Double Dunker

Double Dunker

Med Surg/PCU

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All Content by Double Dunker

  1. How Resilient Are You?

    Double Dunker replied to Carol Ebert's topic in Health, Stress Management

    I'm probably just annoyed because this hits entirely too close to home...but to talk in your introduction about having a house fire or losing a loved one and then in your article talk about your car...

  2. Gloves required for ALL oral meds.

    Double Dunker replied to Leonardos's topic in Patient Medications

    I guess I'm not seeing what the big deal is. You have to use hand sanitizer between patients anyway. It's just gloves. I know a lot of nurses that use gloves when giving all meds, regardless of...

  3. OR vs Post Surgical - Which would you pick

    Double Dunker replied to 2018nursewi's topic in Nursing Career

    What are you interested in? If you want to circulate, you should take that job. In my city, it's hard to get into the OR, and the residency programs won't take you if you have more than 2 years of...

  4. How much PTO does everyone get?

    Double Dunker replied to Camino77's topic in General Nursing

    I'm a float nurse, and as such don't accumulate PTO despite being full time and benefitted. But the pay is

  5. "I am a nurse!"

    Double Dunker replied to Emergent's topic in General Nursing

    I once had a family member who was related to the patient by marriage, who also happened to be the chief of surgery at our sister hospital. Said chief told me he wanted me to put in an order for a...

  6. bedside CPR alerts

    Double Dunker replied to MMT5056's topic in Patient Safety Issues

    Aren't most of the hospital employees required to have BLS certification? If so, the assumption would be those staff members in the room at the time of arrest would begin CPR, so it is important to...

  7. night jobs for potential nurse student

    Double Dunker replied to nr92's topic in General Students

    My hospital is always short on patient care techs at night. My hospital also has unit secretaries at night, but I don't know how common that

  8. Need some med error stories!

    Double Dunker replied to elenuhm9's topic in Nursing Student Assistance

    Search for heparin errors in the NICU. Lots of devastating errors to read

  9. Stadol question

    Double Dunker replied to Munch's topic in Patient Medications

    We are seeing a lot more creative pain management plans because of the nation wide shortage of narcs, and because the DEA is cutting the production of prescription

  10. Many nurses do not chart?

    Double Dunker replied to Guest716906's topic in General Nursing

    Do you have a unit educator you ask about

  11. When cliques undermine team dynamics

    Double Dunker replied to Emergent's topic in Patient, Colleague Relations

    It seems no matter where I am (I float between floors and hospitals) thete's always animosity between day and night shifts. It's unfortunate many can't see that each shift has its own unique...

  12. What meds would you not give together?

    Double Dunker replied to meg2014's topic in Medical-Surgical

    This isn't really what you asked, but rather a medication lesson learned the hard way! If a patient is receiving meds through a g-tube or NG tube, make sure it's okay to crush the med or open the...

  13. Dealing with rude family members

    Double Dunker replied to QueenRN299's topic in General Nursing

    I would have told the family member the patient indicated she was finished with her meal. She has no food restrictions (or outline what restrictions she did have) so feel free to offer her

  14. Nexiva IV and valves

    Double Dunker replied to sameasalways's topic in Infusion, Intravenous

    Interestingly enough, my facility is studying whether these IV starts are more likely to infiltrate than other types. Apparently the ICU nurses were noticing a trend and so now we chart which type of...

  15. private rehydration services

    Double Dunker posted a topic in General Nursing

    Anybody ever heard of this? I'm wondering how it's legal - whose prescribing the toradol and the "zolfran"? Mojo

  16. Nexiva IV and valves

    Double Dunker replied to sameasalways's topic in Infusion, Intravenous

    I have some experience with the Nexiva. No, you can not float the catheter in with saline. I hate

  17. Verbally abusive patient, worried I could have handled the situation better

    Double Dunker replied to NurseMom2016's topic in General Nursing

    Yep, us too. If the patient is unable to get up and get his own drink, then he's on a fluid restriction, tough cookies. If the doctor wants to lift the fluid restriction, then she can. But I can't....

  18. New Checklist to help do your job?

    Double Dunker replied to HeySis's topic in General Nursing

    We had a form to fill out to document a 2 person skin assessment had actually been done on admission and documented in the chart. It did actually help to make sure this was getting done so we weren't...

  19. Night Shift Causing Relationship Problems

    Double Dunker replied to Purple_roses's topic in General Nursing

    One of my preteen daughters used to come home from school yelling at the top of her lungs at her brother, knowing full well I was sleeping, all while complaining all I ever did was sleep all day. So...

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

    Double Dunker replied to livealoha's topic in Ob/Gyn

    I started off in med-surg and have since been trained in postpartum once I went to our float pool. You absolutely are NOT over reacting. The patients are completely different! I know how lost I...

  21. Female catheterization with possible retained tampon

    Double Dunker replied to heatherrn1234's topic in Medical-Surgical

    Some women still menstruate when pregnant. If it was a planned csection, she wouldn't have had any contractions to push it out. Or did she insert it after the csection d/t the

  22. I didn't become a nurse to feed people's addictions. Do *nurses* have the right to refuse

    Double Dunker replied to Thankgodforativan's topic in Patient, Colleague Relations

    I don't understand why so many are giving the OP such a hard time. Anyone who has worked med-surg for any length of time has cared for many of these types of patients and knows how exhausting they...

  23. Can nurses do more for patients coming from ECFs with stage III pressure ulcers?

    Double Dunker replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    This is absolutely true. Some SNFs I'd recommend in a heartbeat based on how their patients present upon admission. Others, as soon as you hear a patient is coming from them, you know their skin is...

  24. For The Love Of All That Is Holy . . . .

    Double Dunker replied to Ruby Vee's topic in General Nursing

    Someone recently updated the labels in our nutrition room. The saltine crackers were right next to the "chicken

  25. Bored, Burned out?

    Double Dunker replied to Mr. Nightingale's topic in General Nursing

    I think it can be both boring and challenging. Some days it is super tasky and list checking. But if your patient's condition is constantly deteriorating, your brain will be tired from all the...