saphyre

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1. Checking the placenta

   saphyre posted a topic in Ob/Gyn

   I know the placenta is supposed to be checked after delivery to ensure that it is whole. Is it typically obvious if it is not complete? Is there a protocol in place for question of retained placenta?

2. Abd CT : PO contrast vs IV contrast

   saphyre replied to saphyre's topic in General Nursing

   No, pt's Creat was fine. HH low, PT INR sky high. Pt on Coumadin for Afib at home. Huge belly. There were many things going on with the pt, I was just worried that I did not put the order in properly for the Abd CT scan as the last I heard he was go...

3. Abd CT : PO contrast vs IV contrast

   saphyre posted a topic in General Nursing

   Pt has no allergies. Md writes an order for Abd CT with PO contrast to R/O obstruction. Would you have both contrasts used in the test? Would it be a problem if IV contrast was not used? Thanks.

4. Responsible For How Many Patients?

   saphyre replied to Team Player's topic in General Nursing

   I work third shift Med Surg. We can have up to eight. Even if I'm doing charge, I still have 7-8 per night. Fun fun fun.

5. For the nightshifters.

   saphyre replied to HappyPediRN's topic in General Nursing

   I love doing 12 hour shifts. I do three in a row and then have the rest of the week to relax. Perfect situation for our family. It just takes some getting used to.

6. Do they count your 36 hours as 40 hours?

   saphyre replied to xstalkrx's topic in General Nursing

   I work 36 and get paid for 40. I was grandfathered into the position and they don't offer it anymore. It's a tough position to find these days.

7. Going over grid...........

   saphyre replied to saphyre's topic in General Nursing

   I do understand both sides of the situation. My biggest issue is that our facility cancels staff. They scrape by with bare minimum coverage and over load us. When I call for extra help, all I hear is "If we had someone to send, we would have already"...

8. Going over grid...........

   saphyre posted a topic in General Nursing

   Does your facility have a staffing grid? Do they ever disregard it? How do you handle it? Supervisor KNOWS the floor is busy. KNOWS we are short staffed and just keeps pushing admissions. I've filled out unsafe staffing reports and it doesn't seem ...

9. Nasty co-workers

   saphyre replied to saphyre's topic in General Nursing

   Management is aware of it on some level. I know certain situations have been brought to their attention (involving other employees) and not much has been done about it. Maybe written warnings and such. While I personally have not been involved in any...

10. Nasty co-workers

    saphyre posted a topic in General Nursing

    Does anyone work with people who have terrible attitudes? Work with staff who are confrontational? My place of employment is getting so toxic that I dread going into work and have started to forward my resume to other establishments. In the meantime,...

11. Staffing based on # of pts, not amount of care!

    saphyre replied to megananne7's topic in General Nursing

    Our hospital never takes acuity into consideration. I could be doing charge with EIGHT patients to care for, one other nurse (with seven patients of her own to care for) and one CNA. On a recent hectic night when I called management for help, the Nur...

12. I have ADHD.Can I be a nurse?

    saphyre replied to henryswife's topic in General Nursing

    I know at least two people who have ADHD and are wonderful nurses. One worked on a heavy Med-surg floor. I had no idea he had ADHD until it came up in a conversation moths later. He has since gone on to be an ICU nurse. Another nurse I know started o...

13. Can I have a kiss???

    saphyre replied to Deb123j's topic in General Nursing

    I had a man in his 30's ask "How much would I have to pay you for a sponge bath?"......Very disgusting.:icon_roll:icon_roll:icon_roll He was A+O x3; ambulatory; showered that morning.

14. Vanco infiltration

    saphyre posted a topic in General Nursing

    Hello, Has anyone ever experienced a vanco infiltration in a peripheral line? If so, how soon did you catch it and how did you treat it? Were there any long lasting problems afterwards? Thanks for any info provided! Saphyre

15. Nursing Jobs Outside Of The Hospital...

    saphyre replied to OncNewbie's topic in General Nursing

    I am an RN on a crazy busy med surg floor. I usually have 7 or 8 patients and rotate doing charge. I have one other nurse on the floor and one CNA. Staffing has been horrible. Acuity has been high. There are nights where I feel like I'm running aroun...