nynursey_ replied to Nursetaylor3's topic in General Nursing
Like the others' have said ... it's been a month. I was never an RN in a NH, but let me tell you ... I am/have been a MedSurg RN, and > 80% of those patients are often NH patients in acute exacerbations of their illnesses. Should you ever choose t...
I find one of the biggest supply wasters are improperly labeled equipment; graduates, bed pans, tube feeding supplies, syringes, IV tubing, IV fluids, etc. When these things are not properly labeled, they need to be thrown out as soon as the RN reali...
I'd be interested to see if any best practice articles exist on this topic, but in the spirit that they don't ... Logically speaking, having an area on the lumen compressed for an extended period of time might promote kinking, which could then lea...
nynursey_ replied to soyoureanurse's topic in Safety
​While I don't want to condone turning this into a night shift versus day shift post, I can say that I sympathize with those of you who hold it together on nights (for a point of reference, I work primarily day shift, with an odd 3p-11:30p thrown i...
My hospital does have a rapid response team, however an unresponsive person can go from bad to worse very quickly, so it wastes less time to call a code.
nynursey_ replied to AspiringNurseMW's topic in General Nursing
I learned ... 1. I'm eligible to sit for the ANCC Medical-Surgical Nurse certification exam. I have 90 days to test. I may (or may not have) thrown up a little bit when I found out. 2. A patient can refuse medications, assessments, and other nursing...
At my hospital, a Code Blue is initiated when a patient is unresponsive: with or without a pulse, or has an absence of spontaneous respirations. These interventions typically necessitate ACLS protocol initiation. I don't care what any physician say...
Urban/Metro Hospital in NY High Acuity Med/Surg = 1:4 (as it should be standard), 1:5 (when our ANM refuses to assist in taking an assignment), or 1:6 (when the ANM refuses an assignment, there are call outs, bed access increases the census, and th...
I'm having a difficult time wrapping my head around this situation. You were academically dismissed from your program for ...? Failure to rescue? Failure to notify? Safety violation? Unprofessional conduct? The first place to start is in reviewing ...
nynursey_ replied to megamiepona's topic in Med-Surg
Let us know how the exam goes! I have been on/off studying for a few months in preparation for mine and I'd like to hear from someone who has experienced the madness!
I think what you're referring to as "general rules" are really simply essential parts of knowledge of a clinical skill. For example: it best practice to flush a PEG tube with 30mL of sterile water prior to and after accessing a tube for bolus feeds o...
I love when this happens. It's rare but it's definitely a nice reminder of the fact that our work is essential and important. I have had patients (and families) thank me profusely for simply doing my job. I appreciate it more than I can say but I a...
If you're absolutely positive that you have zero interest in bedside nursing (hospitals, SNFs, LTACHs, LTC) then I don't think hospital experience is a must. It will hone your assessment skills and clinical skills but if your goal is to work in a cli...