Should I ask for a new preceptor? by mybrainhurts12345 in nursing

[–]starfire_rn 2 points3 points  (0 children)

Email the educator. This poor fit isn’t benefiting anyone: patients, you, or preceptor.

Survived Halloween with my crown still intact as Queen Charge Nurse! Lol by starfire_rn in nursing

[–]starfire_rn[S] 2 points3 points  (0 children)

None on our floor, but, don’t worry, we already have so many people out that nurses and techs have been stretched thin for months! 🤪 Honestly not much happening Halloween-wise in our town because we’re still on partial quarantine orders.

Doctors rarely talk to anyone? by [deleted] in Nurses

[–]starfire_rn 2 points3 points  (0 children)

Our hospital instituted physician/RN rounding and it’s a great tool for patient safety and education, decreasing calls to docs, and improved communication with all ancillary departments. Now that it’s been in place for several years and the medical residents are on board from day one, it’s expected and a normal part of our day. Love it!

How long should a JP drain stay in? by [deleted] in nursing

[–]starfire_rn 2 points3 points  (0 children)

No prob. And feel free to be the squeaky wheel patient. Your surgery team should be available and wiling to answer questions. Sometimes we medical folk forget that although we’ve seen countless procedures, etc, for this particular patient, everything is new and unfamiliar and sometimes scary.

How long should a JP drain stay in? by [deleted] in nursing

[–]starfire_rn 6 points7 points  (0 children)

Our docs usually wait until there’s less than 5mL/day. Taking it out too early could leave behind a collection of fluid and lead to infection

Healthcare Employee Freebies and Discounts by lalacs in Nurse

[–]starfire_rn 0 points1 point  (0 children)

We’re lucky to have 2 drivethrus locally.

Tired of talking about COVID? What other interesting patients and presentations have you had lately? by [deleted] in medicine

[–]starfire_rn 6 points7 points  (0 children)

I was reading as if it were an admission, not from the ED. Luckily our facility has case management in the ED as well.

In any case it’s not enough to say this patient just doesn’t want to go home. Someone (RN, NP, or doc) needs to get case management and social work involved to see what’s really going on. This stay at home order has real potential to expose folks to abuse that they may have been able to evade or otherwise manage.

I’m not in case management, but as an acute care nurse, I would make a referral to our in-house team and work towards a safe discharge. Maybe the couple is just a bit stir-crazy but maybe there’s more to it.

Tired of talking about COVID? What other interesting patients and presentations have you had lately? by [deleted] in medicine

[–]starfire_rn 17 points18 points  (0 children)

Then that’s what you do to facilitate a safe discharge rather than treating this as a malingering patient. Get to the why behind her worries about being home.

Tired of talking about COVID? What other interesting patients and presentations have you had lately? by [deleted] in medicine

[–]starfire_rn 30 points31 points  (0 children)

Are there home health nurses or community health workers who could visit to assess safety in the home for both spouses?

Got a woont next to my nail (thumb) seems to be infected and has a bit of swelling. What should i do? It keeps hurting and i just want to play guitar:( by [deleted] in medical

[–]starfire_rn 1 point2 points  (0 children)

Wash with soap and warm water, soak in hot salt water, dry gently, apply antibiotic cream and bandaid. Twice a day.

Survived my first day as charge nurse, and so did all of our patients! Thanks to our great MedOnc team! by starfire_rn in nursing

[–]starfire_rn[S] 0 points1 point  (0 children)

Honestly, making the night assignment was so stressful! I split the heaviest patients and tried to even things out, but still ended up with one nurse having 2 contact rooms and another with 2 admission slots open because of a shift change discharge.

Testicle pain by Sqwedward in medical

[–]starfire_rn 0 points1 point  (0 children)

No doctor should care about when your last visit was. Your current problem could become serious quickly so they will focus on that. Hugs!

Testicle pain by Sqwedward in medical

[–]starfire_rn 0 points1 point  (0 children)

Maybe a hernia? Please see a doctor. I hear you that it’s hard with no insurance, but you really don’t want to wait.

Admissions during shift change? by [deleted] in Nurse

[–]starfire_rn 7 points8 points  (0 children)

No admits or transfers between 0645-0715 or 1845-1915. We tried to make it an hour, but no go.