, we have been ignoring it! I am making it with aware with new upper management. There is no co-sign just stop what you are doing and read the medication order and if it looks

  23. Classes and meetings, what method works?

    avado posted a topic in General Nursing

    Hi All, Let you know our education department posts flyers for classes and our manager does the same for staff meetings. Attendance is poor. I would like to find out what kind of special phone app...

  24. Dreading bedside report with The Interrogator

    avado replied to sistrmoon's topic in General Nursing

    Is this Bedside Reporting done on an acute care floor with nurse ratio 1:5 or ICUs? I would cringe too if the Interrogator had all FIVE of my patients! Our Nurse Executive wants us to start doing...

  25. EHR "order fatigue" like "alarm fatigue"

    avado posted a topic in Patient Safety Issues

    Has any one caught or have missed orders on CPOE nursing orders? We have CPSI and our MAR is usually okay but Nursing orders can be overwhelming in our electronic MEDact (kardex). I had one patient...