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Search Results Type: Posts; User: OKinOKC

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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. $11/hr as a registered nurse
    I have to wonder if these are salaried nurses working long hours...
    Jan 1
    Forum: General Nursing Discussion
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. Length of orientation
    12 weeks for new grad. 6 weeks with experience.
    Nov 11, '13
    Forum: Medical-Surgical Nursing
  19. rapid response team
    If you're unsure, call a RR and stand by your decision. I would have done the same. Let them get mad. Your job is to keep the pt safe, not worry about the doctor getting upset. If you hadn't called...
    Nov 11, '13
    Forum: Medical-Surgical Nursing
  20. Let's not try to make them invalids or keep them invalids
    What we do is assess fall risk, teach our pts, and document refusals (bed alarms, equipment, and fall precautions). You can't force compliance but you can CYA. This also includes documenting teaching.
    Nov 4, '13
    Forum: Nursing Issues On Patient Safety
  21. When someone asks you what you do for a living, do you say "nurse" or "RN" or "LVN"?
    I just say nurse. My patients are usually the ones that ask RN or LPN. I think they are generally just making conversation when they do ask me.
    Nov 1, '13
    Forum: General Nursing Discussion
  22. Bedside Reporting- your thoughts
    We also are supposed to do bedside report but usually do it at the desk and then round. Some of the nurses want to go in though and that makes report take a long time as some oncoming nurses will try...
    Oct 13, '13
    Forum: General Nursing Discussion
  23. Checking A Patient's Blood Glucose In His Earlobe?
    Had a pt once with severe edema in upper extremities. That's when I learned the earlobe trick!
    Sep 16, '13
    Forum: General Nursing Discussion
  24. Staffing and patient abandonment
    I stayed until the issue was resolved. Another nurse from my shift agreed to stay an extra four hours. The charge nurse had a full patient load already. My problem with the situation was not just...
    Aug 10, '13
    Forum: Nursing Career Advice
  25. Staffing and patient abandonment
    Another called and was going to be late. I applied to other jobs already and there are lots more I can apply for in my area. My facility refuses to get agency because they're expensive but having no...
    Aug 9, '13
    Forum: Nursing Career Advice