JOY, RN

Latest Activity

1. HEPARIN BOLUS

   JOY, RN replied to rnsprad's topic in General Nursing

   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.

2. clinical intensivist?

   JOY, RN replied to ktwlpn's topic in Med-Surg

   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 ...

3. documentation

   JOY, RN replied to MichelleT's topic in Med-Surg

   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...

4. MANDATORY SHIFTS

   JOY, RN replied to JOY, RN's topic in Med-Surg

   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.

5. MANDATORY SHIFTS

   JOY, RN posted a topic in Med-Surg

   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...

6. NURSING ABBREVIATIONS

   JOY, RN replied to janLPN's topic in Med-Surg

   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!

7. documentation

   JOY, RN replied to MichelleT's topic in Med-Surg

   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.

8. refusing to care for clients

   JOY, RN replied to Carolyn M's topic in Med-Surg

   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...

9. nurse-patient ratio

   JOY, RN replied to NANCPER's topic in Med-Surg

   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 ...

10. BSN vs. Associates

    JOY, RN replied to askater's topic in ADN/BSN

    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...