Riseupandnurse

Riseupandnurse

Medical Surgical

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All Content by Riseupandnurse

  1. Notes to Physicians

    A nurse I worked with wrote notes (rather lengthy) in tiny little writing. I was amazed that her notes were always read by the doctors. I think they saw it as a challenge. What works for me:...
  2. Feel inadequate-need advice

    Tolerantgirl: Could the problem actually be that you're too tolerant, girl? Why, oh why, would you believe that ANYBODY can do justice to 2 ICU admits at the same time? I don't know anyone who could...
  3. Some Help Please

    Listen to MsLoriRN. I have both taught and nursed and she has nailed it right on the
  4. Leave BA degree off my resume?

    At one of my current jobs, my boss's boss told me that one reason I got the nursing job is that I had a BA in sociology. She said it made me more well-rounded and able to think and relate to people....
  5. What would you do? Need advice from RN's and MOMS

    It sounds to me as though you are leaning towards putting off the refresher course until your baby's here and on his or her feet. That is definitely what I'd do. And well-meaning as the people are...
  6. PCA pump syringe changes

    We have syringes with 30 mg. of morphine in them. If a patient is not using close to the whole 30 mg. in around 24 hours, I don't know why he or she would even need a PCA. It would seem to me that...
  7. School Research Paper Topic

    I would go with the effects of naps or different sleep routines in night shift nurses. I have read some interesting articles over the years on this, and it's a subject that deserves way more...
  8. How could I have forgotten about this? This was back in the early 70s, at a long term care facility on nights. There were three of us AIDES, no nurses at all, for 60 patients. No-one was allowed to...
  9. Shorting us of our NAs---WHY??

    Once again the hospital is on a tear to cut down the "bodies" on the floor, mostly with the nurse assistants. We have some really good nurse assistants who work hard, care about the patients, take...
  10. parking yourself in your loved one's room at all hours of the day and night and grilling every single person who comes in, then demanding time-consuming little niceties, then making us listen to your...
  11. 11 patients on an acute care unit on nights. One other RN, the "charge", but she also had 11 patients of her own. No tech or ward clerk. One of the patients started yelling her room-mate was going...
  12. Shorting us of our NAs---WHY??

    We used to have a department director of nursing who was studying to get her MBA. She explained to me that the staffing is done with FTEs, Full Time Equivalents. When reductions are called for, the...
  13. Why are you calling me at 4 p.m. to see how your mother/father/cousin/fellow volunteer at a bake sale 6 months ago is doing? I got out of report 30 minutes ago. I have not even seen this person yet...
  14. What a surgeon actually told a girlfriend visitor when he made rounds early on days and I had been the night nurse: "How dare you put a chair under the door handle and try to prevent the nurse from...
  15. Need advice about leaving a position.

    Ah, well, I take back what I said about getting a sleeping room. If you are not making enough money to have even a few extras and you have pets who need you (they ARE a real responsibility, both of...
  16. Need advice about leaving a position.

    Personally I would stick with the job I love, get the sleeping room and go back to my real life when the shifts are over. I am biased because I really believe a nurse is unbelievably lucky to find a...
  17. I used to have chest pain sometimes when I went to my job. My doctor wanted to run a lot of tests. I refused. I am not saying you should ever ignore chest pain, and I'm sure I was foolish, but I...
  18. help, I have burnout bad!!

    Wow! You have really captured bedside nursing in America today. It's a total no-win situation. There may be some hospitals or LTCs where you can actually be a nurse, give the patients what they...
  19. Torn....what would you do if you were in my shoes?

    Great---take the corporate job!!! I don't want to be a downer, but you may not even like nursing!! And not trying to start an argument by any means, but when nursing is hiring again, I would strongly...
  20. I know that one of JCAHO's new initiatives is to insist that health care facilities adopt a low-tolerance policy towards rude, demeaning, and verbally abusive physicians. From my perspective, they...
  21. Floor Nursing

    I tried some week-end home health while keeping my hospital job, but went back to the floor. I just didn't like being on my own all the time and I missed the drama and working with other people. You...
  22. We have an ongoing problem with people dragging their feet to start or end their shifts. I come in early to see where I'm going, then there are no Kardexes, then the offgoing people are nowhere to be...
  23. I agree; it's a whole different mindset that nurses are supposed to have. I was very shocked to discover this when I graduated, as I had been an XR tech before, and we expected other disciplines to...
  24. Is c-diff seriously contagious?

    Don't worry; as long as you washed your hand very well and didn't get it in your mouth you should be ok. I am assuming you have a normal immune system,
  25. Post op A K Amputation

    Actually, it's good to keep the stump propped up the first 24 hrs. postop to decrease edema but then you should put it down because of contractures. In 19 years of orthopaedics I've never seen a...