Jaade

Jaade

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About Jaade

Latest Activity

  1. Hourly Rounding

    I don't mind the trackers - as someone else said, I'm doing what I'm supposed to be doing so I just think of it as an extension of my badge. I know the managers aren't truly monitoring them regularly because at least half of another floor at our hos...
  2. Hourly Rounding

    Sorry, one last thing - I do work on a speciality med/surg unit (Ortho/Spine) and we typically have a pt load of 5-6 pts per shift.
  3. Hourly Rounding

    Oops - didn't mean to hit send yet. We have trackers we wear that management can use to find out where we are on the unit (say a family member says they didn't see us all night - the manager can show when we went in to check on them). Joint Commiss...
  4. Hourly Rounding

    We do hourly rounding. CNAs do odd hours, we do even hours. We have "PALs" (Patient Access List) which list scheduled tasks by hours in our EMR. We have to document what the pt is doing, pain, if repositioned, bed position, if bed is in low position...
  5. Transfering from Oncology to Psych?

    When I first started in psych nursing, I worried a lot about saying the wrong thing to a pt. It can be more laid back than med/surg, but when it is bad, it is really, really bad. Psych is definitely not for everyone. What kind of patients are on you...
  6. We have standing orders that say after the foley is removed, if the pt has not urinated in 4-6 hours straight cath x 1 and then if the pt is still unable to urinate in the next 4-6 hours, call the MD.
  7. Refilling water pitchers

  8. Does it get better?

    It's hard starting out in healthcare. You will be slow. You will make mistakes. You will improve every day. I try to put on a smile and have a good attitude every day I walk into work. (And I am NOT a bubbly, shiny, happy person.) I like this work, I...
  9. Is this really a med error?

    This. Also, I was once told by a dr/former medical director that JC looks hard at facilities that report very few med errors because they know mistakes are being made and assume they aren't being caught or reported when there are too few. The hospi...
  10. Is this really a med error?

    It's a med error, the doses were missed. Med errors do not have to be the nurse's fault. We frequently have to chart "med not available" as a reason for missed/late doses when the pharmacy can't bring things up right away. Those are errors in med adm...
  11. Risks of IV drugs??

    I've seen a pt with a staph infected abscess in his AC vein from reusing his own needles. We drained it for him several times, I've never seen so much pus in my life! It was gross but also kinda cool. IV drug users have the worst veins. I hated havi...
  12. We can't even get COPD patients to quit smoking when they're on O2. How do you propose we convince people to stay home from work when they're ill? Once they have the full-blown symptoms, sure. By then they've already spread it, more likely than not. ...
  13. It is a national exam, as others have said. I live in south Georgia and took the test in Jacksonville, FL because of the date. The licensing fees are more expensive in FL, I've been told their background check is more stringent and they require CEs, ...
  14. Life, kids, work AND Nursing School...

    You will all get through it. My only regret is that I didn't go ten years sooner. Like the poster above said, you and your family will be rewarded for the hard work when you start making a decent living. :)
  15. Life, kids, work AND Nursing School...

    Try making a week's worth of meals at a time, with help. Teach your 9 and 10 year old to help out around the house and give them set chores. Give up the idea that your house will be clean, that you will be able to attend every school event, holiday f...