Ioreth BSN, RN

Oncology (Prior: Ortho-Neuro, Metabolic Surgery)

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All Content by Ioreth

  1. Ioreth

    The traveler's I've seen... (add yours)

    Traveler 1 is frequently on our unit and has worked in all 3 major hospital systems within 75 miles. She has credentials to work Peds, OB/GYN, Oncology, ICU and MedSurg. She is competent with 3...
  2. Ioreth

    Share Policies That Have Not Saved One Life

    I keep thinking of more: Charting in the room. The patient won't shut up and let me do my work! Bedside shift report. Yes, I know this is a touchy subject. "I want to be included in what is...
  3. Ioreth

    Share Policies That Have Not Saved One Life

    One more! Physicians must put in an order for a CPAP, and the patient cannot use their own device but must use a hospital-provided device (policy in place long before COVID). If the patient...
  4. Ioreth

    Share Policies That Have Not Saved One Life

    Oooh another! Parking regulations!! Day shift must pay to park on campus or take a shuttle bus from the commuter lot. Night shift has "free" parking, but with ridiculous limitation on where,...
  5. Ioreth

    Share Policies That Have Not Saved One Life

    That critical lab or imaging results has to be reported to the RN who then has to relay it to the physician. My hospital uses EPIC, which is customized to each individual hospital. Why can't...
  6. Ioreth

    Anything wrong with speaking out about staffing issues at work?

    My only experience is in the hospital, so the work culture will certainly be diffierent. We all talk about staffing and retention issues all the time. Lately the upper management has started having...
  7. Ioreth

    A Fracture from a Fall: What's Going on Here?

    Patient stated she lives with her daughter and no others, but won't provide contact information. Is there anyone else who visits frequently, or even infrequently but has seen her recently? I...
  8. Ioreth

    A Fracture from a Fall: What's Going on Here?

    It is pretty typical for head lacerations to bleed profusely. Is the bleeding normal for a head laceration or does it continue after holding pressure and closing the laceration with sutures and/or...
  9. In my hospital unit, we have an advanced dementia patient who is periodically violent and is sadly fairly young and very strong. Due to her unique situation, she has been here for a long time and...
  10. TLDR (cause I can't edit): Patient loopy and sedated arrived to unit, requiring lots of work to keep safe. Came more awake shortly before shift change, safe, pain acceptable, respiratory status...
  11. Ioreth

    Things I wish my patients understood

    Countless times I have been screamed at by patients or family when they wanted a med the physician specifically said no to. Alternatives were offered each time, but they wanted that one thing. Gentle...
  12. Ioreth

    Things I wish my patients understood

    I don't know what your hospital stay will cost, but refusing necessary cares and medications will prolong it. The activity and movement restrictions are for your safety, and ignoring them will...
  13. Ioreth

    Epic Rover

    My hospital is about to roll out Epic Rovers. My understanding of the online training for this device is it is an I-phone with an app that allows some (but not all) access to Epic documentation. We...
  14. Ioreth

    Getting fired by a patient/ family member

    Reasons I've been fired: Patient fell asleep and dropped his PCA button. It was looped through the rail of the bed for this very reason. I discovered it had fallen when hourly rounding. Patient...
  15. Ioreth

    Nurses That Never Worked In A Hospital...

    Being in the hospital setting, I also hear "this is how they did it at my rehab facility/assisted living facility" or "this is how my home health nurse does it". For most things, a skill can be done...
  16. Ioreth

    Nurses That Never Worked In A Hospital...

    It wasn't intended to be a complete list, though I wish I could recognize everyone. I just wanted to recognize some of the non-hospital nurses I've interacted recently. I also wanted to point out that...
  17. Ioreth

    Nurses That Never Worked In A Hospital...

    Myth #1 Glamorous nursing jobs exist. Nope. Not a one. Hospital nursing really bites a good deal of the time. We are told to do the impossible and get chewed out if we miss our lunch break or...
  18. Dang! That original arrangement of getting holiday pay even when not working is really nice. OP: We had a cruddy situation almost all last year with a horrible manager that drove all our best...
  19. Exactly my thought! I don't break out the IV stuff unless that pain is at least 7/10. The manager is an RN and generally someone whose judgement I trust, but wasn't the management RN that came to the...
  20. Ioreth

    No Microchip In This Needle

    Don't worry, the needle is only to draw up the medication. (I have to say this every. single. time. one of my patients sees me pull up a drug with a blunt
  21. This is the sort of thing that I have nightmares about, but have never done, until now. I've been a nurse for a 1 1/2 years, all on the same unit. Worked 1 year on nights, then switched to days....
  22. All was good this morning when I came in. I ended up discharging that patient immediately after handoff this morning. The night charge has always been a mentor to me and share some funny...
  23. Ioreth

    Nurses with Unusual Diets

    My diet has been better while my hospital is providing meals during a Covid surge in my state. That surge is pretty much past, though at a higher baseline of cases than before the surge, so the...
  24. Ioreth

    Insurance for your license?

    I just looked at the options from the various professional nurse organizations I'm a member of and took the cheapest one. They all looked to be equivalent coverage. Good thought to get...
  25. Ioreth

    Superstitious Nurses

    If my patient is nauseated even a tiny bit, always bring an emesis bag to the bedside. ALWAYS prep a post-surgical room with an emesis bag, even if the PACU nurse said that the patient hasn't had any...