Noryn

Noryn

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All Content by Noryn

  1. I really do feel bad for you. There are so many people out there that intentionally intimidate. One nurse told me that I hadnt put a paper in the billing clerks box one time and for me to be sure to...
  2. Who am I, the HIPPA police?

    Wow what a grey area on if it was a HIPAA violation or not. My interpretation would be this--if it was the actual person who said they were on the phone then no it would not be a HIPAA violation. If...
  3. You didnt read my whole post! I stated that threatening behavior was unacceptable. The quote you quoted me was referring to the cell phone use. My personal opinion is that I would rather aides in...
  4. Wow what a bad situation. It all depends on the circumstances. If this is normal behavior then something definately may need to be said. I said "may" because some places are really slack on the...
  5. Can I give half a dose?

    It honestly depends on the facility, medication and the reason for the medication. It also may depend on the doctor as some could get upset. At my facility if someone only wanted lets say half of a...
  6. suctioning

    Will suction catheters reach the carina when you go through the nose? Also will the catheter actually go into the trachea? When they are on a vent you have a direct line to the carina although I...
  7. Got hired one day and fired the next

    There was a great poll out a few months back that had nursing home administrators at the bottom for perceptions of honesty and trust. Find you a job in a hospital--you will get a lot of experience...
  8. bradypnea... respirations 8-10 normally

    I used to know a doctor who told his patients something like normal was a guy in Arizona who ran 5 miles a day. "Normal" by most definitions I think just reflects statistics. Most of us have been...
  9. What Would You Do?

    If your unit doesnt have oxygen I am betting that it doesnt have any other emergency resuscitation equipment. As someone else said look at your policy and procedure. If you do call a code does the...
  10. on probation because i made a mistake

    I can understand the drug testing if you make a mistake. That seems like a fair enough intervention but from what I am reading she is now subject to take a drug screen whenever her number comes up...
  11. on probation because i made a mistake

    I am going to have a heart attack reading some of these posts. I first thought why would you have to go through all of this just because you made a mistake. However this wasnt accidental it was...
  12. Hey, is this legal????

    This is just ridiculous. It seems to me that if two or more people are making mistakes then there is a problem somewhere else. Perhaps it is that 1 nurse has 30-40 patients? If I were those nurses...
  13. Texas catheter HELP!

    I almost do the same thing as Dutchgirl. First get permission to trim the hair near the base of the member or he is going to hate you when you try to take that off. I always hold the tip of the...
  14. I have never worked on a unit that had doctors there 24/7 although my hospitals have been relatively small. Of course in the ER there was a doctor there all the time and at one small hospital very...
  15. Most nurses dont recommend that you go straight into an ER or critical care setting after graduating hence the old deal about getting a years worth of med surg experience. I honestly am not sure how...
  16. RN Responsiblities

    There is quite a bit to remember. Because of the nursing shortage and facilities understaffing we are forced to prioritize patients very often. Therefore when you address 1 problem you have 3-4 that...
  17. Is this the entire situation? I cant believe that you would be fired for having other nurses help you do blood sugars that wasnt done on the previous shift especially if you were
  18. Almost fired today

    That pulmonologist is obviously to blame after all he does perform percutaneous tracheostomies. That Ativan order--the pulmonologist's fault. The Haldol order again the pulmonolofist's fault. That...
  19. Is this normal?

    I wouldnt doubt it--I see so many people trying to make medical decisions and it is just scary. I have seen "them" do pretty stupid things. I also have heard from patients that one of our local...
  20. Plebian who wants to be tactful

    I wont get into a nursing home discussion here but to put it bluntly from what I have seen older people are almost forgotten. It reminds me so much of an assembly line at nursing homes. Nursing home...
  21. Prioritizing patients....

    Usually you refer to your ABC's when prioritizing patients. Airway, breathing, then circulation then anything else. You need to think about what will kill the patient. For example if you have...
  22. Almost fired today

    I actually tried to respond to this thread yesterday and it was locked. Just from reading your posts it does seem to me as if you dont think there was any major problem with your mistakes, that...
  23. Pain management in nonverbal patients

    I also do not mean to lower the priority of pain management--it is extremely important. However finding the reason for pain or picking up on changes in pain can be life
  24. Pain management in nonverbal patients

    Nurses beat themselves up so much even when it appears they did a great job but that criticism is often a valuable learning tool. First, most of us arent psychic so there was really no way you could...
  25. Plebian who wants to be tactful

    You sound like my kind of CNA! The part about not cleaning them but just changing their brief kills me. I see this so much but now the CNAs that work with me know they have to wash with soap and...