jdub6

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All Content by jdub6

  1. While I think giving her a taste of her own medicine is hilarious I'm not sure its what I would do. Especially If she is annoying but your current relationship isn't outwardly adversarial. If you...
  2. I've done it. I'm sure i have offended some. I've also had plenty of patients ask not to be called by first name, not to be called Mrs/Mr (pt is 96-"Mr Smith was my father!") and I think by far the...
  3. jdub6

    Am I not cut out for this?

    It is not abnormal to be nervous with things that are unfamiliar. Since you started as a new grad and have been there less than 2 years I'm guessing they have not assigned you to the trauma or major...
  4. It can't be bad nursing judgement if it isn't nursing judgement at all. The doctor knew the circumstances and ordered you to maintain the line a certain way. Nursing judgement allows you to depart...
  5. Thank you for this perspective. I can see it, and never realized it before. I think I'll work on ways to acknowledge and get past that. I'm naturally introverted and find small talk draining after...
  6. jdub6

    Why do we do codes?

    (The ellipses were inserted by me as I cut out large portions of text in the quoted post above-easier than inserting 5 individual quotes from the same post!) A close relative of mine was recently...
  7. jdub6

    New Nurse, New Job, Feeling Dumb

    I'm digging up an old thread because these points are so very important. As someone with 10 years experience who recently started a new specialty in a new facility I spent months reminding myself...
  8. The report from the police committee investigating the officers conduct faulted the officer for not instructing the nurse to turn around and place her hands behind her back, nor even "giving her a...
  9. How is following hospital policy (and the law) "nursing judgement" that demands respect? That is very simply doing one's job. The policies and laws deserve respect. So does the nurse who did the...
  10. No. But an ER workup in a patient with alerted mention very likely would as the differential diagnosis for altered metal status includes intoxication. Trauma workup often include it as well because...
  11. Absolutely WRONG...yes, bloodwork is necessary to the MEDICAL TEAM. Both HIPAA and the Constitution search and seizure amendment protect patients-including unconscious ones-from having information...
  12. jdub6

    Pain Medication addicts

    LadyFree, I apologize in advance for using your post to illustrate something that may not have applied to you/yourself...I recently have had several patients requesting breakthrough narcotics because...
  13. Since someone else revived this thread i will give in to my temptation to reply as well. To all those decrying the HIPAA violation please note the actual sources quoted in this post: the hospital said...
  14. I know the OP is pretty old. Just thinking out loud though if this comes up again for someone else...are you certain that his comment to the other manager really did "out" you? For one thing, the...
  15. jdub6

    Melatonin ok?

    Should be okay. At the same time, just so i didn't have to even think about it, i got an MD note fot prn Tylenol/Motrin, Melatonin/Benadryl for sleep while rotating shifts, Sudafed before air travel...
  16. Not a flight nurse but do work critical care. since critical care is required to be a flight nurse, her best bet is to apply for as many critical care new grad residency programs as she can as these...
  17. Need some advice here...this is going to be the longest post I have ever written but I would be so grateful if you are willing to wade through it and help... I have been in recovery for over 6 years,...
  18. jdub6

    When Your Patient is an Addict...How to Deal

    And this is why we should be cautious about prescribing narcotics in the first place....because with people dependent on high doses (legal or not) it is often (though not always) literally...
  19. jdub6

    When Your Patient is an Addict...How to Deal

    I'm sorry but i have to disagree with that last sentence. certainly nurses do not diagnose addictions or provide therapy/ rehab. and obviously if someone is, say, intubated after CABG, or on the...
  20. jdub6

    When Your Patient is an Addict...How to Deal

    I obviously am not inside the head of the member to whom this reply is directed, but i do agree with some of that person's opinions and my reasoning is a bit different than what you are describing....
  21. jdub6

    New to LTC - Charting Question

    what are the policies and Medicare requirements for charting? often a daily, weekly or even monthly nursing summary is the only place really requiring an assessment as well as progress with active...
  22. jdub6

    New to LTC - Charting Question

    Borrowing meds isn't good practice 19 legal but realistically it happens in many facilities. Best way to minimize it and ensure you don't get stuck with no meds and encouraged to borrow is make...
  23. jdub6

    wound vac with infected wound?

    I'm not a wound specialist but have seen plenty of vacs used on dirty wounds- off the top of my head I'm thinking of fasciotomy for necrotizing fasciaitis, surgical sites that had been sutured/stapled...
  24. Long time addict, now long time clean RN here...and my drug of choice was opioids and benzos.... Sorry but from experience I respectfully disagree. You cannot compare drug addiction or tolerance to...
  25. Very similar situation here...similar age male, sickle cell has been officially diagnosed and he does have a sickle cell doc although possibly only because he has actually been hospitalized in the...