NuGuyNurse2b 7,362 Views
Joined Nov 23, '13.
NuGuyNurse2b is a Student Nurse.
Posts: 857 (60% Liked)
On days? 3. Night's up to 5.
At my facility if you're getting something like Dilaudid Q2 you might as well get a PCA pump; ain't nobody got time for that. Regardless, either of those orders would come with prn Narcan for obvious reasons, as well. It's an actual "bundle" in the order entry system when the md selects it.
This is where the lines of communication should be opened and often they're not. If a patient asks me for Ambien and it's 10p when I know at 11p vitals will be taken, I tell them they will be waken up anyway and usually they just say forget it or wait until after the vitals are done. And if there are any scheduled meds, I warn them also. Patients are usually better about being awoken if you warn them ahead of time that you will be disturbing their sleep.
do you bring up your psych history in interviews?
Groins are generally less clean than other sites, particularly when you find your femoral site submerged in a lake of diarrhea. Another big reason is that patient's can still be ambulatory with an IJ or subclavian site.
CLABSI are proven to be reduced by proper management of the line (aka aseptic dressing changes, ports cleaning, avoiding femoral lines, timely discontinuation/change, etc).
Surgical, L&D, ER. Apparently they are the more 'lucrative' units, whatever the hell that means/matters. We're all out here working hard, we're all taking good care of our patients. What the hell?
Side note: Our employer does not give annual or merit-based raises so this is exceptional. I'm still making what I made four years ago.
"invents problematic issues with patients." What does that mean?
^ there were plenty in my cohort who weren't in a hospital setting (some were waitresses, some worked retail) who were excellent nursing students. I actually don't think being any kind of hospital worker makes you a better nursing student - there were those who were, and there were those who weren't. I think it boils down to what kind of student you are.
But that's not what we're talking about. We're talking about clocking out at 7:23 and continuing to work until 7:30 because they're being paid until 7:30.
And I use words like **** and **** in everyday casual conversation. It doesn't mean I'm all het up or excited, trust me.
Well, that's a nonsensical and ****** opinion. By that rationale, nobody should ever vent or complain about anything related to their job, because they chose to take that job, right?
And no, I don't believe this is a directive from administration. I find it very difficult to believe that administration would endorse nurses working off the clock.
I love Pyxis. Between Pyxis and Omnicell...Pyxis any day. Scanning patients bracelets and meds have saved patient's lives from incorrect meds and dosing. I have worked in a facility where we do not do that and I personally have given the wrong dose because the machine tells you the available and the ordered dose...and they're both right next to each other. Even when you go through the medication rights, if you don't focus on the right number, you will make an error.
I think people forget that managers are under the administrators' microscopes. The directive probably isn't coming from her. It's why I would never want to be a manager and have argued in prior threads where members who were managers were griping about their plight. That's the risk that you take when you become a manager.
I fondly remember an instructor telling us we'll be wishing we were back in nursing school. I of course didn't believe it at the time. but there are days when I do prefer being in a lecture/lab simulation than at work.
While I know the stress of the acute setting and priorities, but this is like the second thread I've read where the communication breakdown involves such a simple task. Just get them their water...
Advertise With Us