I work in a 1200 bed, level one trauma, teaching facility. We were told that all influenza A cases this year are turning out to be H1N1 by CDC reports from last week. As of last week we have stopped using a special respiratory isolation and now are using droplet and contact precaution only. Gone are the goggles and n95 masks. We are treating this like any other flu
In the past couple of years the AAOS have determined that Coumadin was a little overkill. So our facility switched to EC ASA 325mg BID. We have seen a few more patients with DVT and PE. We have also seen more cases of thrombocytopenia with Lovenox. Because of this we have 2 surgeons that use Arixtra. We still have the majority of our patients receiving ASA especially if they got a spinal injection for anesthesia. Of course those who came to us chronically on Coumadin...is d/c on coumadin.
Coco,
Why did you choose nursing in the beginning? Maybe you can revisit what sparked your interest to begin with. You are very young and have your entire future ahead of you. We call it LPNs where I live. There are not many around anymore. In the next year we will phase them out all together where i work.
If you became an LVN would you be able to find work? Would you earn enough money to support yourself?
I was in my mid 20's when I chose nursing. My mom had died of cancer and I wanted to give back all that had been given to us. Its a very hard and sometimes frustrating job. On the other end of the spectrum it can be very rewarding. There are days when I have been on my feet for 14 hrs with no break and I wonder why it has to be so hard.
Then there are days when I dont want to leave.
Nursing is a committment, To yourself, to your team and to the patient. You have to really want to do this!! If not now..maybe when you are older.
If you have any specific quesitons please feel free to message me!
:tinkbll:NurseTink
Imagine all the things we do as nurses now that doctors or orderlys did back then.
I encourage anyone with the interest of knowing what the nursing cap was like just order one and wear it around the house. see how many times you almost knock your head off... Its just not functional/feesible these days.
I wore a pinafore dress/uniform. It was not comfortable at all. OH and the support hose!! I know I should probably still wear them but I dont.
White is just so hard to keep clean. After a while they start looking yellow or dingy.
I likesolid, all one colored scrubs Ceil blue, Black or grey. Boring I know. I do not like all the prints though. I would wear it if i worked in Peds.
I certainly dont miss the days of all white.
Most of our nurse managers still wear all white.. but scrubs with a jacket. It looks great..but then again they are not getting around body fluids either.
:tinkbll:NurseTink
i am a charge nurse on a very busy ortho unit. we have 8 to 18 surgeries a day. our average length of stay is 2-3 days. we never have more than 6 nurses on our unit.
the only time i will ever ask a pacu nurse to hold a patient is if all the nurses have taken a report and are either checking a patient in or waiting for one to arrive.
that is the safest thing to do. the nurses may have 3-4 other patients and the new one. once the new one is in and settled we take the next one.
we have worked really hard with the pacu nurses to make sure the patient is stable before sending them up. there was a period of time when there was lack of trust.
the patient might still have propofol in their line or have unstable vital signs.
the last vital sign was decent but by the time we got them we were bolusing them.
then there was the pain and nausea issue. most of our patients get duramorph spinal injections. so we cant medicate them for 12 hrs. its nice to have the pain controlled before we get them!
so we all worked very hard. we have pretty much stopped drilling them during report, they know if i ask them to slow down its because its for the safety of the patients...all is happy now.
we still have one pacu nurse who thinks sending patients out with temps below 95 is ok. that one we are still working on!!:d the key word is communication!! perhaps the charge in the pacu could meet with some of the problem floors!! just a thought
:tinkbll:nurse tink
DeLana
Hi, just checking to see how your orientation is going. I was wondering how you were doing with the 1:6 ratio. I currently am a Charge nurse on a 25 bed unit. 90% if the time I am a free charge nurse unless someone calls in sick and there is no one in the pool that can help.
Once you learn your doctors protocols and preferences you should fit right in to the groove with your 10 yrs experience.
I really love ortho. I did ortho/neuro right out of school and then case mgt for 2 yrs. I have also travelled for several years. Some of my travel assignments were ortho.
I am very fortunate to work in an excellent facility. We are Magnet and have our disease specific certification from Joint Commission.
I am certified in Orthopaedics also. If there is anything I can help you with I will certainly try!
:tinkbll:NurseTink!
