annonymouse

annonymouse

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About annonymouse

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  1. General Rules for Med Surg

    OK; so I learned never hang blood with anything but NS. I learned that the IV needs to be inserted such that the input will flow towards the heart. Nothing should be added to a TPN line ( which is ALWAYS dedicated) ...and I would even question that i...
  2. Having difficulty working on med-surg, telemetry unit

    Oh OP, Hear you loud and clear! I worked on two very busy med-surg-tele floors within my career. One was in AZ where there is no limit for pt ratio. One was in CA where the ratio was 5-1; but during NOC, NO NURSE ASSISTANTS AT ALL, EVER. Both were r...
  3. Should I report this nurse?

    OMG...INCIDENT REPORT ASAP. This is just weird and mind boggling.It sounds to me that the nurse just plain didn't want to give the blood, forgot about it and made some flimsy excuse about why ....on and on the possibilities...but why in the world can...
  4. Who loves med-surg?

    Started in Med-Surg, went wild for years in Critical Care, and now loving Med-Surg again close to retirement. Learned so much in the beginning; exciting and exasperating as all get out;(heartbreaking and frustrating as well)........ Time management, ...
  5. Is charting coming before patient care these days?

    And yes, Libby, I think I do chart somewhat protectively within the progress notes. I will have to consider this. Sometimes I think it is really necessary! But perhaps it has become a habit over the years watching nurses get doinked badly for not cov...
  6. Is charting coming before patient care these days?

    Oh Yes, Juan DeLaCruz, thank you too, and yay for being NP!! :) Yes, in ICU, no one is late for charting hourly vital signs because it is pretty darn easy to verify the hourly VS which is automatically added into the epic system via the monitor........
  7. Is charting coming before patient care these days?

    HI LIBBY, HI MMC51264; Hi everyone who has taken the time to help me out here! I really appreciate this! Thank you for this guidance. I type like the wind, so the time it takes to enter a detailed note is null. I mean, my co workers have heard m...
  8. Is charting coming before patient care these days?

    Thanks HeySis!, yes, I am in touch with senior nurse recruiters at this time looking for other options at local hospitals which I would like to check out. It's too bad because I am loving the current pt. population, and have forged nice relations wit...
  9. I HATE bedside nursing

    What did you end up doing? Seems like your post was some time ago. I love bedside nursing myself. It is the drama and the power struggles which are often started by the assistants that I abhor. In general, they often feel like they are disrespect...
  10. Med surg psych unit?

    Hi. I worked in a county hospital once which was also a level 1 behavioral center. Got floated to the psych unit often. But our med-surg pt. populace was often folks who were psych patients with acute medical issues. I would imagine this is the popu...
  11. Is charting coming before patient care these days?

    Hi Nursegirl 525; thanks! The basic head to toe assessments may be inserted at actual time of performance, IE: assessed at 1530, didn't get to actually chart till 1900, but may still time the assessment at 1530. But the pain assessments and sepsis sc...
  12. Hi. I just tried to submit an informative question but somehow it was lost in transit. So briefly; I attempt again.........how many of you older nurses who have vast experience and are at the top of the pay scale, have been disciplined for your chart...