prinsessa

prinsessa

LTC/Skilled Care/Rehab

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About prinsessa

prinsessa specializes in LTC/Skilled Care/Rehab.


Latest Activity

  1. That Dreaded 3-11 Shift

    I have worked all shifts and 7-3 is my favorite. 3-11 was too difficult because I never got to see my kids. I was always exhausted when I worked 11-7. I like 7-3 because I can still get home relatively early and the day goes by so quickly. I like...
  2. Did I just get thrown under the bus? Or I'm a bad nurse?

    But you should call the doctor first and get an order to hold it. If one of my patients is going for surgery, I will call the doctor in the morning (if there aren't already orders) and ask how much Lantus they want given before surgery. Many times ...
  3. Did I just get thrown under the bus? Or I'm a bad nurse?

    Don't feel bad. I have seen very experienced nurses hold Lantus without a MDs order. That being said, you should never hold any insulin without a doctor's order. If one of my patients is running low, I will sometimes call the MD to see if they wou...
  4. Is it possible to get the holidays off?

    I don't mind working the holidays but it annoys me to work a holiday and not get paid extra for it. For example, if you work Christmas Eve or New Years Eve, holiday pay doesn't start until 3 pm. I work 7-3 so I don't get holiday pay for either of t...
  5. RNs: How much vacation time do you get?

    It depends on how long you have been working for my hospital. You start off with 24 days/year for full time employees. PTO includes sick days, vacation days and mandatory holidays (for employees who get holidays off).
  6. Do you have to count lyrica at your LTC facility?

    When I worked at a SNF, one patient's cytotec came up missing several times. The DON asked several of us if we know anything about it. She also asked what it was used for. All I knew was that it was used for the stomach. I guess it can also be us...
  7. The Cynical Nurse Speaks

    There have been times where I really felt like I was going to lose it. Usually when I haven't had anything to eat or a second to go to the bathroom. I think it is a joke when I hear "we really care about our nurses!" If you did really care about m...
  8. I haven't worked on many units but the least stressful for me was Mother-Baby. Yes, you can have 8 patients but I felt like I actually had time to do education. This was my final semester during nursing school so I wasn't technically a nurse yet. ...
  9. The Lousy, Awful, Crazy, Rotten, *Really* Bad Day

    When I worked at a SNF, I had an ER nurse ask me if I pushed the patient out of the bed (this was a patient who tried to get up and fell). I was house supervisor at the time and this really made me mad! Really, you think we push our patients on the...
  10. Covering up Medication Patches

    We use tegaderm. It drives me crazy when someone applies a patch and doesn't document where they applied it or when. We even have a spot on our eMAR for notes. And the note will stay at the top of the MAR until someone else edits the note (we use E...
  11. Want to work in a hospital but no one will give me a chance!

    Become friendly with some of the doctors you work with. I know quite a few RNs (including me!) who got hired at the hospital I work at because a doctor recommended them.
  12. Possible TIA or effects of medications?

    I had patients who looked like they could die any second and it turned out to be a UTI. And the strange thing was that all vitals were normal. Not even a low grade temp. I have called MDs before and said "so-and-so just doesn't look right. Can we...
  13. What are you really good at?

    I'm really good with dealing with difficult families/patients. Plus I remember random information from nursing school
  14. CHF Protocols

    I work on a skilled care unit in a hospital and we don't even give IV push meds. We remind the MDs that if the patient really needs IV push meds, they don't belong on our unit. Usually they will switch to PO meds unless the patient really needs to ...
  15. Possible TIA or effects of medications?

    When I worked at a SNF we would send someone to the hospital if they showed any of those symptoms. It really could be anything from a stroke to a UTI.