nynursey_

nynursey_ has 3 years experience and specializes in Med/Surg/ICU/Stepdown.

Latest Activity

1. New RN having the worst time

   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...

2. Horrible new boss

   nynursey_ replied to devhrt12's topic in General Nursing

   I'm having this exact issue on my unit. Our new AN came in and she's an HCAHPS poster-child.

3. Trying to reduce supply waste

   nynursey_ replied to ClairaJ's topic in General Nursing

   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...

4. Central Line safety

   nynursey_ replied to NursingOR's topic in Safety

   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...

5. The worst.

   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...

6. When to call a code

   nynursey_ replied to JenHRN's topic in General Nursing

   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.

7. 6/11 WILTW Unsupervised Chalk Use

   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...

8. When to call a code

   nynursey_ replied to JenHRN's topic in General 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...

9. What is the Registered Nurse Patient Ratio at your hospital?

   nynursey_ replied to LinenP's topic in General Nursing

   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...

10. Should I SUE?

    nynursey_ replied to hollyday's topic in General Students

    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 ...

11. Best way to avoid bedside care?

    nynursey_ replied to Lemon Bars's topic in General Nursing

    You may be right. I more meant for insurance companies since much of it is policy based. But it would definitely require looking into more.

12. ANCC Medical Surgical Certification

    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!

13. General Rules for Med Surg

    nynursey_ replied to icthusRN's topic in Med-Surg

    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...

14. Gracious Patients

    nynursey_ replied to bgxyrnf's topic in General Nursing

    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...

15. Best way to avoid bedside care?

    nynursey_ replied to Lemon Bars's topic in General Nursing

    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...