jdub6

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All Content by jdub6

  1. jdub6

    Ethical issue?

    jdub6 replied to nursesmatter's topic in General Nursing

    I understand your distress...I once had a pt transferred to med-surg from CICU for comfort measures. As i read the notes prior to his arrival i noted the cardiologist saying that the change to...
  2. jdub6

    Telemetry Monitoring Questions

    jdub6 replied to firefighterjsh's topic in Cardiac

    Not being a tech i can't answer most if your questions. With the SP02 if the patient isn't ordered for continuous sats the bedside staff can simply disconnect the sat probe from the monitor when not...
  3. jdub6

    Has anyone worked at Dialysis at Sea Cruise Ship?

    jdub6 replied to BigBoy75's topic in Dialysis, Renal, Urology

    I am curious about some of this too...do they offer clearly marked dialysis diets on these cruises? Or assist with fluid restriction? i assume even if they offer the proper diet these patients like...
  4. jdub6

    Showers in nursing home

    jdub6 replied to Vonique's topic in Geriatric, LTC

    while some states may have a set minimum number of showers/baths, i suspect your facility policy and care plans dictate twice a week and that is why you are held to that number. The least I've seen...
  5. jdub6

    Silent alarms

    jdub6 replied to transamnurse77's topic in Geriatric, LTC

    3 years after the OP i have never heard of this. Does anyone use them or have experience with them? How do they work and how effective do you think they are?Have you noticed a significant change in...
  6. jdub6

    Non-diapering nursing home patients

    jdub6 replied to ASSEDO's topic in Geriatric, LTC

    My hospital including ED is diaperless for adults. If bed bound its fine. It's a nightmare for those who are w/c bound or ambulatory and incontinent. These folks often come in, need to be changed...
  7. jdub6

    Non-diapering nursing home patients

    jdub6 replied to ASSEDO's topic in Geriatric, LTC

    I realize this thread is old but had to comment cause i have a strong feeling on this...no the elderly/other incontinent adults are not "babies" as another PP said. However adult diapers ARE just...
  8. jdub6

    Question about holding meds?

    jdub6 replied to Scarlettz's topic in Medical-Surgical

    If this is acute care we sre talking about the pt has no right to take medication-you got an order to hold so you were covered. This would be like saying someone admitted for Xanax abuse had a right...
  9. jdub6

    PP nurse being sent to med-surg floors to take pt assignment?

    jdub6 replied to livealoha's topic in Ob/Gyn

    As someone who used to float from PICU to ED to NICU to pedi med-surg-tele-cardiac, my suggestions:iask for (abbreviated) orientation to med-surg (perhaps when you have low census and not floated they...
  10. jdub6

    I Thought I Had My Dream Job, but My Past Took It Away...

    jdub6 replied to OrganizedChaos's topic in General Nursing

    Keep in mind that to claim unemployment you must be able and trying to find work. applying for disability is a clear statement that you are not willing/ready/able to work. I would be cautious...
  11. jdub6

    I Thought I Had My Dream Job, but My Past Took It Away...

    jdub6 replied to OrganizedChaos's topic in General Nursing

    You also cannot get unemployment if terminated for cause, including misconduct, not meeting requirements or lying in your application; >OKKOOthe latter 2 apply to
  12. jdub6

    Offended a coworker

    jdub6 replied to Possum_RN's topic in Patient, Colleague Relations

    I can't get the quote feature to work but from your OP "She stood there and looked at me as I ran by to respond. Last night was the third time this happened - I was almost twice the distance away. I...
  13. jdub6

    Bad experience as a patient

    jdub6 replied to Haarlem's topic in Patient, Colleague Relations

    FYI I don't think it was helpful in any way for that person to throw the nurse under the bus like that. saying that doesn't undo what's been done and therefore serves no purpose except to upset you....
  14. jdub6

    Bad experience as a patient

    jdub6 replied to Haarlem's topic in Patient, Colleague Relations

    Re:family visiting in PACU obviously none of us can know the policy at that hospital. Often families are allowed back when a patient reaches a certain stage of recovery and the time that takes can...
  15. jdub6

    ER Nurse to Lunch Break Before Medicating Patient for Pain

    jdub6 replied to wondern's topic in Patient, Colleague Relations

    Yeah, I've heard doctors tell patientsc a million times "the nurse will be right in with your pain medicine." They then walk away and put the order in an hour later. Also the ED is very...
  16. jdub6

    Is it wrong to tell patient that they might physically hurt you

    jdub6 replied to DesiDani's topic in Patient, Colleague Relations

    I read a survey of British patients and was disheartened by multiple comments along the lines of "those heartless lazy nurses wouldn't even assist my mother when she had to use the restroom; she...
  17. jdub6

    Calling patients by "pet" names.

    jdub6 replied to dbabz's topic in Patient, Colleague Relations

    I'm sorry if I implied that this is an issue for all black people or anything like that. My point was that one individual had a very different view than mine and was very offended for reasons I never...
  18. jdub6

    California Requires Gender Pronouns

    jdub6 replied to DaveICURN's topic in Nursing News

    I can maybe see a little where OP is coming from (giving benefit of doubt). In the ED at times it can be confusing at times as we resister people by their preferred name/gender and it can be...
  19. jdub6

    Pain Medication addicts

    jdub6 replied to rgvnurse85's topic in Patient Medications

    Obviously not everyone is susceptible to addiction like i obviously was/am. The reason I share this is that I see a bias in the other direction often. Patients and nurses are given/giving...
  20. jdub6

    Resident rights

    jdub6 replied to Sleejones's topic in Long Term Acute Care

    The right to refuse care for any reason at all is a right for all competant patients. However there generally is no corresponding right to demand care. Just as one can refuse Tylenol but not demand...
  21. jdub6

    Demoted from ICU to IMCU

    jdub6 replied to TiffanyB1313's topic in General Nursing

    This is an excellent response. I started in ICU and left after 2 years for personal reasons. At the time I left I thought I was thriving but looking back i wasn't, I had no idea how much or what I...
  22. jdub6

    I can't give report to this nurse anymore !!

    jdub6 replied to Student2017555's topic in Patient, Colleague Relations

    I agree that generally once one is off the clock that is it-they're done. I suggested giving her number and leaving as a short term trial-hopefully the nurse, having to wait to call until OP is home...
  23. jdub6

    HPMP

    jdub6 replied to VARNhosp88's topic in Nurses Recovery

    glad it's ok. FYI the MRO is generally supposed to recieve and review all positive screens before they are treated as positive. It's very possible your CM really didn't know what was positive until...
  24. jdub6

    Pain Management in Long Bone Fractures

    jdub6 replied to widi96's topic in Emergency

    Our problem is our pain protocols use po Tylenol or Motrin. for some things this is fine but if they need more after being seen now they are less likely able to get toradol or ofirmev. but if we...
  25. jdub6

    Is it wrong to tell patient that they might physically hurt you

    jdub6 replied to DesiDani's topic in Patient, Colleague Relations

    Why can't you sit to stand him to use a urinal? If he is declining and not recieving and/or unlikely to benefit from PT someone needs to have a hard discussion with him and his care plan changed....