Cruella de ville

Cruella de ville

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All Content by Cruella de ville

  1. Administration of PRN narcs too close to scheduled meds??

    Cruella de ville replied to pumpkinspice's topic in Patient Medications

    I think the MD would have added parameters if they had wanted them in place and is hopefully allowing nursing judgement to make some of the decision. Yes, check your policies, check with your...

  2. What Do You Do When Co-Worker Falls Asleep on Night Shift?

    Cruella de ville replied to NightNerd's topic in Patient, Colleague Relations

    I worked at a place we were allowed to nap on our unpaid lunch break but out of sight of patients. We did have a nurse who would pick up all sorts of overtime and would sleep for hours on the night...

  3. What was the REAL reason you called off

    Cruella de ville replied to Orion81RN's topic in General Nursing

    I worked at a place that had a list of questions you were required to answer. They said it was for infection control reasons but they were; Are you ill or a family member? List your symptoms? Is this...

  4. What was the REAL reason you called off

    Cruella de ville replied to Orion81RN's topic in General Nursing

    I don't go to work when I am truly sick but fortunately that only happens maybe once per year. I called in when my daughter called from the ER after hearing from the surgeon that she would be needing...

  5. Do most of the students in pre-nursing/nursing programs already work in health care?

    Cruella de ville replied to imblest11's topic in General Nursing

    I didn't work in healthcare prior to nursing school and didn't have much trouble finding a job, BUT when I started my first nursing job I wished that I had some healthcare experience. Simple tasks...

  6. Scanning in the supply room

    Cruella de ville replied to elizabeast7's topic in General Nursing

    It sounds like there are 5 steps to signing out each item so it makes sense that a busy nurse isn't finding the time to do that. We have a handheld scanner system, we grab the scanner, scan the...

  7. RN as CNA

    Cruella de ville replied to historylady's topic in General Nursing

    Your duties might be CNA but you are responsible at the RN level for your patients. This can get complicated if you report to another RN who might do something different than you would. It is your...

  8. What Can Be Done to Avoid this error?

    Cruella de ville replied to callienewh's topic in Patient Safety Issues

    Would your facility consider a generic Coumarin order? Something that says "this patient is in Coumarin, if no orders for dosing please review"? Basically something to get the nurse passing meds to...

  9. 24 hr on call

    Cruella de ville replied to nurseinmaryland's topic in General Nursing

    From the department of labor and industry website: Factors to be considered in making a determination as to whether the employer is exercising control over the employee when the employee is on call...

  10. Dr. complaint

    Cruella de ville replied to Kavikziggy77's topic in Patient, Colleague Relations

    In my state a bowel impaction is considered a sentinel event and has to be reported as a vulnerable adult report. I don't see that the OP did anything wrong, though 11 days is way too long for...

  11. 6/20 WILTW Child Welfare, Confidentiality, Contraception, Commencement, Conti...

    Cruella de ville replied to A&Ox6's topic in General Nursing

    Was there an MD who signed off on her dementia? Coukd she get a second opinion from another doctor who can vouch for her mental abilities? We have residents appoint a POA but it doesn't go into...

  12. Double Shift

    Cruella de ville replied to Adele_Michal7's topic in Geriatric, LTC

    We are mandated to 16.5 hr shifts every pay period right now and our nursing aids can be mandated twice per pay period. We get in trouble if we call in for the following shift even though it's only...

  13. Ever Feel Inadequate?

    Cruella de ville replied to NotYourMamasRN's topic in General Nursing

    I spend my commute home to reflect on each shift. What I felt went right, what I could have done differently, and how I could make those changes happen in a similar situation. It gives me a chance to...

  14. Can I ask to work exclusively day shifts?

    Cruella de ville replied to kassiahgp's topic in General Nursing

    I will admit I was one of the "negative Nellies" in this conversation. After reading through the responses I can see I was wrong. Yes it seems there are plenty of jobs available that will allow you to...

  15. What do you hate most about your job?

    Cruella de ville replied to PancakeSaturdays's topic in General Nursing

    Mandatory assignment. When I go to work for a regularly scheduled 8 hr shift and am told I have to stay for an additional 8 hr shift. This happens every pay period. Staff with children are told that...

  16. What do you hate most about your job?

    Cruella de ville replied to PancakeSaturdays's topic in General Nursing

    Mandatory assignments. Not only to fill call-ins but holes left in the schedule due to vacations and LOA. Over 70 open shifts in the upcoming pay

  17. Can I ask to work exclusively day shifts?

    Cruella de ville replied to kassiahgp's topic in General Nursing

    You can ask for whatever you want but a few things to consider, Why are you going into a field that is known to have round the clock shifts and ask for special treatment? Who do you think should work...

  18. Policy on No Reliever.

    Cruella de ville replied to Adele_Michal7's topic in Geriatric, LTC

    We can be mandated and due to short staffing we often have holes in the schedule that are filled with mandates (over 70 holes next pay period) that is before call ins. So we mandate 3-5 ppl per day...

  19. Wheelchair/lift cleaning

    Cruella de ville replied to punkdmm's topic in Geriatric, LTC

    Weekly they are sent though the wheelchair cleaner and daily wipedowns from nursing aids and housekeeping staff. Plus a double check before they are sent out for an outside medical

  20. Pt with chest pain

    Cruella de ville replied to Fishmm's topic in Geriatric, LTC

    What was the patient's code status? Are they qualified to make their own decisions or do they have a health care guardian/POA? What did their family want? Aggressive care, or no hospitalization? What...

  21. night nurse can't sleep during the day!

    Cruella de ville replied to keener's topic in General Nursing

    Have you tried Melatonin? Valarian root? Or even considered a prescription for a sleeping pill? I had a tough time sleeping for more than 3 hrs until.I tried Melatonin and Valarian root, for me it...

  22. Resident Passing thoughts

    Cruella de ville replied to Penholder's topic in Geriatric, LTC

    In a lot of Veterans Home when a Veteran passes their gurney is draped with a flag from their military branch or a patriotic quilt and then the staff, family, volunteers and other Veterans line to...

  23. Do you tell family members that their loved ones are nasty and combative

    Cruella de ville replied to DesiDani's topic in Patient, Colleague Relations

    I try to stay honest, so if we get to a point of medication they aren't surprised. We have some families who have complaints about things, but if they understand we are dealing with combativeness...

  24. adopting a facility for holiday

    Cruella de ville replied to mbtsab's topic in Geriatric, LTC

    Great idea, you may also think about trying to help the residents purchase gifts for their spouses or family left at home, it can be very hard living in a facility to go shopping and yet these are...

  25. RN working as a CNA.

    Cruella de ville replied to Cruella de ville's topic in General Nursing

    Thanks, I had searched and originally only found ones that asked if it was legal to work, especially right out of school prior to first nursing job. I found some very helpful threads that were full of...