candacern59217

Since you didn't want your mother in law to visit, she sent her dog instead

I would check the back charting. If this is how it's been administered before and the patient is clearly tolerating it then I would administer it that way per patient request. They're on hospice. I don't withhold meds from hospice patients.

Narcan's not on your facility's list as an emergent med? You actually need an order for it? Where I've worked, things like Epi, D50, Narcan etc were considered emergent meds and if they needed to be given, you just got them and gave them per the protocol, which could easily be pulled up on the computer. THEN you called the doc. But you treated the patient first. Please check your facility's policy cause many operate like this. Not all, but many.

ASK QUESTIONS. If in doubt, ASK. Trust your nursing judgment and figure out who gives bad advice and who doesn't. But always ASK.

Find out your facility's policy. We run it at 999 unless there's a reason the patient can't tolerate it, like CHF/respiratory issues

Every time I see someone talk about someone else's pregnancy on Facebook, I question if said pregnant person allowed them to blab the info. Part of me wants to call them out... but I refrain.

How do you even know that he looked you up? Did he contact you on Facebook or just look at your page? Not a violation. He didn't post your protected health info. Adjust your privacy settings or block him. Otherwise you can't complain about which people look you up.

Oral liquids should only be given in oral syringes. Not IV syringes. Ask pharmacy, they usually have ones that can do the precise dosing

You literally just pour it in

I worked on a cardiac unit for a year. I would add to this that I recommend finding out what the cardiologists like to see. We had one who, when sotalol was administered, we had to get an EKG 2 hours after administration and calculate the QT interval using Corrected QT Interval (QTc) - MDCalc and report it to him. He kept his patients in the hospital when they were newly started on sotalol. Once he knew their QTc's were stable he would discharge them. Get to know the idiosyncracies the docs have and you'll be good

I'm sorry... how did this happen? You checked it with the other nurse and it was at 28 and you said you didn't touch it. The pump doesn't change itself, so somehow someone typed in the 29. Either you or the other nurse. You need to do a RCA about this and find out where the error lied. Be up front with your manager about it. Own it if you did it. An aide got a sugar for me and told me the glucose was 185. So I wrote it down and medicated the patient for the 185, which was 3 units. The glucometers don't update right away, so once the result came into the computer I saw the patient actually had 158 for their glucose... that the aide accidentally switched the two numbers in her head when she reported the value to me. Well I had already given the insulin! I told my manager and she totally understood... reminded me to look at the result myself in the future. Monitor for signs of hypoglycemia. But 3 units for a 185 would be fine. At 158 he would have gotten 1 unit anyway. Hopefully, if you own the mistake and report it to your manager, then he or she will see your transparency and honesty, which is more important than anything else. They generally want nurses that will recognize mistakes and own them, vs hiding them, which will cause more issues in the long run. Never hide a mistake.

I agree with this. I've itemized, but I've never had enough to itemize that it made it better than the standard deduction. So I've always thought, is it worth the effort?? I still claim my itemizations, especially as I get older and have more medical bills. Maybe one day the items will be better than the standard deduction. But for now, I just enter them in to TurboTax and it calculates which one is better for me. I grew up in the generation where we had to get the tax book from the post office and literally calculate our taxes and mail in the return to the IRS. I was young but still in the workforce at that time. So not old enough to be doing things like buying a house and claiming it on my taxes, but old enough to mail in W2's and have to look things up in the tax book. I gained a basic understanding of how taxes work, and I continue to read about different deductions and rules. It's helpful.

It's correct that none of us can answer this for you. I know plenty of people who all do their taxes differently. Some people want all their money to begin with and choose to put a portion in an account and use it to pay taxes each year when they file. I choose not to do that. I like getting a refund check. I try to accurately choose my deductions so I can still maximize my paycheck. I have children, I don't know if you do or not, but that makes a difference. Whenever you retire, or if you get disabled, what you pay into the system makes a difference cause they calculate what you get out of the system based on what you've paid in. (Social Security) That's all I've got. See a tax professional. Not a service like H&R block, in my opinion, but like a CPA and someone who will know all the state and local tax laws.

I used to work in LTC. If the Roxanol is PRN and he has no signs of pain or distress, then I would have not given it too. Resps were under 12... while not critical, it would make me be extra cautious about administering another dose. You did the right thing.

Fossil makes nice watches. I only wear metal ones to work that won't absorb various fluids and can be wiped down. The finish wears off, but Fossil will replate them for a small fee. So if you're wanting to be stylish at work, that would be my recommendation. Otherwise, what the others said is correct... check with your facility but most places have clocks everywhere. Wearing a watch isn't a necessity these days, and it can be an infection control issue.