jessRN465

jessRN465

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About jessRN465

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  1. How does your facility prevent falls?

    We put on yellow socks, yellow arm band, and a light on above their room- as well as reading the room number in huddle. Bed alarms are utilized as appropriate. This all is totally ineffective as most of our falls are from patients that aren't even de...
  2. What's the funniest most unusual baby name?

    A Semaj.. His dad's name is James so they turned it backwards...
  3. Stupid things that nurses say

    I had a pt in A.Fib and had orders to administer PO diltiazem (Cardizem), then in the next few hours call the MD on call and let him know if it's improving. Now, I don't work on a cardiac unit so it isn't super common to give that medication. I cal...
  4. What color scrubs do you wear?

    RNs wear grey and white (all grey or mix, not all white), NAs wear light blue and black (but not all black), PT wears navy, OT wears purple, respiratory wears royal blue, peds/picu/nicu wear "kid friendly" print or colored scrubs. Environmental servi...
  5. I was reported for something I didnt actually do. Help.

    That was extremely rude. He/she is asking for advice- don't respond if you don't have constructive input.
  6. When do you know to call the doctor?

    I work on day shift, and labs are drawn early morning so that when our doctors round, they are able to see them. I never call the doctor prior to rounds (unless very serious obviously!!) because they will be up on the unit (always prior to 8am). I ca...
  7. Stethoscope/clinical supplies

    I've had a littman classic II since nursing school (2012). I do not wear mine around my neck (only for my morning assessments and then PRN) but it serves it's purpose well and I don't see getting a new one any time soon! Love it! I also tied a ribbon...
  8. Now THAT'S a lab result

    Hgb 3.3... Was told a few days prior at PCP office it was extremely low at 4.0 (or something around that) and to head to the ER. Patient wanted to attend a bday party instead..
  9. A mosquito bite
  10. Heparin

    I work on a post surg unit (we obviously get preop too!) and we do hold anticoagulants prior to surgery, even aspirin most of the time.
  11. TV shows and movies that are ruined, because you know better

    My favorite was one time on Greys, I think it was Arizona, told a patient they had "psoriasis" of the liver instead of "cirrhosis." I cracked up..
  12. Fear of making med error as a nurse?

    In my nursing program- in order to pass the first semester we were required to make 100% on a med-math exam. We had 3 tries, and all of us were successful. The pressure to start our program off with a good foundation in med-math makes being an RN muc...
  13. Heparin

    And it's not that heparin affects hgb.. But if a patients hgb is trending down and below 8.0.. It could possibly be a bleed.. Which heparin would make worse. This was Atleast how I understood the rationale..
  14. Heparin

    At our facility YES! Always hold heparin/lovenox if platelets are less than 100 (and call MD), and hold if hgb is 8.0 or less (ESPECIALLY if that is trending down from previous lab draws and call MD). BUT if the patient has anemia or sickle cell and...
  15. Preparing for the 1st Day

    Best advice- get to the unit about 15 minutes early and review your patients for the day. When your day starts, sometimes it can get hectic and you aren't able to read up on their history or progress and key information can be in there. (ALWAYS CHECK...