marylou5

marylou5

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All Content by marylou5

  1. Many nurses do not chart?

    If you didn't chart/document it....you didn't do it! Count on it! That's what your charting reveals to everyone ...especially the Courts! Keep charting as you have been, while critiquing yourself whether or not you are long winded and how to make yo...
  2. Lots of Experience A Long Time Ago

    Most hospitals would be more inclined to consider employing you if you took a refresher course to show your motivation. Many hospitals insist on a refresher course after a five year hiatus! In fact many hospitals would consider a 16 yr hiatus means ...
  3. Is this Facebook status Hipaa compliant?

    Stay off of Facebook is the absolute best advice.... as well as never discussing patient issues with friends or strangers...funny or otherwise! You won't ever be guilty of a HIPPA Violation which is a serious offense and could have license consequenc...
  4. Demoted from ICU to IMCU

    Trust me it has nothing to do with jealousy! That's a huge stretch. You don't really believe that?? It has everything to do with safety of the patients. As a new Grad, you are at a distinct disadvantage because you haven't a clue what you don't know...
  5. Pain Scale

    More often than not...verbal communication is the best measure of pain...esp. with younger children. The child wants to get it right..to them it's just another anxiety producing 'test' they have to pass and not really high on their priority list. ...
  6. Manager interrupting

    I prefer to pick my battles..that doesn't sound like one worth fighting. You'll come up on the short end, no matter how you phrase it. You are telling your manager that her behavior was rude...not a win win for either for a relatively trivial event...
  7. Assist during pelvic exam

    I guess I don't understand your comment. You ARE working for him and the patient, at that moment. Anything you can do to expedite the pelvic exam is a win, win! He may be making comments to distract the patient. Be completely set up, swabs open, spec...
  8. Inappropriate CNA behavior?

    My concern is that you did nothing to relieve that patient's distress at the time that you felt he was being abused. You did not speak up. You did not get help for that individual whose dignity and treatment you objected to so intensely in your post....
  9. Inappropriate CNA behavior?

    Every nurse, doctor, aide etc is a mandated reporter when it comes to elder abuse and that goes without saying. If you are aware of abuse and don't report it, you are negligent and complicit. I'm sure that was covered in your class work. You are you...
  10. Inappropriate CNA behavior?

    This was your first clinical ..and you want to be a tattle tail? Careful...you have 5 more to go. (I'm not excusing or accepting the behavior..it's obscene..... if you are not being overdramatic!) It's not your job to criticize, squeal, or report, b...
  11. New nurse having a hard time with coworkers

    New nurses are targets..(and I've changed jobs enough, because of relocations, to know that is true in most places). I don't 'make friends', join in personal conversations or cliques...there are always the princesses... and the followers! I just do m...
  12. Can you refuse to give care to a resident in LTC?

    Yuk..that would set me off!!. Don't ENGAGE. Don't recognize his bullying. Ignore it!!! Don't criticize his behavior...say nothing! Go about your business. Turn off your mouth and your ears! Let him rant....remember the adage...sticks and stones e...
  13. How to deal with a bully patient?

    Bullies want you to engage..they want an audience. Don't engage! Don't argue. I resent entitled individuals taking my time from other patients. I offer the RX/Med. etc. If they refuse..I calmly state why MD ordered it, possible consequence, CYA, ......
  14. No Overtime

    I worked Rehab at one time and the mantra was always ..No Overtime! I did not go off the clock if I was not finished. I sat there and finished my work. I did not leave it for the next shift!!! I concentrated on patient care, RX, Meds, getting MD ord...
  15. Med/Surg is the most rewarding Nsg..... (if you went into Nsg with pt care in mind) ..... and the most stressful.... and I love it! It's a rat race every day. You put one foot in front of the other and do your best to make your pts comfortable and ...
  16. The Nurse at the Bedside

    Sorry, depends on the night nurse! There are too many doing only what they absolutely have to do who give ALL night nurses a bad rap! There are night nurses that get everything done and then some...patient care, emerg. cart checked and restocked, med...
  17. In desperate need of advice...being bullied at work.

    It's no one's business, but Administration, why you are not getting out on time! I would not give those people the time of day. Say nothing... stare... or smile..or say, "I'll work on that for you"...Whatever you are comfortable with. Document why y...
  18. Would you call an ambulance?

    Logic, 1.No sign/symptoms of any distress 2.Two otc pills found in bag 3.Parents KNOW not to send pills with child, since in most schools, "in school medication" is always dispensed by nurse. 4.Your professional judgement.... contact parents for ex...
  19. Nursing students who want to be NP's

    Not fun...the rudimentary knowledge is sorely lacking ;-) Have no problem with advancement, but skipping bedside experience is a huge mistake. They don't know ...what they don't know...and try to cover...doesn't work!!
  20. New RN, leaving after 6 months unprofessional?

    Human resources would not be impressed with your resume... being a new grad, leaving your first job after 4 months........a travel for fun, hiatus. Hmmm....you have not developed any real skills in 4 months...3 months orientation! You wasted hospita...
  21. The Nurse at the Bedside

    I've done it all! Worked my way "up the ladder" because it was expected that no one should stagnate. Really? I'm here to tell you that when you get to the top and are not doing what you are very good at, and want to do, bedside nursing,you are absolu...
  22. Irony regarding cellphone use at work

    Agree..oldpsychnurse.. I, personally, would not permit any cell phone use in the building. Zero tolerance..problem solved!
  23. Hmm...that's nice

    Any baby, who is in the hospital long term becomes "special" because we get to "know" them and become invested in their recovery... vs. the in and out patients. Unfortunately for our own well being, we become attached to 'long termers', and are trau...
  24. Hmm...that's nice

    I NEVER EVER tell anyone who is treating me or my family that I am a nurse. (I know how much, I don't know!) I want the MD to explain it to my family member in lay terms that they can understand..not have me translate later. I may ask questions being...
  25. Irony regarding cellphone use at work

    OMG. Agree totally!! Use of private cell phones by too many nurses/cnas etc..is horrendous..... not only in plain sight of everyone, but in Pt. rooms, or hiding in Pt bathrooms, or stairwells while patients, MDs are left unattended. Time spent on pri...