Smitty,RN

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1. Can you recommend a good book?

   Smitty,RN replied to Smitty,RN's topic in Management

   Thanks! You're the only one who has responded to my question! I am still looking for a good book- so I will try the ones you listed. I have been reading First Break All the Rules by Marcus Buckingham and Curt Coffman and and Now Discover Your Str...

2. Can you recommend a good book?

   Smitty,RN posted a topic in Management

   I am fairly new to my position- I am a care coordinator for a busy cardiac unit- I would like to read more about leadership - what makes a good nursing manager... any suggestions?

3. Med. errors

   Smitty,RN replied to ohbet's topic in General Nursing

   Precisely why we have a "near miss report" at my facility. "Near Misses" are mistakes that have not reached the patient yet- i.e- wrong med transcribed on MAR, missed orders caught by nursing or pharmacy etc. We enter the problem into the compute...

4. What Freaks You Out?

   Smitty,RN replied to JennieBSN's topic in General Nursing

   Assisting with a bone marrow- Watching the doc turning and pushing the huge, handled needle with all his might- into the bone- I cant stand it!! I can handle vomit after the fact, but I will retch if I have to hear it and smell it!

5. opened multidose vials- when to discard??

   Smitty,RN posted a topic in Safety

   Our nurses are in disagreement with our pharmacy policy that "opened multidose medication vials will be discarded by the manufacturer expiration date- unless the practicioner suspects contamination"- I thought that once a vial was opened- especially ...

6. DEBRIDE the SCABS

   Smitty,RN replied to Christina Terranova RN's topic in General Nursing

   Gee, before this discussions goes away and is forgotten- someone please update us when it is over to see if the strike was effective- I have heard nothing about it until I read this BB. I am skeptical about the effectiveness of striking- I have no ...

7. I would like your HONEST opinions on this one!!!!

   Smitty,RN replied to JennieBSN's topic in General Nursing

   I wouldn't let that one nurse ruin my life- If you really are happy there, other than the nm- I would stay and ignore her- She obviously is not very professional and someday it will catch up with her...

8. Problems.. problems... grumble grumble

   Smitty,RN replied to CashewLPN's topic in General Nursing

   Write her lazy ass up- If it really as bad as you say, I would talk to your nurse manager- like someone else said, maybe she needs to go work where she can keep up with the pace. I feel for you...

9. Nurses Week--What did you get?

   Smitty,RN replied to Huganurse's topic in General Nursing

   CNA week??? When is that?

10. Exhausted night shifter

    Smitty,RN replied to sharann's topic in General Nursing

    As a dayshift nurse who has done nightshift in the past- My hat's off to you PM people! I can't do it- I would take Benedryl in the am and sometimes sleep the whole day away- I was always grouchy...Glad I am on days even though I do feel the worklo...

11. Nurses Week--What did you get?

    Smitty,RN replied to Huganurse's topic in General Nursing

    During Hospital Week there were activities every day of the week- icecream served by administration, 50's day- we could even wear jeans!, BBQ, our gift was a huge canvas bag. Nurses Week we have an annual celebration at the local Holiday Inn- with a...

12. IV Amiodarone

    Smitty,RN replied to willie2001's topic in General Nursing

    I work on PCU- in a relatively small hospital- We also have Amiodarone drips- Our patient load is 7-1, we take VS q2h for cardiac drip patients. We also take "stable" Tridil drips-

13. Fall Prevention!!

    Smitty,RN replied to Smitty,RN's topic in General Nursing

    You guys were right on target. 3 of our 4 falls were people trying to get to the bathroom. All of them were disoriented to a degree and didnt follow directions and were getting up to the bathroom. I appreciate your suggestion to not get too wild w...

14. Fall Prevention!!

    Smitty,RN posted a topic in General Nursing

    Help!! My medsurg unit has had an alarming number of patient falls in the last month. Our risk manager has asked another nurse and me to submit an action plan...I would like to know if any other nurses have any suggestions for fall prevention? What...

15. Please reply!!

    Smitty,RN replied to elainelisa's topic in General Nursing

    At my hospital, our policy is to pad 4 siderails for seizure precautions. I don't think a restraint should be used unless absolutely necessary- like pt may harm self or others. We've been taught not to intefere with a seizure- But we have had patien...