Sewbusy~RN

Sewbusy~RN specializes in Orthopedics.

Latest Activity

1. Sometimes it's hard to tell a drug seeker from a patient in pain.

   Sewbusy~RN replied to tiroka03's topic in General Nursing

   I feel for you. A while back I had a drug seeker who was angry I diluted and pushed slowly. I made an agreement with her that I would wake her for pain meds through the night. She was getting 2 mg dilaudid IV q 4h. I woke her twice and asked her if...

2. Medical Charting in Family Practice.

   Sewbusy~RN replied to military-mom's topic in General Nursing

   I don't think there's anything wrong with what you charted. The important thing is to be objective and honest and just state what happened, when it happened and how it happened. It is what will be used in court so it better be as factual and accura...

3. And the results are in....

   Sewbusy~RN replied to NickiLaughs's topic in General Nursing

   Ouch. Where do you live? I hope its somewhere that pays nurses well!

4. Ever Think Nursing Might Not Be Enough?

   Sewbusy~RN replied to FattyMateo's topic in Career Support

   I agree with what everyone else is saying. Work for a while. Let your "student brain" go and get on with the process of actually learning what it is to be a nurse, which is not taught in school. Let go of all that theory BS and forget about nursin...

5. Foley Catheter Removal for SCIP Core Measure

   Sewbusy~RN replied to NurseAnnie123's topic in General Nursing

   We also put stickers in charts, bright orange labels on the foley bags and on the front of the Kardex. In addition, foley removal is now a nursing judgement where I work, but we don't touch them without an order if it is a neuro or GU patient, and a...

6. Feeling Flustered

   Sewbusy~RN replied to MystyqueOne's topic in General Nursing

   That's a ridiculous shift schedule, unless they are paying you a ginormous shift differential for working nights AND weekends! It is standard to work every other weekend, maybe less if you've got seniority/work part time or if the hospital has a wee...

7. Getting blood on your hands

   Sewbusy~RN replied to ribeyesteak's topic in General Nursing

   Well I usually put gloves on immediately when I walk into a patients room, but accidents do happen. I've has urine splash back from a catheter when I was clamping it in to the bag and pushed too hard (gross), I've had a patient projectile vomit on m...

8. first code

   Sewbusy~RN replied to LouisVRN's topic in General Nursing

   I have seen a couple and helped out in one. I actually really enjoyed it, that probably sounds callous but I liked how the doc just stood there calmly with her hands in her pockets and told everyone "let's push this, and do that..." and we had plent...

9. Tips for a good shift!

   Sewbusy~RN replied to Good Morning, Gil's topic in General Nursing

   1. Keep in mind that nursing is a 24 hour job and you can't and don't have to do everything. 2. At the start of the shift, sit down and write yourself a skeleton schedule; include when you expect to pass pain meds, do dressing changes, pull cathete...

10. How long can a patient go without urinating after receiving a Duramorph spinal?

    Sewbusy~RN replied to willyRN86's topic in Orthopaedic

    We give them six hours too, then bladder scan and call the doc for orders for straight cath or foley.

11. "unlearning" med surg habits?

    Sewbusy~RN replied to Sewbusy~RN's topic in NICU

    We "scrub the hub" on my unit, and it is taught on all m/s units in the hospital I work at. We also use those Curos to cap off all ports on all central lines.

12. Full Circle, My First Year of Nursing

    Sewbusy~RN replied to Imafloat's topic in New Nurse

    I know this is old but I just found it and it made me cry. Thanks for so perfectly articulating the roller coaster of the first year as an RN, and for reinforcing my reasons for applying to transfer to the NICU.

13. "unlearning" med surg habits?

    Sewbusy~RN replied to Sewbusy~RN's topic in NICU

    Thanks! Great idea, I'll look up neonatal CEUs tonight!

14. nurse to patient ratio orthopaedic floor?

    Sewbusy~RN replied to nurseortho's topic in Orthopaedic

    California- 4:1 all shifts, but occasionally take a fifth if were short. At night we have 1 tech and 0-3 aides, depending on the unit census. Days usually has 1-3 CNAs (by census again), a secretary and a tech, plus volunteers are available for rest...

15. Pregnant New Grad Starting Ortho--Advice?

    Sewbusy~RN replied to nulife4good's topic in Orthopaedic

    I worked through my entire last pregnancy on an ortho unit and it worked out fine. Some shifts were better than others. You have to be willing to ask for help and realize that some people will resent you for it but you have to accept that it's thei...