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Helping you become a better nurse. Issue 508: Feb 6, 2013

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Healthcare / Medicare / Medicaid

Jan 30 - Feb 5 Hottest Topics

The faces behind the scene at allnurses.com!

The faces behind the scene - do you ever wonder what the staff are like who moderate allnurses? Did you know we have at least a 100 plus years of nursing experience to bring to the table and that we all work full time in our nursing jobs! All of us are extremely proud to work for allnurses, and often spend hours of our spare time moderating to keep this site up and running. There is a whole other world behind the scenes where we can discuss and make decisions on who, what, where and how. Read More

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Can I become a Nurse Practitioner?

I am on probation for narcotics diversion. I was a nurse in labor and delivery. I have now been sober for 2 years I do having a nursing job in my field as a WIC nurse at the health dept. Which I consider myself completely lucky as hell. I graduated from nursing school top of my class and recently decided I wanted to go back to school for my Master's in Nursing. I believe this may help me to enter a new chapter in my life to prove to everyone and myself that I am a successful person, look what I did after my whole life went down the drain. I feel like it would help me get my confidence back. I would love to be a pediatric nurse practitioner, but if I went through all that schooling and paid all that money would it all be for nothing? Read More!

Nursing gear passed on from older generation

If your mom or grandmother was a nurse before you then you may have something that was passed on to you from that nursing era. If you do, what is it? Read More

allnurses.com Nursing Student Cartoon

HIPAA violation or heads-up?

We had an incident at work the other day where a patient on a schedule 2 medication (requiring a written script) was found to have altered said script. The pharmacy called and then faxed a copy to us. It was blatant and not even a particularly good effort. This patients meds were canceled and he's no longer our patient.

My question... if his new physician calls or requests records, are we legally allowed to divulge this info? Read More

Patients destroying pain meds?

Just wondering how other clinics handle the situation of destroying pain meds. For example, say a patient was prescribed Percocet, but they had a reaction to it, so the doctor wants them to get rid of the Percocet before giving them a prescription for Vicodin. I know the pharmacy won't take meds back...and the clinic can't take the meds...how can you be sure the patient will destroy them? Can you make them destroy them AT the clinic? But then what do you do with them once destroyed? Read More

What's the best thing you like about the ER? What's the least you like?

I'm a med surge nurse with 1.5 years experience in ortho neuro trauma at a level 1 hospital . I am used to getting 2-4 admits and doing about 3-4 discharges a day. I would love to advance to the ER. I have an offer, but a part of me is scared to do it! The patient ratio is 4 unless vented or ICU status then 1. They do a podding system where you buddy up with your nurse so that means at times more then 4 patients.

I wanna know what you guys think is the best part of working in the emergency room? And what do you think is the worse? Read More

My dying student taught me how to say goodby....

I had the privilege to be a school nurse for almost 20 years. When I write that, it kind of gives me a jolt, because it seems like yesterday when I started. I kind of stumbled into the job but in the process, I have found my passion. In the beginning, I was completely computer illiterate and never dreamed I would use my smart phone and iPad throughout the day. My first year had 15 kids on stimulant medication, today I give no daily doses as most are on long acting meds and do not need a boost at noontime. Diabetics were few and far between, today, they run circles around me with their pumps and the ability to very independently self-manage in the school setting. Read More

What do you do first, besides "ABC"?

My biggest challenge in the ED is prioritizing. I always use the ABC as a rule of thumb, however I still feel overwhelmed with the other tasks such as discharging, admitting, and receiving patients.

For an example: When I have a patient to discharge and a new patient to see which one comes first? Should I finish my discharge,then see the new stable patient? Or should I assess the new patient then discharge? Read More

Replaced by Certified Medication Aide!

Yes, fellow LPNs, its happening here in Northeast Ohio! Trained and oriented CMA and was then given extreme part-time hours(as were the other LPNs) while CMA gets 40hrs and benefits! And of course, they are paid less per hour. The entire program is a disaster for us LPNs as well as the patients we care for and they don't get a choice either. No such thing as patient care...its all about money and its sickening. Read More

Munchausen by Internet: The Lying Disease that Preys on the Heart

For decades, people have heard of Munchausen syndrome, a disorder characterized by people taking extraordinary measures to fake illnesses or psychological trauma for the sole purpose of attracting attention and sympathy from others. Munchausen sufferers will do almost anything to validate the delusion of their illness. Another variation of this disorder is Munchausen by proxy, in which people physically or psychologically harm loved ones to gain attention and sympathy. In more recent years, a newer variation of this disorder has been noted to infect online communities. Read More...

How long does the "new nurse anxiety" usually last?

As a new nurse I basically have, to a degree, an anxiety attack before work (new grad in the ED). Once I'm actually on the floor it feels like the anxiety is gone, but it's back after I'm off for a few days. I just want to be able to work without feeling like this and be able to enjoy and look forward to going to work. I've discussed this with others and they say this is normal, but how long did it take YOU to feel more comfortable or less stressed as a new nurse? Read More

How to survive 16h shifts?

I'm a new graduate working on a cardio floor in a big teaching hospital and I've got some nasty 16h shifts coming up ( quite many ) ... What are your tricks to surviving those? If any? Oh, and these are 4pm to 8 am shift... Read More

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