nurseraphael

nurseraphael has 4 years experience and specializes in pediatrics, ED, Medical / surgical.

Latest Activity

1. documentation

   nurseraphael replied to sunrock's topic in General Nursing

   Our hospital changed to EMAR (electronic medication administration record) last year. There was a lot of grumbling and whining prior to and during the transistion by both old school and new grad nurses. we went through the bumps and now I cant imagin...

2. HOW ABOUT THIS???

   nurseraphael replied to jmtndl's topic in General Nursing

   Last time i looked at the budget - we were losing money. about 100,000/ monthly due to overtime, poor reimbursement rates, and capital investment in infrastructure to improve the quality of care . . . we run 4/5:1 on days and 5/6:1 at night for RN's...

3. Are these holidays off the norm?

   nurseraphael replied to nursalicious's topic in General Nursing

   Wow - no such thing as a paid holiday . . . we get time and half if we work, but nothing if we dont, new years eve, memorial day, July 4th, labor day, thanksgiving day and Christmas day... time and half stops and starts at 0000 - no bonus if your not...

4. Posting pictures to facebook

   nurseraphael replied to divaRN*'s topic in General Nursing

   one time on pediatrics we had a 10yo boy with a hernia repair and orchopexy who was recovering. His scrotal edema was - well uhh significant . . . his best friend said -"dude you got the biggest balls of them all" and promptly posted a photo on his ...

5. licensed in 3 states

   nurseraphael replied to chiuli's topic in General Nursing

   for CEU's check out Nurse.com | Nursing News, Nursing Jobs, Nurse Continuing Education, Nurse Community as well as http://www.medscape.com/nurses both offer printable certificates - for use when you get audited . . . you can use the same credits on a...

6. PALS Pediatric Advanced Life Support

   nurseraphael replied to johnedmyri's topic in General Nursing

   get to know your Meds - pedi is easier - there are fewer - know your dose /kg and what to give each one for, you might also want to know what to use O2 for ! you will be fine. but if really want to know about pedi emergency's then take the ENA's EN...

7. Post op Admissions During Shift Change?

   nurseraphael replied to All4Seasons's topic in Med-Surg

   I work Charge on a busy 32 pt med/surg floor. We discourage pacu from giving report during change of shift, but they need their rooms opened when more cases are coming out of the OR . . . I work 12 hour nights and often these admits are trying to get...

8. Delagation of Flu shots to a CMA?

   nurseraphael replied to nurseraphael's topic in General Nursing

   My thoughts exactly - This CMA has been doing shots in another state with no supervision!

9. Delagation of Flu shots to a CMA?

   nurseraphael posted a topic in General Nursing

   I do perdiem work for a wellness company administering flu shots. The Company sent me several subcontracted RN's, LPN's and a CMA. I did not think much about it until I got home and looked up the title CMA, and realized this is a technician level cer...

10. Thoughts on Christmas scrubs...Yea or no way?

    nurseraphael replied to GoECU's topic in General Nursing

    No, I was holding off on posting to this, but the nay sayers have arrived... I find it unprofessional, perhaps its because I am a guy, but would prefer that everyone come to work do their job and be a nurse - not a cartoon character. Put up a few dec...

11. Need some advice

    nurseraphael replied to momofdna's topic in General Nursing

    EMTboy does not sound like a team player . . . I am an RN as well as en EMT - been an EMT-I for 11 years and a nurse for 4. There can often be a divide between RN's and EMS becuase of what they can do in the ED and they can Do on the street - It is j...

12. UTI and penile piercing

    nurseraphael replied to schaviano's topic in General Nursing

    I agree with you, and would not want to poke holes in these parts a well. I have asked a friend or two who had these sorts of things done . . . and tell me that it is pleasurable? It may be for them - but not for me and if your in my ambulance or in ...

13. When you were new, how did you learn meds?

    nurseraphael replied to chiuli's topic in General Nursing

    I have been using a PDA since nursing school and now I use my iphone to check any meds i am unfamiliar with - it is a lot easier to look it up in a digital format than to look through a book. there many free apps out there as well as paid apps. you m...

14. What would you do? or what should you do?

    nurseraphael replied to Lammy01's topic in General Nursing

    in our hospital a the criteria for calling a "RRT" Rapid Response team includes "ineffective communication" this can be called by the nurse or the family, or any member of the staff that feels that a patient is de-compensating and not getting appropr...

15. UTI and penile piercing

    nurseraphael replied to schaviano's topic in General Nursing

    It Really depends on the location of the piercing in relation to the urinary meatus. I would not remove the piercing if it does not appear to be infected and the catheter insertion will not be hindered, you may also want to consider the need for cath...