gilf7243

Latest Activity

1. Vital Sign & I/O Assessment frequency

   gilf7243 replied to MONITORHOSPITAL's topic in CCU

   At my hospital it works like this ICU=vitals every 1 hour, I&0's every 8 hrs (6a,2p,10p)unless very critical then every 2 hrs. Step-down ICU=vitals every 4 hrs, I&0's every 8 hrs (6a,2p,10p) Tele=vitals every 8hrs unless they are on a drip or...

2. Patient Ratio Concerns

   gilf7243 replied to deie0383's topic in CCU

   I work at an hospital who is cutting costs the same way. The ratio is the same as you have given. In ICU it is 2 patients=1 Nurse, unless they have a doctors order to be 1:1. On step-down we have 3-4 patients per nurse. Many times without a nurse ...

3. Inmate Pts

   gilf7243 replied to NurseyPoo7's topic in General Nursing

   I've taken care of one prisoner for a few hours before he transfered out of the facility to a bigger hospital. He was hand-cuffed to the bed rails and had 2 guards. I never specifically asked what he was in jail for. Didn't want to know in fear it...

4. Manager charting and my documentation missing!?

   gilf7243 replied to ladylikeRN's topic in Geriatric

   Legally you can not copy any nurse note record from the chart. You can keep track of dates, times, and actions on your own in a calander or on a report sheet so you can remember or recall if ever called into a court hearing. Just as you can not tak...

5. RN vs. LPN clinical rotations

   gilf7243 replied to fifi2323's topic in General Nursing

   I went to school and got my LPN then went back much later to get my RN. I am not sure that either school set out to wean out students. However, there are so many students that are on a waiting list to attend nursing school in my area. If they find...

6. LPN starting RN school spring '09

   gilf7243 replied to BabyNurse_PJN's topic in General Nursing

   I was an LPN for 12 years before going back for my RN through the LPN to RN program. I did not attend this school for my LPN either. They didn't even have an LPN program back then. Anyway, the classes you take will go through all of the body syste...

7. Acuity-Based Staffing?

   gilf7243 replied to Ayrman's topic in General Nursing

   I work 7p-7a shift in Ohio on an ICU step-down floor and our hospital just layed off all the LPN's and a few RN's plus many from other ancillary departments. They also just decided to change our Matrix. Our Nurse staff ratio has never been based on ...

8. Bye, Bye, LPN's

   gilf7243 posted a topic in LPN-RN

   I work at a level 2 Trauma Center in Ohio. Recently they layed off all of the LPN"s. They offered them a few options to cross train for another position for less pay such as a nurse tech or Unit Secretary. However, this would be fairly big pay cut...

9. New and Drowning

   gilf7243 replied to Sunbird21's topic in PICU

   Don't be too hard on yourself. I have been a RN for two years now and before this had worked as an LPN in a long-term care facility. I didn't know anything about the hospital at all. I started working in ICU step-down and some of the patients shou...

10. Missing narcs returned to med cart...sorry long

    gilf7243 replied to OklaLPN's topic in General Nursing

    Sounds like you work with a bunch of hulligans. This is about the stupidest thing I have ever heard. How mature is your CMA or Administrative staff? I'm glad I work in a hospital where things like this don't happen. We have a machine called a Dei...

11. what about these sign on bonuses???

    gilf7243 replied to rnnursesandy's topic in General Nursing

    The hospital I work for offered a 4,000 sign on bonus but you had to sign for 2 years. It hasn't been bad working there. Definitely have to check out your hospital before signing.

12. Need advice! 2 Rotten apples spoiling bunch!

    gilf7243 replied to papergirlRN's topic in General Nursing

    I personally feel these two nurses are not acting professional at all if they are kissing at work and extending their breaks. As far as I am concerned the two should not be working on the same floor or shift if they cannot act in a professional mann...

13. 1 year in and I cannot do bedside anymore!

    gilf7243 replied to mycatmax's topic in General Nursing

    One good thing about nursing is it is versital. Maybe it is just the area of nursing you are working in. Would you be more comfortable in any other area of nursing at the bedside? There is med surg, pediatrics, OB, ER, ICU, CCU. At my hospital som...

14. How frequent BP's on vasoactive meds?

    gilf7243 replied to nursecass's topic in CCU

    At my hospital we take pressures every 15 minutes on someone with a pressor.

15. what do nurses hate about doctors?

    gilf7243 replied to futureMD's topic in General Nursing

    Most of the doctors at our hospital are nice but there are a few that we fear to call at night. I work ICU step-down unit. I usually try to wait until morning since I work at night but if the patient has a significant change of condition for example...