NurseLy

NurseLy BSN, RN

Med surg

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NurseLy has 6 years experience as a BSN, RN and specializes in Med surg.

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  1. We just recently heard that our hospital system is in the process of bringing international nurses in to help fill some of the staffing shortages. We haven’t got a lot of information about how this program works or what it will look like yet. Th...
  2. Is it too soon to panic? (Hate my new job)

    I went back to my old job and was welcomed with open arms. I am so glad I did. That job (the people/negative environment and lack of management/organization) made me hate going to work everyday. My advice to anyone who is truly miserable at ...
  3. Which position would be better?

    Personally, I could put up with some less than ideal stuff for straight days and a 20 minute commute. Those are high priorities for me.
  4. Covid and Non-Covid on Same Floor?

    I believe we are still testing all patients. So people come in with other complaints — ie chest pain… but they incidentally test positive. If they have no covid symptoms we still place them in isolation but on other floors based on where they will re...
  5. Covid and Non-Covid on Same Floor?

    We mix covid and not in our units. If symptomatic covid and receiving treatment we keep them between two units. We do have non covid patients mixed in the same units depending on the bed needs at the time. Positive covid patients who are no...
  6. Yes, I'm Vaxxed But...

    We are not the patients in the scenario we are the health care providers. We have the privilege of providing care to the most vulnerable patient populations. By vaccinating ourselves we offer that safety to the populations we serve. It is or is...
  7. Pulling Meds For Another Nurse To Pass

    I have seen this done and I have done this before in places I have worked. Occasionally if the oncoming shift is going to be very short or especially busy we will pull meds for the oncoming shift and store them in the locked patient bin in the Pyxis....
  8. Is it too soon to panic? (Hate my new job)

    Thanks for the insight. I am sure you are right, there is a lot I don’t know and that’s keeping the work feeling very task-y right now. I can certainly understand the importance of the frequent neuro checks and picking up on those subtle changes, it’...
  9. I transferred from a surgical floor (after 4 years)to a neuro ICU. Two different hospitals but the same health system. I have oriented in the neuro ICU for 6 weeks and I think I have 2 weeks left. I really dislike a lot of things about my new job. ...
  10. Criticalcare

    If you are pretty confident that you want critical care I say just start applying. If you get an interview set up and it goes well, you can request an opportunity to shadow at that time. (Where I work it is not uncommon for someone to shadow a few ho...
  11. New Nurse Struggling With Doctor Calls

    Practice a clear and concise SBAR. Make sure the assessment data is relevant. (When I was new I would write out at times key points I didn’t want to forget to say because I was nervous!) S: patient name and room number has a change in status sin...
  12. I think it’s totally appropriate to tell a patient they can not sit on a bed pan constantly. Just a thought - when I worked rehab, we absolutely did not use bedpans. It did not matter if the patient was a 2 assist, required a transfer board, us...
  13. It sounds like you handled a tough situation well. I don’t think you did anything wrong. Just two things that come to my mind reading your post 1. Notify the appropriate provider, especially considering your concern was she arrived to...
  14. Patients Viewing Nursing Notes In Real Time

    Notes should never be written with wording such as pt is argumentative and non compliant. An objective way to say the same ... pt educated on xyz, pt declines xyz at the time. I am certain you can think of a time or two when the chart should b...
  15. Patients Viewing Nursing Notes In Real Time

    Our names show up in the patient chart that they can access with our first name and last initial only. There is still an option for us to keep notes hidden. In our EPIC there is a button we can click to keep the note confidential. There has to b...