PAROPPY

PAROPPY BSN, RN

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All Content by PAROPPY

  1. Post mortum care mourning :(

    It's normal to feel reflective after your first hands on experience with death. It makes you stop and think about that person's life as well as your own. Each time a patient of mine dies no matter...
  2. Psych/ETOH/Drug

    We have standard ETOH protocol (librium usually), CM sees the pt., and then we have the Family Program that comes in to eval the pt. and offer outpatient rehab services if the patient so chooses (I...
  3. Wrist Fracture question

    I was just trying to look this up for you in my NAON core cirriculum book and they were pretty vague on nursing interventions for wrist fractures specifically but this is what I got: Immoblization,...
  4. Is this abandonment?

    If you had already accepted the assignment and then decided to skip out I'm sure that would be considered abandonment. I work in a hospital..if I got report on all my patients, went to the vending...
  5. central lines protocols

    You are totally right. There should definitely be an MD order "tlc ok for use", "picc ok for use". I wouldn't have used it either without an order and I would have called the doc to for an order....
  6. central lines protocols

    PICCs should def have xrays if inserted by a PICC nurse. We used to have a PICC nurse insert at our hospital but now Interventional Radiology does that so I'm not 100 % sure about policy now. Reason...
  7. What's in your pockets?

    Wow everyone is so prepared. At the end of my shift this is what is in my pocket: Those little blue stoppers that you pull out when you spike IV bags, IV caps, med cups, pen caps (no pens though),...
  8. Charge Nurse Fiascos -- Share Yours

    I've had some pretty crappy nights as charge, but nothing compares to
  9. Are managers allowed to give ultimatums?

    Wow, that doesn't even seem legal! Do you guys have a union? If so, run to them. If not I suggest the nurses at your place of employment start contacting people ASAP to start one to stop this from...
  10. Pregnant nurse-some questions!

    I had my first baby this passed July 4th and worked 12 hour night shifts. I do med-surg and ortho. I was able to work until June 21st. I had to have 2 fetal NST and 1 Ultrasound a week for PIH and...
  11. At my hospital checks are done on the night shift EVERY night. We only go through the previous days orders because checks are being done every night that the pateint is there. It would be totally...
  12. I work on a busy med-surg floor. I had my baby July 4 of this year but I went out June 21. I wish I could have gone out earlier. My back was killing me at the
  13. Lack of electrical outlets

    It doesn't help when the patient wants to plug in their lap top and charge their phone (and the family brings in a light up Christmas Tree) :). My hospital is in desparate need of power
  14. How to cope after a serious med error

    Alot of us have been there. Med errors undermine confidence and do serious damage to self esteem. You deserve respect for coming forth with your error. You will get through this, I promise you....
  15. Trying to find a jo in NEW YORK!!!!

    I don't think so but call Human
  16. Short Staffed?

    I can smell burn-out around the corner. Check with you state about appropriate staffing levels before you do anything or you won't have a leg to stand
  17. How To Document Sleeping On Night Shift

    Pt. in bed resting, eyes closed, no s/s resp. distress noted, call bell within reach. I was told to write something along these lines because you should never assume
  18. Freaking out! Exposed to HIV

    Please take the antiretrovirals. It will give you piece of mind. I'm so sorry this happened to you. I stuck myself when I was pregnant and I freaked, so I know how you feel. Everything will be...
  19. Trying to find a jo in NEW YORK!!!!

    Yes they do pay
  20. Trying to find a jo in NEW YORK!!!!

    I didn't even notice you missed the
  21. I want to be a great nurse, but... rant

    I hear you on this. It's nursing's responsibility to make sure the DOCTOR has filled out the PREPRINTED anticoag orders, that the doctor has ordered ACE inhibitors for CHF'ers on discharge, that the...
  22. Trying to find a jo in NEW YORK!!!!

    Try Orange Regional Medical Center-- Horton or Arden Hill campus--which are in Middletown and Goshen respectively. We are always hiring and even have a new grad program (Just thought I would put that...
  23. so eager to report coworkers!

    Speaking as a nurse who has been reported in the past to a manager I can say that I would have much rather had the person come talk to me instead of running right to the manager. I was particularly...
  24. Grr! "Customer Service" Nursing Gone Crazy!

    OMG behavior like this from the families and sometimes even the patients absolutely kills me!! No I can't get you an eclair from the kitchen at 1030 at night, no I don't have any mango juice, and no...
  25. New Nurse - need advice

    Here's what I try to do with my patients on my initial assesment: ask if they are in pain and dole out appropriate pain meds, ask if they need to use the bathroom, reposition them, change their sheets...