ckc6977

Latest Activity

1. Precepting an incoming 4th semester RN student

   ckc6977 replied to KulRN's topic in New Nurse

   There should be formal meetings to determine the student's goals/objectives, what the expectations are, what the student is allowed to do (with & without your supervision), etc. The offer should just have been the 1st step. Their main purpose in ...

2. Being a preceptor means you can sit all day???

   ckc6977 replied to newnurseheadache's topic in General Nursing

   When I precept, I always "make" the orientee watch me the 1st clinical day. (with assessment, asking questions, educating pts, give meds, etc etc etc) On subsequent days, I am attached to their hip. I watch them start iv's, give meds, chart, perform ...

3. Meds you hate to give....

   ckc6977 replied to UM Review RN's topic in General Nursing

   I concur! We have the same process and it's such a pain, especially if you only have to give 1 unit of SSI!!!

4. whistle blowing????

   ckc6977 replied to flightnurse2b's topic in General Nursing

   HIPPA HIPPA HIPPA. This is the scenario you see as an orientation example that is so over the top that the "crowd" laughs thinking what idiot would do this?? I'm not about tattle telling but this is noteworthy! There is a hotline where "the powers at...

5. meal trays + MRSA, C. Dif, or VRE

   ckc6977 replied to psalm51's topic in General Nursing

   We have disposable trays, tableware for all pts that are anything but standard/universal precautions. We just began the procedure where dietary brings the meal tray cart on our floor to those that are contact, airborne, droplet precautions and it is ...

6. nsg note

   ckc6977 replied to fatdaddy's topic in General Nursing

   At our hospital we have computerized charting. We have to perform a shift assessment by mostly "clicking boxes" etc. on every body system. We also have to write a "generic" nursing note at the beginning of our shift. This is something typical I would...

7. didcharge nsg note

   ckc6977 replied to fatdaddy's topic in General Nursing

   My d/c note looks something like this. D/C instructions as follows. Advised pt of no added salt diet c examples of foods to eat/avoid. Explained to pt he may begin driving in 4 days. Discussed and reviewed medications. Rx given for Metoprolol, Colac...

8. I made med error, what now?

   ckc6977 replied to thomask's topic in General Nursing

   I'm sorry this horrible incident occurred to you. BUT we are human. It's happened to EVERY nurse at some point in her career! Learn from it. Realize that you DID NOT kill anyone (even though that could have been the case as you pointed out). Think a...

9. I made med error, what now?

   ckc6977 replied to thomask's topic in General Nursing

   I'm sorry this horrible incident occurred to you. BUT we are human. It's happened to EVERY nurse at some point in her career! Learn from it. Realize that you DID NOT kill anyone (even though that could have been the case as you pointed out). Think a...

10. Meds you hate to give....

    ckc6977 replied to UM Review RN's topic in General Nursing

    IV Digoxin, Metoprolol = I hate the fuss off putting up to the bedside monitor. IV Adenosine = it always scares me when the flat line for those few seconds Narcan = I hate watch the shake; it looks like they are convulsing sometimes. Kayexolate, enem...

11. Tuition reimbursement !?

    ckc6977 replied to Jogirl's topic in General Nursing

    I hope my reply was clear. I was a nursing school student and our parent hospital agreed to pay me back. My school tuition was ~20,000. The hospital will pay me ~21,000 over a 3 year contract that I have agreed to work for them in exchange for them p...

12. First RN Job Offer=Telemetry=Wisdom Please

    ckc6977 replied to nurseJ88's topic in Cardiac

    Good Luck - and great choice on choosing tele as your 1st RN job!!! Cynthia

13. DKA and fluid resuscitation

    ckc6977 replied to GingerSue's topic in Endocrine

    I concur with the other previous posts. At our facility we begin the pt on NS (usually c K+ supplements added also of course c the insulin gtt). Once the BG levels are = 250, we'll switch the IVF to D5NS, D51/2NS.

14. Troponin and CABG

    ckc6977 replied to Tele_Nurse4u's topic in Cardiac

    I agree c the previous poster. Pts should not have + troponis s/p CABG. I've have several pts s/p CABG who have re-infarted. Was there anyone else you could have gone to for further eval of your pt?

15. Tuition reimbursement !?

    ckc6977 replied to Jogirl's topic in General Nursing

    My Nursing School actually advertised the tuition reimbursement as an agreement to work for 1 of 3 local area hospitals over a 3-year span. My tuition was $4,875 x4 = 19,500. The alliance between my school and the hospital agreed to pay me $7,500 ove...