gtmoore

gtmoore

Critical Care, Quality Imp, Education

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All Content by gtmoore

  1. Vacation 'Denied' due to another nurse's medical leave: Fair or not??

    gtmoore replied to Nurse!Nurse!Hello?'s topic in General Nursing

    Wow, you guys are staffed really tight if only one nurse can be off at a time. What happens if someone calls out sick for 3 days in a

  2. What I call a "hot mess"

    gtmoore replied to beachbum3's topic in General Nursing

    It sounds like you are doing fine. Wow, we were not allowed to give IVP medications. It was against our school's policy and I thought our nurse practice act (at least that was what we were told)....

  3. Night shift nurses

    gtmoore replied to CABG patch kid's topic in General Nursing

    I work 3 in a row and then have 4 days off so that I can live a "normal" life on dayshift then stay up the whole night the night I have to work and sleep all day, then go in that night. Seems to work...

  4. "Weekends aren't a shift!"

    gtmoore replied to bethin's topic in General Nursing

    This sounds like this is going to **** off a lot of people. So much for patient/visitor satisfaction scores. Really, how much does it cost to open up the cafeteria for a couple of hours to the...

  5. Is It Wrong to Look at Your Own Medical Info?

    gtmoore replied to jamonit's topic in General Nursing

    Yes it's against policy, and people have been fired at my hospital. You have to go through the traditional route of requesting your medical record just as any other patient has to

  6. graduation

    gtmoore replied to nursing4nena's topic in General Nursing

    My hospital does hire new grads, but generally it is new RNs that have worked in the OR as OR techs. The problem is that it costs an incredible amount of money to orient and train an OR RN. So many...

  7. Tipping a doctor, acceptable?

    gtmoore posted a topic in General Nursing

    Hello My Dad took my grandfather to his cardiologist a couple of days ago. My grandfather was there for a follow-up appointment after having a pacemaker inserted. Before the appointment, my...

  8. Politely refusing

    gtmoore posted a topic in General Nursing

    The director of nursing of the hospital called my house and left a message begging me to come in on Saturday night to work the floor. This is a big thing since this is my nurse manager's boss and I...

  9. Politely refusing

    gtmoore replied to gtmoore's topic in General Nursing

    Thanks for everyone's help. Maybe I was making more out of this issue than I should have. Here was my email reply: I received your phone message. Thank you for thinking of me. Unfortunately, I am...

  10. Leaving AMA and insurance threat

    gtmoore posted a topic in General Nursing

    I was told by our risk management department that it is illegal to tell a pt leaving AMA that their insurance will not pay for their hospitalization. However, I routinely hear RNs telling pts...

  11. Mouth Care Ventilator Pt: ET vs Trach

    gtmoore posted a topic in MICU, SICU

    Our hospital policy states that mouth care must be provided to ventilator patients q2hr. There is no differentiation between vent pts with an ET tube vs a trach. My thinking is that trach patients...

  12. Schedules

    gtmoore replied to emmybear2005's topic in General Nursing

    Sounds like a load of BS. Maybe if you all banded together and complained or signed a petition, they would put the schedule out at least two weeks early. If not, it sounds like you cannot live your...

  13. What do you all think of tele patients drinking coffee

    gtmoore replied to RNCRNA2BE's topic in General Nursing

    I think it is OK unless the pt is going for persantine cardiolyte stress test. Even decaffeinated drinks within 12-24 hours of the test can cause a false negative test

  14. Visiting Hours

    gtmoore replied to redwolf's topic in MICU, SICU

    Up to discretion of nurse. Family routinely stays the night with

  15. Do you get paid from being 'on-call'?

    gtmoore replied to Toby's mum's topic in MICU, SICU

    $3/hour, pretty bad. No OT if called

  16. TPN with insulin

    gtmoore posted a topic in General Nursing

    I always thought that when TPN has insulin added to it, two nurses had to verify the order sheet against the TPN bag. Today, two nurses thought I was crazy for asking for a witness. We need a...

  17. TPN with insulin

    gtmoore replied to gtmoore's topic in General Nursing

    OK, thanks all for the input on double checking TPN in general. By the way, our policy does not mention double checking. However, as good practice, I will from now on.

  18. Peritoneal dialysis cell count

    gtmoore posted a topic in General Nursing

    I have always put cell counts for PD dialysate in a sterile cup when sending the specimen to the lab. Today, the lab informed me that the specimen should have gone into a lavender top tube. Never...

  19. IV push administration

    gtmoore replied to Gottago's topic in General Students

    didn't realize students are "allowed" to administer IVP meds. But, no, no reason to flush before, but you should flush after, obviously. As a general rule, you should also dilute the morphine in a...

  20. Doppler placement during code

    gtmoore posted a topic in General Nursing

    Does anyone know the proper doppler placement during a code to check pulses during CPR? I've seen it placed over the pedal pulses, radial pulses, femoral pulses and carotid pulses. Which is the...

  21. Doppler placement during code

    gtmoore replied to gtmoore's topic in General Nursing

    Thanks to all for the

  22. Fentanyl patch & witnessing

    gtmoore posted a topic in General Nursing

    Hello My facility does not require a 2nd RN to sign off when a fentanyl patch is removed and wasted. An RN today was surprised that this was the case and said everywhere she has worked, the removal of...

  23. Nursing administration forcing us to take too many patients

    gtmoore posted a topic in General Nursing

    I work at a hospital that until the last week or so would close beds once we reached our pt/nurse ratio of 5/1. The unit is a renal tele floor and vented pts/drips/etc are not unusual. 5/1 is pushing...

  24. KCl CR Ok to open capsule?

    gtmoore posted a topic in General Nursing

    I have heard various opinions on opening KCl capsules and either giving it through a GT or giving to a pt in applesauce, etc. Is it OK?

  25. Tipping a doctor, acceptable?

    gtmoore replied to gtmoore's topic in General Nursing

    Very true,