RN-PA RN

RN-PA is a RN and specializes in Med-Surg, Long Term Care.

Latest Activity

1. How Does Your Unit Handle Vacation Time?

   RN-PA replied to RN-PA's topic in General Nursing

   I'm locked into a "pattern", certain days I work every week. It doesn't allow for much flexibility, but I can make plans 10 years in advance. :)

2. How Does Your Unit Handle Vacation Time?

   RN-PA posted a topic in General Nursing

   I work part-time on a med-surg unit and receive pay for sick days and vacation days. I accrue the time very slowly, regardless of the number of hours I work beyond my 5 days per pay period (2 weeks). I get around 76 hours of paid vacation which is cl...

3. Job description for your tech's?

   RN-PA replied to General E. Speaking, RN's topic in Med-Surg

   I don't know how you're getting any of your own work done since you're doing much of what our PCT's are doing on my med-surg unit. I have 5-6 patients and the two PCTs have 12, sometimes 14 patients apiece if we're full. They start our 3-11 shift get...

4. How do you give a painless injection

   RN-PA replied to guzzebear's topic in New Nurse

   I always tell my patients to take a deep breath right before I jab the needle in them. Then as I'm injecting the med, I tell them to breathe out. If I'm giving an IM in the buttocks, I add to the deep breath: "wiggle your toes!"

5. Describe your last day at work in 50 words or less !?

   RN-PA replied to DutchgirlRN's topic in Med-Surg

   #1- Direct admit LOL: Exacerbation COPD. #2- POD #2, prostatectomy: progressing well. #3- POD #2, total vag hyster with bladder sling: better urine output and pain management today. #4- POD #5, sigmoid resection, NPO-- good bowel sounds and flatus. W...

6. Describe your last day at work in 50 words or less !?

   RN-PA replied to DutchgirlRN's topic in Med-Surg

   Barely out of report and hand-irrigating 3-way Foley with CBI for many clots; repeat numerous times over next 8 hours; call doc 3 times for orders. Replace cath with another #24FR cath. Still clotting frequently. CT scan results = probably cancer, OR...

7. One of your best moments in Med Surg is...

   RN-PA replied to Thunderwolf's topic in Med-Surg

   I wrote about this on Allnurses a while ago, but I still have to say one of my best moments in Med Surg came about as a result of caring for a young female patient who was admitted with a kidney infection. She returned to our unit six months later an...

8. Floating from L&D

   RN-PA replied to mamallama's topic in Med-Surg

   I'm sorry, but that's just crazy that your hospital expects you to float to med-surg! As a med-surg nurse, I wouldn't feel the least bit comfortable-- or safe!-- if I was pulled to L&D and asked to do all that you've been trained extensively to d...

9. Describe your last day at work in 50 words or less !?

   RN-PA replied to DutchgirlRN's topic in Med-Surg

   Sunday, 1445-2315 shift: 1.) S/P colon resection, new colostomy, progressing well. 2.) LOL O2-dependent, CHF- Many med questions. 3.) LOL with pneumonia. 4.) Admission: rhabdomyolysis, admitted then transferred to private room-- "R/O C Diff". 5....

10. Admission/Discharge nurse

    RN-PA replied to pk1's topic in Med-Surg

    We have admission nurses and I agree with what Thunderwolf said, " I value the admit nurse greatly...almost to the point of worship." Our unit clerk kids me that I have the admission nurse on speed-dial, so I can contact her the minute I hear I'm get...

11. Transfers from ICU

    RN-PA replied to AKav8trix's topic in Med-Surg

    Thanks for asking what would be helpful to us med-surg nurses in a transfer report. I'm someone who likes MORE information rather than LESS, whether I'm getting report from the previous shift on our unit, or from the ED, ICU, or from wherever the pat...

12. Rapid Response Team

    RN-PA replied to Lukestar's topic in CCU

    We had a staff meeting yesterday where two representatives of the RRT gave an update on the RRT which I think was initiated within the past 3 months. They said that the RRT members for that shift (ours only runs from 1900-0700 at this point) are dete...

13. Yaaaaaaaaaaaaahhhhhhhhhhhhh!!!

    RN-PA replied to UM Review RN's topic in General Nursing

    I call 'em "Floor-Kisser" shifts. I get home from work, get down on my hands and knees, and kiss the floor, THANKFUL to be safe at home away from the chaos and craziness. A nice bowl of ice cream often helps, too.

14. IV Protonix

    RN-PA replied to RN-PA's topic in General Nursing

    WOW-- that's interesting. If I get a chance this weekend, I'll ask one of our pharmacists if IV push Protonix is in the wings for us, too. Only drawback would be that the LPN's wouldn't be able to give it and it'd be one more med we'd have to push fo...

15. IV Protonix

    RN-PA posted a topic in General Nursing

    I frequently administer Protonix 40 mg IV (in 50 ml NSS) to patients, and when it first came out a while back, we had to change IV tubing with each Protonix piggyback we hung and it also came with its own filter. It couldn't be mixed with any solutio...