Lisa Jane RN

Lisa Jane RN has 14 years experience.

Latest Activity

1. I Don't Get the Anxiety Part of Nursing

   Lisa Jane RN replied to missmollie's topic in General Nursing

   I find this post fascinating. I'm an RN with over 17 years experience and I still have some level of anxiety and nervousness about what might happen on shift. I work in an acute care paeds inpatient unit and we also respond to paediatric codes in th...

2. Cardiac Monitoring of Pediatric Patients in Med Surg

   Lisa Jane RN replied to Vicki_RN's topic in Pediatric

   I work on a general paediatric floor in a community hospital that does not have a PICU. We have bedside cardio-respiratory monitors. They are used for certain patient populations ie. eating disorders, but we also use them for procedures requiring co...

3. Only Charting "The Good Vitals"?

   Lisa Jane RN replied to whitecat5000's topic in Safety

   Well here is the thing. I think it's important to document ANY intervention, you would chart the vitals but stipulate the patient was uncooperative, asleep, wrong size cuff etc. As far as calling a physician, in terms of critical thinking, you use yo...

4. 8s vs 12s; night shift or day shift?

   Lisa Jane RN replied to wish_me_luck's topic in New Nurse

   As a new nurse you may find it a better learning experience to work days. Also, there is a lot more support and it's generally better staffed so you can focus on learning your skills and fine tuning your assessments without being totally rushed. I pr...

5. Only Charting "The Good Vitals"?

   Lisa Jane RN replied to whitecat5000's topic in Safety

   Right, I hear what you are saying. How did you find out about the initial VS? We recently laid off RNs and replaced them with RPNs. It's been a very difficult transition and I really preferred an all RN floor. So, I hear your frustration because I ha...

6. Only Charting "The Good Vitals"?

   Lisa Jane RN replied to whitecat5000's topic in Safety

   I'm a paeds nurse, last night we admitted a 9yr old head injury and the ER faxed up report with a bp of 90/29. Wow.....really? It ended up being fine but if documenting a bp that low how could you not reassess it?????!!!!

7. Only Charting "The Good Vitals"?

   Lisa Jane RN replied to whitecat5000's topic in Safety

   Wow. Scary, I mean you don't mention a temp with the first assessment but clearly the patient was sick. I'm shocked the first concern wasn't sepsis....

8. Pediatric PIV starts

   Lisa Jane RN replied to NewPICURN's topic in Pediatric

   I rarely blind stick. And like everything, it comes with experience.

9. Pediatric PIV starts

   Lisa Jane RN replied to NewPICURN's topic in Pediatric

   For me, neonates are much easier than the older chubby babes. My first choice is usually the hands and wrists rather than the saphenous. But thats just a personal thing. Definitely helps to have lots of prep on and if you can get your hands on a tran...

10. "I love my job monents" in peds

    Lisa Jane RN replied to hiddencatRN's topic in Pediatric

    Had a nine year old patient in the hospital for GI issues. He has a history of Asberger's. Had been in and out a few times and on the last admission said to me "I don't mind it here, it's kind of like a hotel, but only a one star".Out of the mouths o...

11. You know you've been in Nursing TOO long when...

    Lisa Jane RN replied to Mike RGN's topic in International

    Totally agree. If you ever get a wonky BP reading you have to attempt a manual :)