Where I work the amount of Heparin being bolused is determined by pharmacy as well as the initial gtt rate. It's given IVP before the IV tubing is connected to the pt. Always follow your facility's protocol as with anything else.
A COUPLE OF YEARS AGO, THE HOSPITAL I WORK IN WAS "PHASING OUT THE LPN'S". THE LPN'S WERE NOT BEING LAID OFF BUT AS THEY WOULD LEAVE THEY WERE NOT BEING REPLACED. THE NURSING SHORTAGE WHICH WE ARE ALL SO FAMILIAR WITH HAS SINCE FORCED THE HOSPITAL ...
TO CLARIFY FURTHER: THE 24 FLOWSHEET IS BRIEF IN THE AREAS OF SKIN, WOUND AND RESTRAINTS. WE ALSO HAVE SEPARATE FLOWSHEETS FOR EACH OF THESE TO STAY IN COMPLIANCE WITH DOCUMENTATION REGULATIONS. I THINK MOST FACILITIES CHANGE THEIR FORMS EVERY SO...
THANK YOU FOR YOUR INPUT OCANKHE. TO CLARIFY MY SITUATION FOR OTHER READERS, WE DO NOT HAVE A UNION AT MY HOSPITAL. IT HAS BEEN SOUGHT AFTER A COUPLE OF TIMES BUT WITHOUT SUCCESS.
WHERE I WORK RN'S ARE MANDATED TO STAY OVER AND WORK BEYOND THEIR 8.5 HR SHIFT. USUALLY THIS MEANS AN ADDITIONAL 8.5 HOURS. THIS IS DIFFICULT AND SOMETIMES UNSAFE ESPECIALLY WHEN YOU WORK FULL TIME ALREADY. IF YOU ARE MANDATED YOU MAY BE EXPECTED T...
YOUR PLACE OF EMPLOYMENT SHOULD HAVE MEDICAL-SURGICAL TEXT BOOKS AVAILABLE FOR REFERENCE. YOU WILL FIND LISTS OF MEDICAL ABBREVIATIONS IN THOSE. GOOD LUCK AND WHAT COURAGE YOU HAVE TO RETURN TO WORK AFTER 9 YEARS!
WE USE A 24 HOUR FLOWSHEET WHICH INCLUDES ALL THE SYSTEMS, PAIN ASSESSMENT, ACTIVITY, IV ACCESS, POC UPDATES, RESTRAINTS AND APPETITE. WE ALSO HAVE THE CARE PLAN(S) AND THE NURSING NARRATIVE "NOTES". I HOPE THIS HELPS.
WE ALL HAVE AN ETHICAL RESPONSIBILITY TO CARE FOR ALL PATIENTS REGARDLESS OF SEX, RELIGION, RACE, DIAGNOSIS OR ANY OTHER DIFFERENCE. IF HOWEVER, ONE'S BELIEFS WOULD INTERFERE WITH GOOD PATIENT CARE THEN THAT PERSON SHOULD DO WHATEVER NECESSARY TO EN...
I WORK ON A SURGICAL UNIT AND AVERAGE ON AM'S 1:4-5, PM'S 1:6-8 AND NOC'S 1:6-9. OUR UNIT AS YOU MAY IMAGINE IS FAST PACED AND MOST OTHER NURSES IN THE HOSPITAL DO NOT WANT TO "FLOAT" TO OUR UNIT. IT SEEMS AS THOUGH MANAGEMENT IS IGNORING OUR PLEA ...
I STARTED MY NURSING EDUCATION WITH A BSN PROGRAM AT A PRIVATE COLLEGE ONLY TO FIND OUT AFTER A COUPLE YEARS I FELT I WAS PAYING A LOT OF MONEY FOR ALL THE "FLUFF". I THEN TRANSFERRED TO AN ADN PROGRAM THINKING I WOULD HAVE AN EASY TIME GETTING THRO...