SFCardiacRN

SFCardiacRN

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All Content by SFCardiacRN

  1. Lasix and Foley for female patients..automatic ?

    Convenience foleys are a common problem. They are a source of infection and uncomfortable to some patients. It is a non-indicated procedure that should be
  2. Wearing scrubs in public...

    It's not for me to decide if you are in trouble. There are issues of hospital scrub loss, carrying germs to and from work, and how good you look in scrubs. It's up to you to decide. I love scrubs at...
  3. jewelry in the NICU

    DC the jewelry and see if the MRSA rate
  4. Would like to know

    Teaching is very physical. Standing all day in front of a classroom. Chasing a dozen students around clinicals. If you need a desk job, I would look
  5. Dear Starfrek, you will be so glad you got your BSN later in your career. It opens doors not open to ADN/ASN. You do get more money for the BSN BUT only when you actually use it. Bedside RNs get...
  6. It is an ancient treatment that is making somewhat of a comeback. Hard to overlook the gross factor though. Maggots make me retch and I can't imagine trying to console a freaked out patient as the...
  7. How do you move to another country?

    Have you though about moving to a different part of this
  8. Declaratory Order, advice please.

    Best to include it now and not have a problem later. Explain it just as you did in your post and it won't be a problem. Licensing boards don't expect everyone to be "perfect angels" but they do expect...
  9. Wearing scrubs in public...

    Yes we had a problem. Over 100k per year in scrub losses. Our hospital provides lockers and changing rooms for everyone. People that decide to purchase and wear scrubs instead of a uniform or street...
  10. Post-op pain!

    You are the patient advocate. You are the one to assess the situation. You are the one to inform the MD when standard protocol is not working. It is the MD who decides the treatment to be given. It is...
  11. Can Someone Help Me Understand Delegation

    This is part of the "critical thinking" process that separates an RN from others in the health care team. We do not have to verbally direct every task and every person for every circumstance as long...
  12. Fog Out

    We also preheat the scopes in a warm water bath. But the problem really seems to be with the surgeon. Some complain constantly while others never have a
  13. Wearing scrubs in public...

    My hospital administrator got so sick of our residents running around town in scrubs and not bringing them back that she made two changes. First, we have a PIXIS dispensing system. Second, she had...
  14. Evil People

    I hate days like that. Unruly patients are bad enough but rude
  15. Help, MD not removing polyps

    You might also be wrong. Polyps are not always removed. Unless you are prepared to find another job, you should proceed with caution. Malpractice is a strong word and can be tricky to prove in...
  16. Phone calls from relatives

    All of your actions seem appropriate to me. POA's need to be actively involved in their charges care, not verbally critical after the
  17. Help, MD not removing polyps

    Leave it alone, for now. Admin and other MD's will back him up at your expense. Anesthesiologists are about the only people (other than lawyers) that can affect a surgeons practice. And they usually...
  18. 2 jobs in 1?????

    Formal school based "in house" scrub training for RN's is not as common as it should be. Scrubbing makes you a better circulator. Go for
  19. shaving cream to clean dirty butts??

    Today, standard of care is to use clippers with disposable heads. And Dan, I think you should be commended for trying to go the extra step for your patients that can't take care of themselves. When my...
  20. Help, MD not removing polyps

    I feel your pain. Some surgeons seem to be absolute psychopaths. I don't know how they sleep at night. Sometimes I pray that someday they are operated on by a surgeon as horrible as they
  21. jewelry in the NICU

    Families aren't going from patient to patient. In general, families aren't bringing MRSA, VRE or C Diff into the
  22. Variety of tasks and flexibility of schedual make nursing hard to
  23. What would you do...?

    Removing everything for surgery is "standing orders". Every patient...every case. This is why we don't understand how underwear still makes it to the
  24. Help, MD not removing polyps

    For good or bad, determining treatments is the realm of MD's. Every OR has good and bad surgeons. It is not our job to second guess their job. Now if someone were to ask for a referral, you know where...
  25. Air Embolism

    It takes a LOT of air to cause death. 50cc or more. The only ones I have heard of involved misuse of blood salvaging equipment. I think you have a right to ask for more details. Without knowing how it...