mariebailey, MSN, RN 11,914 Views
Joined Mar 2, '11.
Posts: 1,101 (59% Liked)
After several years of working as a nurse outside the hospital setting, I took a job working med-surg. I have realized that hospitals take great strides to put standards & guidelines in place to hold nurses accountable for their performance, but nurses are rarely given a reasonable workload that makes it possible to adhere to such standards/guidelines. In the end, you are forced to compromise your values to stay employed. Potential solution: Safe staffing needs to be a priority, & federal legislation to limit nurse to patient ratios.
My suggestion: make yourself stand out. Attachment 18915
I loathe the responsibilities that are delegated to nurses that do not require a nursing license to be carried out:
-ordering jello or whatever else a patient suddenly craves when you have a million other things to do
-administrative work for another employee, like making copies, printing labs, etc. when they are perfectly capable of doing it themselves
-answering the phone/call buttons while the nurse techs sit on their behind watching
-putting in maintenance requests
It's not that I think I'm above doing these tasks, but sometimes you're just to busy to deal with the "just let the staff nurse do it" kind of attitude.
In general, med-surg units staff with a 1 RN to 4-6 patients day shift, and 1:6-10 night shif
If you're asking for a description of cohorting, here are my 2 cents. When private rooms are unavailable on a unit, patients who are colonized with or infected with the same organism may be grouped together in a room to avoid transmission to patients not colonized/infected with that organism. Examples include patients with C Diff or MDROs like MRSA.
After several months of day shift in med-surg, I'm a/b to start working nights on a psych unit. I'm in a part-time Psych NP program, & I feel this will help me build a stronger foundation in Psych. However, as with anyone, I feel that adequate, regular sleep is crucial to be alert on the job, mentally healthy, & content.
For someone who works nights or has made a similar transition, what can I do to ensure a smooth transition & routinely & peacefully sleep during the day? Any tips are appreciated! Thanks!
"The IV pump is getting ready to alarm"
"The IV needs maintenance" (Alaris pumps scroll 'maintenance fluids' across the screen while infusing.)
I don't have an accounting degree or a CPA license, bit I strongly encourage you to let me do your taxes.
I take my emotional support monkey with me to work EVERY single shift. He actually passes all the meds on my behalf!
Have you seen my baseball?
A transfer from a psych unit arrived in the ICU after she fell, broke her arm, and was unarousable after orthopaedic surgery. This elderly woman eventually came around, but she had mania-induced psychosis. A cardiologist who was consulted visited her while I was in the room, & she asked the cardiologist if he could see the black cat spying on her in the vent above her. He said, "No ma'am, I don't see a cat anywhere." She said to the cardiologist, "Well, you're obviously stupid."
Look sir, I admit that nurses are also housekeepers, secretaries, therapists, punching bags, bell boys, waitresses, etc. I'm sorry I can't be your electrician too.
Saunders Online Review for the NCLEX, found at Elsevier's website. I passed on the 1st try with 75 questions.
I'm in school currently and we were taught to recap, by placing the cap on a table and then scooping it up with the needle.
You never throw away a needle in the trash.
Advertise With Us