KBRN413

KBRN413 specializes in Med/Surg, Telemetry.

Latest Activity

1. Incompetent nursing assistants

   KBRN413 replied to ICU, RN, BSN, B.S.'s topic in General Nursing

   The RN's are obligated to obtain their own vital signs at my facility. I would rather do this for myself; I can get a conversation started and start my assessment at the same time. Sometimes, I do ask a CNA to do admission vitals for me and every tim...

2. Did I Do Something Wrong?

   KBRN413 replied to rnccf2007's topic in General Nursing

   I always check before giving diuretics. We administered IV lasix at 0800 and 1600 here, I do routine vitals at those times anyways, but even before a one time order, I always check. Just to make sure!

3. FINALLY!! I am an RN!!!!!!!!!

   KBRN413 replied to NayD_RN's topic in General Nursing

   Congrats!

4. Help with PRN medications

   KBRN413 replied to belle005's topic in Medications

   That is just an example, not an actual order!

5. Help with PRN medications

   KBRN413 replied to belle005's topic in Medications

   My facility now has strict orders that basicall read: percocet 2 tab q4hrs prn for pain 1-4 hydromorphone 0.5mg q4hrs prn for pain 5-7 hydromorphone 1mg q4hrs prn for pain 8-10. That way we are not prescribing a medication. It is there for us to us...

6. do you put patient teaching in a nurses note?

   KBRN413 replied to JM RN's topic in General Nursing

   We do all of our charting online now. We have a section in our nursing shift assessments that states "nursing education". We talk about what we taught the patient and family, if they understood the teaching and if reinforcement of that education was ...

7. How much of a yearly increase in pay do you see?

   KBRN413 replied to missie988's topic in General Nursing

   We get between 0-5% increase depending on our merit review. Last year we didn't get anything, but we did get a bonus at the end of the year.

8. manual BP's?

   KBRN413 replied to Lola77's topic in General Nursing

   Your floor should provide manual BP cuffs. We have them in every patient room! Ask your supervisor! :)

9. Hourly rounding signoff sheet

   KBRN413 replied to fungez's topic in General Nursing

   Ughhh! I completely agree! Our floor actually started this as a Unit Counsel Project, and now it is hospital wide. Yep, I round on my patient hourly, most of the time, more then that. I hate the fact that I have to stop and sign a piece of paper....c...

10. charting help - ugh!

    KBRN413 replied to Lola77's topic in General Nursing

    I'm extremely greatful that my facility has online documentation. The only note we have to write is based on our care plan, and even that is online. Our shift assessment is classified as our nursing outcome summary. Definetly a lot easier! With this ...

11. "Why don't you just be a doctor?"

    KBRN413 replied to laceface24's topic in General Nursing

    i'm sure most of the rn's here can agree with me......... we are the backbone of patient care! i work at a teaching hospital and deal with new intern's every month. we know what needs to be done. we are with the patients for 13hrs/day. the doctors se...

12. I need your Advice

    KBRN413 replied to rella.jmnz's topic in General Nursing

    i'm a relatively new rn. i've been out of school for 3 years. i have been working on a med/surg/telemetry floor. i have learned an extensive amount in my 3 years there. i was also very fortunate to have a new graduate recidency program at my facility...

13. How to give a thorough report?

    KBRN413 replied to nrsgnerd's topic in General Nursing

    do you have an sbar form?? at my facility we use an sbar form for report and throughout our day. it helps keep me organzied and allows me to give a very throuogh report. i also recommend that throughout your day, when things happen, write them down i...

14. Change has hit... and it ain't good.....

    KBRN413 replied to jschut's topic in General Nursing

    it is completely opposite where i work. the day shift 7a-7p medicates throughout the day. does all the treatments, handles mds, family members...etc..etc...etc. nights seem more quiet. i have done quite a few nights for overtime and what a difference...

15. What's so stressful about working 3, 12hr shifts?

    KBRN413 replied to ArtisticAthlete's topic in General Nursing

    You are a very rude person. I also agree with above that you are definetly looking into this for the wrong reasons. Nursing is a blessing. I love my job. Yes it is stressful, but I wouldn't want to do anything else. As far as your analogies, I'm sorr...