NJNursing ASN, RN

Orthopedics/Med-Surg, LDRP

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All Content by NJNursing

  1. NJNursing

    New Grad RN, BSN in South Jersey/Philadelphia region

    NJNursing replied to DanaCheryseRN's topic in New Jersey Nursing

    The whole tri-state area is a hot mess for new grads despite their degrees. I have heard a lot of people who settled for nursing home jobs and doctors offices. I know with Virtua, the squeaky wheel...
  2. NJNursing

    Maybe you guys can answer this.... (Kind of long, sorry!)

    NJNursing replied to Christy1019's topic in Ob/Gyn

    That is a pretty complicated case. I have seen the stringy discharge with some pts with std's. She may have a small bit of retained placenta but she would normally just have a steady, continual...
  3. NJNursing

    Recurrent variables...

    NJNursing replied to violet_violet's topic in Ob/Gyn

    I had a pt like this recently. Iupc put in, pit turned off O2 applied, pt turned in L lateral position with a knee up to try to help the baby descend. Mom was very slow to go from 2-4 cm dil. This...
  4. NJNursing

    Order for Port-a-Cath lab draws?

    NJNursing replied to jdsp87's topic in Medical-Surgical

    Lab gas never been able to access any central line for draws thus needing a Dr order to be able to get labs out. At the beginning of the year we stopped this practice at all from evidence based...
  5. NJNursing

    Hospital Infant Security Systems

    NJNursing replied to BABYRN916's topic in Ob/Gyn

    We currently use Hugs tags on the ankle right now. Where I used to work had the clamps on the cord. They stayed on until right at discharge. No
  6. NJNursing

    Timing of newborn bath

    NJNursing replied to mugwump's topic in Ob/Gyn

    We keep babies in L&D for 1-2 hours before going to the newborn nursery. They are bathed within an hour of getting there and gets the full head to toe
  7. NJNursing

    Inner City Vs. Community Hospital Patients

    NJNursing replied to LDNURSECITY's topic in Ob/Gyn

    I work in a community hoapital. We only 6 labor rooms, 2 antenatal / mag recovery rooms, but in a squeeze, we can deliver in them. 2 or's/pacu beds, 5 triage beds. We can have 1 patient all...
  8. NJNursing

    NJ Board of Nursing - What the Heck?

    NJNursing replied to alibee's topic in New Jersey Nursing

    When I graduated in '06 we had to have our fingerprints done prior to the ATT. Good
  9. NJNursing

    What is your nurse-patient ratio?

    NJNursing replied to Starfish, RN's topic in Medical-Surgical

    We are ortho-neuro and it can be 1:4-6 on days, 1:5-7 on nights. Aides depends on staffing and 1:1s throughout the house. We always have 1-3 aides for a 35 bed unit. We nearly always have a...
  10. NJNursing

    Pregnant - what should I avoid in patients, what precautions?

    NJNursing replied to NuNurse<3's topic in Medical-Surgical

    I agree, avoid all isolation patients. We just do it as a courtesy to the preggos on our floor
  11. NJNursing

    What's it like working an Ortho unit?

    NJNursing replied to jbee's topic in Orthopedic

    Sx =
  12. NJNursing

    When your patient is complete...

    NJNursing replied to violet_violet's topic in Ob/Gyn

    It all depends. If they are a multip, I may have them push at 10 cm. It also depends on the station. I like to wait until they are +2 to push. If they have no epidural or not a well functioning...
  13. NJNursing

    Can a male RN work on obstetrics?

    NJNursing replied to lorster's topic in Ob/Gyn

    We are an all female unit with the female to male doctor ratio being 3:1. There are cultures that insist on being female only and I know when I was in nursing school there were 2 male students and...
  14. NJNursing

    argument after delivery

    NJNursing replied to Lanesmama's topic in Ob/Gyn

    I agree, there can be genes on either side that can show up at delivery. I had 2 brunettes have a baby with shocking red hair, but apparently there was a great aunt with red hair and she was the...
  15. NJNursing

    Perform Leopold's Maneuvers

    NJNursing replied to winter_green's topic in Ob/Gyn

    We don't routinely do Leopold's other than to try to figure out if the baby is vertex and where we think FHT's will be. We have several rolling ultrasounds for the doctors to get a quick eye on the...
  16. NJNursing

    How often do you document fht's?

    NJNursing replied to at your cervix's topic in Ob/Gyn

    We have continuous monitoring with several centralized monitors at the nurses stations, break room, Dr on-call rooms, etc so if a baby looks to have an issue, there are many eyes on it. However if...
  17. NJNursing

    nurse pt ratio law?

    NJNursing replied to spongebob6286's topic in Medical-Surgical

    No, there's no state law other than California. Other than that it is based on the policies/union contract of each institution. I know at my first job, it was non-union and we sometimes had anywhere...
  18. NJNursing

    Med/ Surg Patient to Nurse Ratio

    NJNursing replied to pilpusher's topic in Medical-Surgical

    No, staffing practices put the almighty dollar as #1, not patient safety. Our hospital is having this problem right now. Lets see how many pts we can pile on the nurses without killing people,...
  19. NJNursing

    Typical Neuro Day

    NJNursing replied to Ciale's topic in Neurological

    I work on an ortho/neuro floor and we have a dedicated stroke unit, but we also get the MS patients, seizures, syncope, change of mental status, etc. Not as intense as above, but we're not like a...
  20. NJNursing

    What's Ortho Nursing Like?

    NJNursing replied to Rockstar706's topic in Orthopedic

    I didn't really choose it, I kind of got plunked into it, but I've stuck with it for over 2 years. It's busy with high turnover. People seldom stay more than 3-4 days for elective hips and knees....
  21. NJNursing

    Baylor Program at NJ Hospitals

    NJNursing replied to EnergizerNurse's topic in New Jersey Nursing

    Baylor programs are people who work only weekends. I know at Robert Wood Johnson Hamilton, they worked at least Saturday/Sunday if not Friday/Saturday/Sunday or Saturday/Sunday/Monday. They got paid...
  22. NJNursing

    LPN to RN or BSNin NNJ ??

    NJNursing replied to semper_ad_meliora's topic in New Jersey Nursing

    Look up your local community college. Get your ADN and then go on for your BSN if you want to. I don't know anywhere that you can get your RN strictly
  23. NJNursing

    High School Senior+ADN or BSN?

    NJNursing replied to TeeGuneys23's topic in New Jersey Nursing

    I would go for the ADN, personally. I got Pell grants that paid for the whole thing. I did have to pay for books out of pocket, but when my tuition was paid, whatever was left of my Pell grant got...
  24. NJNursing

    first day off orientation should i feel bad about this

    NJNursing replied to barlowjb's topic in Medical-Surgical

    Stop beating yourself up over it. It was your FIRST night off orientation. You're still getting the time mgmt thing handled. I, personally, think what you did was appropriate. I probably would of...
  25. NJNursing

    Atenolol and Bradycardia....

    NJNursing replied to lm8539's topic in Medical-Surgical

    I agree, I would of notified the doctor. Apresoline or Vasotec would of been good alternatives that don't decrease the HR. Perhaps a one time dose of IV for the instant lowering and then po for...