Daisy4RN

Daisy4RN

Travel, Home Health, Med-Surg

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All Content by Daisy4RN

  1. On Call: Vsit or Not?

    My answer would depend on a few more facts such as: who called the service originally (pt, family, neighbor etc), was anyone else with the pt (either when called was made or when you called back), did...
  2. "He's Okay"

    "Well, you can always get a second opinion" I have used the above on more than one
  3. Error Prevention Ideas

    In my experience asking 2 nurses to check anything just makes something else go wrong bc of the lost time. Nurses are usually short on time so this rarely works. I would find a way without using 2...
  4. No One Understands

    Why do you live with your parents and what is the understanding you have with them re: living arrangements (time frames, independance within the home), money (rent, utilities etc), and household...
  5. Sorry nursing

    No argument here that the delivery of healthcare has turned into an ugly hot mess. The last few years of my last bedside job I was strictly in survival mode. This was a sad state for both nurse and...
  6. Peer Eval

    HaHa, this is exactly what a few units i have worked on did, we asked the coworker first and then stated only what was pre agreed upon for area of improvement, one NM knew and didnt care, everyone...
  7. Dilaudid & Zofran?

    I have given those many many times together with no problem. Of course it depends on the pt condition, other meds on board, and doses
  8. Happy Veterans Day 2019

    A little late but... Thank you to all our brave and selfless veterans who have made many sacrifices over the years for those who are blessed to live in the US. Our society and country would not be as...
  9. RN providing total care for 4-5 patients

    Yeah I agree with you. Going from 4 pts with a CNA, to 4-5 with no CNA is way too much for these types of pts. I have worked rehab and would not be happy about this at all. It is not safe for pts or...
  10. Patients & Pet Peeves

    Unfortunately there are many people who would, and do, abuse that trust. This happens more often than not. The fact that I may not trust a patient has zero to do with their gender, culture, or...
  11. IV Magnesium in the home?

    Sounds like you got
  12. Morally Conflicted

    I would be uncomfortable with the situation also. I worked Oncology, Palliative/Hospice and have also seen many situations where trmts etc were pushed on pts with no positive outcome expected and some...
  13. INTERVIEW HEADSHOTS

    I have never heard of this either. What are they planning to do with those pics, use it for employment photo, keep it in your file, i would be very curious. Anyway, i would just wear something...
  14. IV Magnesium in the home?

    I don't think it is uncommon to give Mag in the home setting. I would check you facility (written) p/p and f/u with the pharmacist, and your nursing director with any questions/concerns. I would also...
  15. Special Needs Facility Job With 20 Patients

    I think it would depend on the acuity of the patients and what your responsibilities (paper work, care etc) would entail. This doesn't really tell you anything. "Not having to do that much" means...
  16. Nurses use workarounds all the time. This has been my experience and I have never worked anywhere that this did not occur. If I didn't know this for a fact I would not say it. Most prudent nurses can...
  17. You sign for each individual med, that is ridiculous, I have had patients with 20+ meds for just 0900. This makes me crazy that anyone thinks this makes patients safer somehow, you are right it is for...
  18. Of course the fed gov is also responsible. The article states the DEA warned about the problem but what else did they do? Anything? And dont forget JC and other hospital/facility p/p re: patients pain...
  19. Sadly, I agree. I just cant get past the fact that she didnt look at/read the vial and/or hang around a few (at the very least) to monitor, and all the while "training" someone. Having worked prior...
  20. I agree that there are far too many pop ups that do more harm than good. I would be curious to see stats on this prior to, and after, the use of Pxyis/pop ups r/t errors
  21. Poor Judgement / Mistakes

    I still don't see a problem. I just would have documented in a nursing note and been done with it. Maybe not necessary but I always side with better safe than sorry (ie CYA). Something like this: Pt...
  22. Scary commute for work?

    The commute doesn't sound too bad except the weather part of it. Since you are living with your parents then I would (agree with others) to use some of that money for overnights in a hotel, or rented...
  23. Poor Judgement / Mistakes

    Yeah, I agree with above posters that this is not a big issue. The only thing I would have done is monitor the pt just in case, and wait to give any meds if requested. Pts bring there meds/bottles to...
  24. Everyone is white?

    I would not post that question to upper management. In my experience no good will come from that. They usually have those types of things for show only so they can say something like "our employees...
  25. Thank you for sharing your insights! It is always a struggle when you are new but it will get easier with time. Unfortunately it has been my experience (over 20 yrs in nursing) that most managers will...