I work in a 1200 bed, level one trauma, teaching facility. We were told that all influenza A cases this year are turning out to be H1N1 by CDC reports from last week. As of last week we have stopped using a special respiratory isolation and now are using droplet and contact precaution only. Gone are the goggles and n95 masks. We are treating this like any other flu
In the past couple of years the AAOS have determined that Coumadin was a little overkill. So our facility switched to EC ASA 325mg BID. We have seen a few more patients with DVT and PE. We have also seen more cases of thrombocytopenia with Lovenox. Because of this we have 2 surgeons that use Arixtra. We still have the majority of our patients receiving ASA especially if they got a spinal injection for anesthesia. Of course those who came to us chronically on Coumadin...is d/c on coumadin.
Coco,
Why did you choose nursing in the beginning? Maybe you can revisit what sparked your interest to begin with. You are very young and have your entire future ahead of you. We call it LPNs where I live. There are not many around anymore. In the next year we will phase them out all together where i work.
If you became an LVN would you be able to find work? Would you earn enough money to support yourself?
I was in my mid 20's when I chose nursing. My mom had died of cancer and I wanted to give back all that had been given to us. Its a very hard and sometimes frustrating job. On the other end of the spectrum it can be very rewarding. There are days when I have been on my feet for 14 hrs with no break and I wonder why it has to be so hard.
Then there are days when I dont want to leave.
Nursing is a committment, To yourself, to your team and to the patient. You have to really want to do this!! If not now..maybe when you are older.
If you have any specific quesitons please feel free to message me!
:tinkbll:NurseTink
Ohhhhh no! I would never go back!! lol
Its just not functional/feesible these days.
I know I should probably still wear them but I dont.
Imagine all the things we do as nurses now that doctors or orderlys did back then.
I encourage anyone with the interest of knowing what the nursing cap was like just order one and wear it around the house. see how many times you almost knock your head off...
I wore a pinafore dress/uniform. It was not comfortable at all. OH and the support hose!!
White is just so hard to keep clean. After a while they start looking yellow or dingy.
I likesolid, all one colored scrubs Ceil blue, Black or grey. Boring I know. I do not like all the prints though. I would wear it if i worked in Peds.
I certainly dont miss the days of all white.
Most of our nurse managers still wear all white.. but scrubs with a jacket. It looks great..but then again they are not getting around body fluids either.
:tinkbll:NurseTink
i am a charge nurse on a very busy ortho unit. we have 8 to 18 surgeries a day. our average length of stay is 2-3 days. we never have more than 6 nurses on our unit.
the only time i will ever ask a pacu nurse to hold a patient is if all the nurses have taken a report and are either checking a patient in or waiting for one to arrive.
that is the safest thing to do. the nurses may have 3-4 other patients and the new one. once the new one is in and settled we take the next one.
we have worked really hard with the pacu nurses to make sure the patient is stable before sending them up. there was a period of time when there was lack of trust.
the patient might still have propofol in their line or have unstable vital signs.
the last vital sign was decent but by the time we got them we were bolusing them.
then there was the pain and nausea issue. most of our patients get duramorph spinal injections. so we cant medicate them for 12 hrs. its nice to have the pain controlled before we get them!
so we all worked very hard. we have pretty much stopped drilling them during report, they know if i ask them to slow down its because its for the safety of the patients...all is happy now.
we still have one pacu nurse who thinks sending patients out with temps below 95 is ok. that one we are still working on!!:d the key word is communication!! perhaps the charge in the pacu could meet with some of the problem floors!! just a thought
:tinkbll:nurse tink
DeLana
Hi, just checking to see how your orientation is going. I was wondering how you were doing with the 1:6 ratio. I currently am a Charge nurse on a 25 bed unit. 90% if the time I am a free charge nurse unless someone calls in sick and there is no one in the pool that can help.
Once you learn your doctors protocols and preferences you should fit right in to the groove with your 10 yrs experience.
I really love ortho. I did ortho/neuro right out of school and then case mgt for 2 yrs. I have also travelled for several years. Some of my travel assignments were ortho.
I am very fortunate to work in an excellent facility. We are Magnet and have our disease specific certification from Joint Commission.
I am certified in Orthopaedics also. If there is anything I can help you with I will certainly try!
:tinkbll:NurseTink!
Hi there! I was just wondering how many Active ortho nurses we have here and if any had their ONC?