Latest Comments by Lev <3

Lev <3, BSN, RN 47,519 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has '4' year(s) of experience and specializes in 'Emergency - CEN, upstairs, troll bashing'. Posts: 2,852 (53% Liked) Likes: 5,281

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  • 2
    traumaRUs and JKL33 like this.

    Our DV screening questions are part of a set of secondary triage questions which are asked by the primary nurse once a patient gets back to the room. There is an option to click "visitors in room" or "cognitively impaired" as an option for the direct screening questions.

  • 1
    Davey Do likes this.

    How do you make changes in your work environment when management has a reputation for being resistant to staff input?

    How do you help them see the light and listen to you?

    What has worked for you? Any personal examples?

  • 2
    twinmommy+2 and WKShadowRN like this.

    Prescriptions for meds that are taken at home (unless it is a completely new med) should be written by the PCP. It is so important for patients to follow up with their PCP and get scripts from them. The dependence on the acute care hospital is what drives up healthcare costs.

  • 1
    /username likes this.

    Quote from nishali78
    She does not want to write medications for her patients because they will call her for refills and she does not want that. She mentioned this in the beginning when I first started working here.
    That is understandable. People need to follow up with their PCP.

  • 2
    twinmommy+2 and /username like this.

    Quote from nishali78
    Right but she refuses to see patients who are post transplant. A few of HER patients have needed medications. One patient flew here from out of town and forgot his insulin. She would not write orders for one day's worth of insulin so I had to enter and have the doctor sign off.
    That patient should have called his PCP.

  • 1
    vintagemother likes this.

    Diminished my friend, diminished.

    The less loud side has diminished lung sounds. Which is possible in cases of pleural effusion.

  • 4
    Cola89, All_night, MusicLexy, and 1 other like this.

    Quote from hawaiicarl
    If you like focused cases with autonomy, then ICU. If you like task based nursing with rapid turnover, ER.

    It's always the ICU nurses who say that ER nursing is task based and that is the difference. ICU = brains, ER = speed. That is not ICU vs ER in a nutshell. Both are complex, overlap, and are different.

    How much of ICU is bathing, suctioning, turning, mouth care, and dressing wounds?

  • 4
    futurebsn92, KatieMI, brownbook, and 1 other like this.

    You can document it in the specific patient's chart. "Housekeeping called to empty the trash in patient's room (room 354)."

    "Housekeeping supervisor aware that staff has not showed up the clean the shower in patient's room (room 327), although they were notified 1 hour ago by this writer that it needed attention."

    Paper trails.

    And then write ups.

  • 5
    Rocknurse, poppycat, JustMe54, and 2 others like this.

    Do chest compressions, have someone else call 911 and have a 2nd person locate an AED. Call out to see if someone has naloxone/narcan if you suspect an overdose.

    Have the weak/pale/faint/dizzy/chest pain person sit down. Call 911.

    If it's a diabetic and they have supplies to check a blood sugar, do so. If it's low and they are alert give them some carbs. If they are unconscious, check a pulse, if there is none start compressions, otherwise, put some sugar under their tongue and let it dissolve and call 911. If their blood sugar is high and they are lethargic call 911.

    That is it.

  • 5

    If I was told to mop the floor, sweep, or empty the trash, I would call housekeeping to do so and document it in the medical record. Then I would not mop the floor, sweep, or empty the trash. If noone showed up to complete the task in an hour I would contact the supervisor of the cleaning department and document that in the medical record.I would not do any of the above tasks. When I was asked why it wasn't done, I would the show the higher up the documentation and say that I passed the message along to the appropriate staff and the supervisor of the appropriate staff and I am not sure what happened.

    If this happened a couple times and it was consistent among staff members, the problem would go away.

    Band together. Strength in numbers!

  • 3
    NurseSpeedy, Rocknurse, and 3peas like this.

    56% have less than 10 years of experience....scary

  • 0

    She probably did not know about your years of LPN experience.

  • 6

    Your resignation letter (if this is what you decide to do) should be short and to the point.


    Dear *name of manager*

    I am writing to let you know that that I have decided to resign from my position as a *official job title* on the *name of unit* at *name of institution.* My last day will be on *exact date at least two weeks from now*. I am grateful I had the opportunity to work at *name of institution*.


    *Your name*

    I would go over to your manager and give her a written copy of the letter. If she asks why you're leaving, say confidently that you are seeking other opportunities. Then I would give a written copy to HR. Then I would email a copy to your manager and cc HR and yourself. Then I would email HR and cc your manager and yourself.

    Cover all your bases.

    If they offer the opportunity for an exit interview, politely decline. Resignation is not the time to air your grievances. I would keep your head down and not bring up any complaints, be police and courteous to all until you make a decision about what to do.

  • 3
    pmabraham, kiszi, and ivyleaf like this.

    Short answer, 5 weeks on the the floor is not enough orientation.

  • 2
    Scottishtape and RSP.SN like this.

    Make sure you have CPR certification. Also look into a phlebotomy course, if you want to be a CNA. And then reapply. Volunteering is a good start.