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Search Results Type: Posts; User: OKinOKC

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  1. Newish grad. Dealing with students on the ward.
    Let them know that you'll be happy to answer questions if they keep up. Otherwise they can forget it because you're responsible for your pts, not them. I'm not going to pursue them to teach them....
    Sep 16
    Forum: First Year After Nursing Licensure
  2. Multiple infusions, having trouble
    We frequently have 2 antibiotics due at the same time. One I see frequently is Rocephin and Vancomycin both due at 0900. In that instance, I'll start the Rocephin first at 0800 (it only runs for 30...
    Jul 16
    Forum: Medical-Surgical Nursing
  3. Was reprimanded for wearing gloves while working with a patient
    C-diff? MRSA? These diagnoses require the use of PPE and proper hand hygiene. Encourage the pts to also wash their hands before leaving the room. While I work at a hospital, our policy is to have...
    Jul 10
    Forum: Infectious Disease Nursing
  4. Why I pursued nursing and my love for needles!
    Health department nurses I'm sure give lots of vaccinations, as do peds nurses, especially in the doctor's office!
    Jun 28
    Forum: Nurses Rock
  5. Patients Cheeking medications
    All make good points. Here is my view FWIW coming from a unit where frequently pts are admitted for vague diagnoses with no real medical data to back them up. I could (and used to) get worked up...
    Jun 19
    Forum: Nursing Issues On Patient Safety
  6. Indwelling Catheters
    Starting POD 1, we very strongly discourage the use of bedpans. I make sure the newer techs know this so that they won't use a bedpan for their convenience. Every trip to the bathroom provides a...
    Jun 13
    Forum: General Nursing Discussion
  7. Indwelling Catheters
    My floor is ortho/med-surg. Generally our patients only have Foleys if they came in with a hip fx. Since they usually go home or to rehab on POD 3 or 4, it doesn't make much sense to keep one in...
    Jun 13
    Forum: General Nursing Discussion
  8. Why do they always start with IV fluids?
    Disclaimer first: I don't work in peds. My main thought is that in the absence of heart or kidney disease, extra fluids simply prevent dehydration and cannot hurt? Of course, this also implies a...
    Mar 16
    Forum: Nursing Student Assistance
  9. How to Pay for Tuberculosis and Hep B Vaccinations
    I got my TB test at a local hospital for $10 each (needed 2 negatives). The health dept told me that they only do testing for exposures. The health dept also would not do my hep B for free. I paid...
    Mar 6
    Forum: CNA/MA - Nursing / Medical Assistant
  10. Patients REALLY do these things!
    You got it! Same things apply when you're a nurse so better to know them now! You're awesome and you'll rock those clinicals! Always great to see students with a great attitude ;)
    Feb 20
    Forum: Nurse Colleague / Patient Relations
  11. ED tranfer.. No verbal report required
    We do faxed SBAR and admit orders. I only want to speak to the ER nurse if the pt has dementia (are they climbing out of bed) or if there's something weird I need a heads up on. Ultimately I'm going...
    Feb 17
    Forum: Nursing Issues On Patient Safety
  12. AC IV starts
    This ^^. You may need to go kind of sideways. Some people's veins don't really run up and down. This way you know the angle of entry.
    Feb 5
    Forum: Medical-Surgical Nursing
  13. Front Desk Staff
    I absolutely adore our support staff. Our unit clerks are a valuable resource for anything from helping new nurses with policies to deciphering physician orders (many still prefer to write their...
    Jan 28
    Forum: General Nursing Discussion
  14. Mandated overtime.  What?
    Not really sure how this works but I'm interested. Our BON is vague on the issue, stating that failure to work beyond your scheduled shift is a staffing issue, not abandonment. However, failure to...
    Jan 28
    Forum: General Nursing Discussion
  15. When will I learn? Right back where I started
    I completely understand. I'm struggling with the option to get on meds. Just don't know what to do. I don't know what else to say except you're not alone.
    Jan 11
    Forum: Health / Stress Management 101
  16. Ideas for Effective Time Management at Work/Juggling Tasks
    I check for early am meds first (renal meds that need to be taken with breakfast, thyroid, etc); those pts get all their meds at that time. If they are joint pts, I assess for pain and medicate...
    Jan 1
    Forum: General Nursing Discussion
  17. Getting a meal break
    I work med-surg and we generally cover each other. Of course, most of us try to be mindful to have everything done to keep the covering RN from having to do much more than maybe give pain meds or...
    Jan 1
    Forum: General Nursing Discussion
  18. $11/hr as a registered nurse
    I have to wonder if these are salaried nurses working long hours...
    Jan 1
    Forum: General Nursing Discussion
  19. Shingles precautions
    Thanks all! I'll ask our infection control person whether it is actually the policy or if the other nurses are just doing it this way. Next time I see the ID doc I'll ask him too.
    Nov 30, '13
    Forum: Infectious Disease Nursing
  20. Shingles precautions
    When a pt is admitted with shingles we've always put them in a negative pressure room on droplet precautions. I asked a doctor about the necessity of wearing a mask. He states that since I've had...
    Nov 28, '13
    Forum: Infectious Disease Nursing
  21. Nursing shoes for TINY feet?!
    Personally I love Sketchers. I've been wearing them for years. They have white ones and their D Lites are very lightweight. Sketchers makes shoes in all sizes. Maybe a larger child's size would be...
    Nov 28, '13
    Forum: Nursing Scrubs / Uniforms / Gear
  22. What is the largest dose of insulin you have given a patient?
    30 units of Novolog scheduled 30 min before meals. I called to clarify but still held the am dose since pt refused breakfast.
    Nov 16, '13
    Forum: Nursing and Patient Medications
  23. Generic name for vitals machine?
    The first few times I called it a dynamap, the techs were like, "what?" Now I just call them vital sign machines. Lol!
    Nov 15, '13
    Forum: General Nursing Discussion
  24. Medsurg nurses rock!
    I always thought that ICU or ER is where is want to go but I really LOVE med-surg. The pts are stable (for the most part) and we get all types and diagnoses. I'm going to seek certification when I...
    Nov 11, '13
    Forum: Medical-Surgical Nursing
  25. Length of orientation
    12 weeks for new grad. 6 weeks with experience.
    Nov 11, '13
    Forum: Medical-Surgical Nursing


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