MC1906

MC1906

Critical Care & ENT

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All Content by MC1906

  1. Insulin given by nursing assistant?

    I'm glad that your looking! Sometimes you have to get out before things get really bad. At anytime, the state agencies can come in and do an investigation. They are there to fact find and find other...
  2. HIV testing on all patients?

    Testing in the emergency department is an excellent idea! The CDC issued recommendations calling for HIV screening for patients aged 13-64, when the individual accesses the health care system. For...
  3. HIV testing on all patients?

    At my hospital we have an agreement with a community based organization that comes to the ED and offer testing to clients. These are very effective programs because as we know the ED is a place for...
  4. Tested positive for dilaudid

    Seems like they are taking more time to investigate the situation. They could have mixed your results up with someone else...could be a cross sensistivity with what you are taking...who knows?...
  5. It's important you were remember the original scenario. If the patient was that sick and needed the blood that bad, they should be in the hospital or getting the transfusion at an outpatient center....
  6. Insulin given by nursing assistant?

    The more I hear the more I am becoming concerned. Caliotter hit it right on the nose...do you want to still work there? I would be careful fixing orders, in terms of rewriting them since you did not...
  7. Family member in room at night

    Family can be very helpful. It's good to be able to teach them about whats going on and how to care for the patient when they get home. Some family members can be a thorn but others can be heaven...
  8. It depends on the school that you are applying to. Not all nursing schools evaluate students the same. The school I went to had a point system. So I did my best to max out on the points to get in...
  9. When to turn in your notice ?

    It seems that when your traveling, your going under a contract. So you should be able to discuss the terms of your contract. NEVER burn a bridge. The recruiter is also probably trying to fill...
  10. HIV testing on all patients?

    Some hospitals make available HIV testing in the Emergency room. Patients are not required to test but have the option. HIV testing requires consent and a patient has a right to refuse. Standard...
  11. Tested positive for dilaudid

    Based on what you've said, they only said that you tested positive for dilaudid. (I would find out more information on how a test could test positive for a medication that your not currently taking....
  12. Patient ID Bracelets in LTC?

    Sounds like there needs to be a policy review. If any surveyor comes in, they do not know the patients. They may present that question and usually want a system in place that works for someone who...
  13. RN ethical dilemma

    Seems like this should be a standard practice even if the patient has a documented mental health history or not. Seems like there should be a declination form that they sign saying they refuse...
  14. Insulin given by nursing assistant?

    I've never heard of anything like this before. I know some places have UAP trained to assist with medication passes. However, usually when it comes to high alert medications, they LPN or RN is...
  15. Ok to write a dx when taking order from physician?

    Like what has been said, I would write down exactly what the doctor ordered. This should be in the form of a telephone or verbal order being read back. Order entry may require a reason code be put...
  16. 2 out of state interviews costing me $1500

    I would call and ask them about covering the cost of interviews. If they were going to cover them upfront they would have said so. They may however have a moving allowance that they give you once...
  17. Turning q2h, any ideas?

    The best thing is to bring your concerns to your manager and ask to see if they have adopted a method to turn patients on a regular schedule. There is a lot of research out there on how to implement...
  18. Trust my own instincts?

    Definitely chart your own assessment. Many times I've seen several nurses charting pedal pulses for days on a patient with a missing limb. You can always look at a previous assessment to see if you...
  19. The first thing to do here is to check the policy. If there is not a policy then it's time to create one. I think its a huge risk management issue ...did anyone check with the attorney for the...
  20. a need to vent

    Obviously the parent and you had different objectives for the patient. There are many people who think that everything deserves an ABX. You are the one with the medical training so stick to what you...
  21. a need to vent

    How do you feel your dignity was challenged in the situation you mentioned? What was the outcome of the
  22. Walden University-woohoo!!

    Congratulations!
  23. South University MSN programs

    Barinbass, Have you considered applying to a Post Master Certificate program since you already have a
  24. Gave up in ACLS class

    I think it really depends on who is teaching your class. The classes should be standardize so they do not throw wierd scenarios at you when your not in the field as a first responder. The class was...
  25. Just like how everyone is saying...do this...do that....you will not find a perfect roadmap on what to do in every situation. One of the most important nursing skills--->Assessment. It's also...