Noryn

Noryn

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All Content by Noryn

  1. Help Me Make Peace With Myself

    Noryn replied to handyrn's topic in Hospice, Palliative

    Grey areas! If the pt is having any s/s of discomfort I think it is very unlikely that the morphine would hasten their death. Unless I am mistaken though the standard of care is to control pain and...

  2. I need help on a VERY basic Pharm questions...

    Noryn replied to justme1972's topic in Nursing Student Assistance

    Narcotic now does have different meanings. If you go by the pure root of the word it would mean something to the effect of inducing sleep and also at one time was used to specify opiates however many...

  3. The sugar that just kept dropping...

    Noryn replied to NewWayofLife's topic in General Nursing

    Glucophage should not directly cause hypoglycemia--even in an overdose (if they develop lactic acidosis from this then perhaps but even in that case the hypoglycemia wouldnt be coming directly from...

  4. Cardizem gtt; is this reasonable?

    Noryn replied to Virgo_RN's topic in Cardiac

    I cannot edit my last line of my previous post but that was not written correctly. I misunderstood the incoming nurse's intentions. I think you did everything right. I would titrate it down...

  5. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    In my experience it depends, just because your name is on an incident report doesnt mean it goes on your file. If ultimately you were to blame for the incident then further disciplinary action would...

  6. Cardizem gtt; is this reasonable?

    Noryn replied to Virgo_RN's topic in Cardiac

    To keep a heart rate between 90-100? Is that even possible? I have no idea how you could keep a heart rate in that range. I am not even sure you would want to keep a resting heart rate that high...

  7. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    Incident reports typically just present the facts of the case, it doesnt assign blame. Also I dont know that I have ever seen an incident report in someone's personnel

  8. What would RN's do?

    Noryn replied to BiologyNerd's topic in General Nursing

    No type of vaccination or medication is completely safe. You always have to weigh the risks with the benefits. They did recall a vaccine a few years back because it was causing an intestinal...

  9. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    That is part of my point but the OP stated that they are only putting the date it is due on the MAR, nothing else. No clarification to hold, discontinue, notify the MD,

  10. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    I also dont agree that everyone needs a pt/inr every

  11. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    But writing something in 20 different places is not feasible in long term care and adds to the workload further causing errors. I would also argue that it further complicates or creates confusion....

  12. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    But it wasnt about knowing what the PT/INR was. It was about having the phrase "check pt/inr on 05/01." I agree you should always know what the pt/inr is, I could even see documenting that along...

  13. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    Writing a person up is different than writing the incident up. From my viewpoint 6 people were wrote up, it seems to me that it isnt so much the person as the process here. I think it shows that...

  14. Written Up Again?? what's wrong with this picture??

    Noryn replied to gt4everpn's topic in General Nursing

    I disagree, an incident report would serve the same purpose. Write ups are intimidating and do hurt

  15. HIPAA violation with chart note?

    Noryn replied to samarooni's topic in Nurse Practitioners, NP

    I dont understand why she shared this with everyone. First, this instructor has not only herself breeched the patient's confidentiality but also your confidentiality as a student. If this was deemed...

  16. Paramedics Calling for Pt Info

    Noryn replied to nurseby07's topic in General Nursing

    I didnt say you were stupid but you wouldnt "fall" for asking the privacy officer if you can obtain protected medical information? That is their job and they are the ones who formulate policy. The...

  17. Paramedics Calling for Pt Info

    Noryn replied to nurseby07's topic in General Nursing

    Ultimately it is up to interpretation. The regulations are vague. I dont think anyone can prove it is a HIPAA violation, from the statement I obtained from the DHHR website it seems like it is...

  18. Paramedics Calling for Pt Info

    Noryn replied to nurseby07's topic in General Nursing

    No, I would not have given out the information over the phone. This is one of the lessons you can learn from management. ALWAYS PASS THE BUCK. Say something like, "Our privacy officer will not...

  19. Controversial Job Offer

    Noryn replied to Mommyof2RN's topic in General Nursing

    I think it very well could affect future employment. It really doesnt matter if it is "right" or "wrong" but realistically the abortion issue is very divisive and people have strong feelings. You...

  20. Attn HH Nurses: Has your agency raised your gasoline allowance?

    Noryn replied to barefootlady's topic in General Nursing

    I have always thought that unless you have a compact car, it is difficult to come out ahead with using your vehicle. I hate to see people with 20,000 + dollar cars getting beat to death on our WV...

  21. Anybody from Univ. of Charleston out there?

    Noryn replied to champ01's topic in General Nursing

    Check out Southern's campus in Institute. Much cheaper with better NCLEX passage rates. My personal opinion is this, I would not pay 40,000+ for a RN degree. Actually I wouldnt pay more than...

  22. HIPAA and personal journals

    Noryn replied to newlpn08's topic in General Nursing

    There could still be some identifying information so you need to be careful. It depends on a number of things but a big factor would be the circumstances and size of your area. If you add date and...

  23. It's MY License....Made Report to Adult Protective Services

    Noryn replied to tencat's topic in General Nursing

    Ultimately you have to do what you feel is right. I would notify my in house social worker first but if they were not doing anything about it I would then notify APS. Why is your boss mad? Because...

  24. I Dislocated My Kidney I Can't Poop

    Noryn replied to SDS_RN's topic in General Nursing

    I could almost bet anything that she wont be paying that for that

  25. Question about unresponsive patient.

    Noryn replied to poohbear1968's topic in CCU, Coronary, Cardiac

    I think you are right, call the code, lay the bed down and start CPR. After the code team arrives you can mention the increasing frequency of the pvc's. I wouldnt say they are not important but at...