Latest Comments by MilliePieRN

MilliePieRN 3,949 Views

Joined Aug 18, '12. Posts: 151 (45% Liked) Likes: 268

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  • 0

    Look up Carpe Lotion/foot lotion. The stuff is incredible...

  • 8
    klone, canoehead, Here.I.Stand, and 5 others like this.

    Sometimes it takes a few min for the Med to get ordered in the computer system. Sounds like you heard the verbal order before the doc sat down to actually put in the computer order? Iv, labs, then sent to radiology? If that’s the case, I can see where she would go eat while he went to have a scan rather than waiting for him to get back from the radiology if the order had not shown up prior to him leaving for the scan. I don’t know the whole story, so I’m unable to say what I’d do in this specific case. I will say I’d give the pain med as soon as I could, but I would not delay a ct scan. I wouldn’t have said the part about taking a lunch or not getting one at all. 30 min doesn’t sound too unreasonable, especially if during this time he got an iv and had a ct scan.

  • 3
    Here.I.Stand, KelRN215, and Mavrick like this.

    To be sure the patient is adequately entertained, with song and dance if necessary..

  • 1
    dura.mater likes this.

    Ask the pt questions and clarify with pharmacy and md. If the pt is on po morphine, more than likely she's already been taking it (check home med list). Ask her "reaction" and hx with opioids. Most allergies listed are adverse reactions. I would think if you acknowledge the allergy, ask pt, and clarify with dr's, you should be fine on your sim lab.

  • 2
    bunnehfeet and chacha82 like this.

    Loving cardiac cath lab!!!

  • 1
    Here.I.Stand likes this.

    Quote from pjsmom

    Mamabear, I am surprised at how many have chimed in to say that their facilities did not have a backup plan and it is the managers responsibility. How can one person have a life if they are always on call? It IS stressful! The scheduling piece is definitely is a nightmare! I hope you have found peace in your new job
    It is the managers responsibility because they are the ones that have control over staffing. You even said earlier that it's too expensive to have more staff to cover the open shifts. That's a decision mgmt makes. The effects of that decision should be felt by mgmt and not passed along to the staff nurses. Do you even occasionally work those shifts? (My previous manager could not even do the job or cover a shift safely, which is terrible... he was not even willing to learn). Paying premium pay is ideal for all involved, but if it is abused by managers even that won't work very long. I find it horrifying that some managers require the off-going nurse to find a replacement or have to stay for double shifts. I'd be quitting asap. I'm glad you are looking for backup plan ideas that would be good for your staff. Money talks!!

  • 10
    MJB2010, Here.I.Stand, cwruRN1, and 7 others like this.

    My suggestion would be to offer double pay to anyone willing to cover the shift. Have those interested sign up for a group text alert when someone calls in. This won't work if it happens very often, but I'd go in for double pay occasionally if mgmt was not abusing the nurses.

  • 0

    If I had it to do over again (and considered choosing something other than nursing in the medical field), I would consider RCIS to work in a cardiac cath lab

  • 1
    anitalaff likes this.

    Quote from squiggy241
    I'm actually surprised not many want LPN's. As an example, last night it was my RN and I assigned a group of 5. One patient started going downhill, so while my RN and Charge were getting things taking care of in there, I was able to do all midnight rounds, plus pain, IV, and meds due, plus 2am rounds. That allowed the RN to do the charting on that one patient, and everything else was taken care of. If it was just her, the other patients would still have midnight VS to do at 2am, and all those medications would have been late on the MAR. I don't understand the dislike of LPN's on here. I am also able to do most IV meds, oral narcotics, and hang antibiotics. Plus I was able to assist patients with all their other needs like bathroom breaks, snacks, water etc...
    If that's how Lpn's were utilized in my hospital, I'd love it. In our hospital (med surg) lpn's are treated the same as rn's with the same individual pt loads. (5-6 pts) Except, the rn's on the floor were required to do the work that lpn's couldn't do for their pts; charge nurses had their own pt load (they sign after the lpn's' even though there is no oversight). Assignments weren't made with lpn/rn roles considered So, if I had 6 pts, I was responsible for the total care of all (no tech) and whatever else the lpn was unable to do... and I was expected to drop anything I was working on to do it. Not fun... I much prefer to work with rn's.

  • 1
    matcha-cat likes this.

    I graduated nursing school 3 yrs ago. I was a later in life college student. I had no biology or chemistry before taking a&p and I made it through just fine. Don't let one chapter in a/p make you totally give up. You are very early in the process. You should give it all you got until the final withdraw date; wait to see what kind of grades you make. I can tell you are intelligent and can do this just from reading your posts. You are taking it seriously and I believe you can do this!!

  • 23
    saskrn, Kooky Korky, crazyeight, and 20 others like this.

    Do a review class and pass the test. You can do it if you don't give up.

  • 0

    I think it is a breech of hipaa...

  • 39
    Juryizout, Peepsimus, Williss2, and 36 others like this.

    I accidentally used a pt's chap stick... not a sweet clean patient, either...

    I can just now talk about it. Waited to see if any sores or sickness would visit. Definitely keep mine marked from now on.

  • 4
    WinterLilac, Aloe_sky, booradley, and 1 other like this.

    Sounds like a terrible shift . I'm sorry! It sure sounds to me like you did an awesome job and don't have anything to feel bad about. You can't do everything at once, it was very nice of you to stay so late and help the oncoming shift with THEIR patients. I'm all for getting your stuff done, but things just aren't always done by shift change.. (I'm talking to myself too, I feel terrible if there is a pt not fully wrapped up and presented to the next shift all nice and tidy with a bow on their head.)

  • 0

    I work in a small Icu and I often see the need to look at charts. Say a critical gtt is running dry and the primary nurse is busy... I'm not going to hang anything that I've not checked myself. I'll check the emar for the active order and sometimes click on the MD's progress note to see the plan for the med/pt. I feel it's good to know what's going on with other critical pts in case of emergency. Our tele monitors are in the unit and if someone has a weird rhythm, I'll look through the chart and see if there is a history of it. I'm sorry, but sometimes it's better to check for myself than to just rely on the floor nurse to find the time. I can see many reasons for looking at pt charts that aren't hipaa violations. Not just being nosy...