experience –
The most valuable thing(s) you've been toldRating: (votes: 0) Bed down, side rails up Bed down, side rails up Bed down, side rails up Four p's Only touch each med once (reduces med errors) Backprime your lines Label in the presence of the patient Label your syringes Read back verbal orders I'm sure there's more I can't remember right now, feel free to add to this list by the way. But I have yet to learn anything that made me go "wow thank goodness someone told me that (that) may save my butt one day" Has anyone told you info that you were really glad to hear. Yep. "You can't help someone who is hurt, scared, or angry." It's very simple. People that are hurt, scared, or angry will often do things that they never would do normally, including letting others help them. The trick is to get them to not be as hurt, scared, or angry... Comment:
A supervisor (in a LTC facility) once told me, "if you aren't going to do something about it, then don't chart that you noted something". Makes a lot of sense from more than one perspective.
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The wisest unit director I've ever worked for once told me " There aren't two ways of doing something- the wrong way and the way I felt it should be done. There may be as many right ways of accomplishing what needs to be acclompished for the patient as there are staff members.
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Nurses constantly interact with people who are in situations that are absolutely heartbreaking. We see human suffering in some of its most abject forms. Someone once told me to avoid imagining yourself in the shoes of your patients and their families. Thinking "this could be me one day" starts to take a serious emotional toll. I can't remember where this advice came from, but I am grateful for it because until someone said NOT to do that, I hadn't realized that it was something I was always doing!
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If it wasnt docemented it wasnt done.When in doubt, call the doc. Dont document if you dont intervene....
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sick people look sick.
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In an emergency....take your own pulse first.
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Quote from icuRNmaggiesick people look sick.
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Quote from ICURN3020And the sickest patients are frequently the ones who complain the least.
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Quote from akulahawkRNYep. "You can't help someone who is hurt, scared, or angry." It's very simple. People that are hurt, scared, or angry will often do things that they never would do normally, including letting others help them. The trick is to get them to not be as hurt, scared, or angry...
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Save your back, it's your pay cheque!Raise the bed to working height EVERY time!When boosting someone in bed, raise to your working height, lay bed flat, place into trandelenberg, have pt grab side rails, bend their knees and help you boost them.Make it a routine that the last thing you always do in a room is check that the bed is low and locked and call bell is on place.Make it routine that when you enter a room after assessing your pt, check IV site, rate, solution and O2 rate.If you have a problem with always placing the brief too high, or too low at the back; line the top of the padded lining with the top of the crack, you will always have it in perfect position.At beginning of every shift, fill pocket with alcohol swabs and IV caps!Use a four color pen for your brain sheet. One color for report, one color for lab values, one color for med times another for priority items.
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Quote from 3aremyjoyWhen boosting someone in bed, raise to your working height, lay bed flat, place into trandelenberg, have pt grab side rails, bend their knees and help you boost them.
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