Googlenurse

Strange enough, today a patient came to my floor from the ED. The ER acknowledged an order for NS 60ml/he at 1400. The NPO patient came to me 2000 with no fluids in sight. The nurse giving me report never mentioned. When I reviewed the orders to acknowledge for the floor, the order didn't pop up( because it was already acknowledged). I only found out from looking at the MAR and confirming with the Internist. I started the fluids 6.5 hours late.

It is an issue because where I work nurses do the EKG, blood draws, start our own IV, etc. There is one CNA for 20 tele patients. We don't have ancillary staff like others do. There is no tele tech. There is no pharmacy in the building from 10pm to 8am. We have to call an overnight pharmacy to verify medications.

Yes but the doctor writes the order at 0650 and my shift ends at 0645. Technically, my shift is done and I don't look at the orders at that time. Im usually finishing up on my notes. Am shift is supposed to be here at 0645 and getting report from 0645 until 0715. Technically I don't leave until 0715

I was told in orientation that if you acknowledge an order, you are responsible for carrying them out. The ED at the hospital has a habit if sending patients up with orders that should have been done in the ED.

Hi there! There are some questions I have about EPIC and acknowledging orders. If the patient came to the floors at say 4pm, but an EKG was ordered at 1pm, but the ER nurse never acknowledged it, who has to do it? The nurses on the floor are saying since the order was written while the pt was in the ER during that time, the ER nurse should do. Another disagreement happens during shift change. Our doctors will round and write order between 0630 and 0700. My shift ends at 0645. I do not acknowledge orders because then I would have to carry them out, right? I would also be responsible if an order is wrong or inappropriate. I've gotten into a few arguments about this with day shift nurses. They are saying since it occurred when I was there, I should acknowledge them. Who is right in these situations?

Well, it's time to snatch up any hospital job you can find now because with this recession and everyone going to nursing school, I believe there will be a glut in the coming years. Then it will be hospitals preferring BSN again, kicking out Lpn's in acute care, etc 2008 all over again. I will repeat this again, but nurses who did travel during Covid are not looked at favorably by one of my nurse managers. I wonder do other nurse managers think like my nurse manager? I would hope not.

I don't know why some nurses say common sense is all a nurse needs. How can a nurse use common sense without a good knowledge base? Common sense without a good knowledge base is extremely useless. If all it takes is common sense to be a nurse, then what's the point of going to school?

Yeah not sure how you are going to get trained as a new grad. Hospitals really do themselves a disservice by not wanting to train non acute care nurses to acute care. I feel my 8 weeks of training wasn't enough. I only spent 7 weeks in the floor between all of the classroom crap( which didn't help me one bit on the floor) Maybe try a non acute care position like a school nurse or private duty home care? I get virtually few anxiety attacks working in private duty. When I do it's related to seeing a roach or a rat, not patient care.

I'm not a fan of these lists.

For everyone saying she went against P and P,I think everyone does that too at some point. It is against Policy and Procedure to hang potassium with normal saline. But I did that last night because the patient was saying they were in pain. I ran both together on separate pumps but just used the y site for the NS. I ran the NS at 30ml/hour. It was safe to do so btw because the patient had no fluid overload or conditions associated with it. Also, my facility doesn't require us to measure the arm circumference of a patient with a Picc, but I do it anyway. It's not part of P and P but I do it to protect myself.

I voted no, but it's based on my opinion that hospitals are doing this because they do not want to hire ADN Registered Nurses, who can command the same pay as a BSN RN. Just think, if hospitals hired ADN Rns we wouldn't need to co-sign and push their IV meds for them. Hospitals are trying to be cheap. Do hospitals really think there are more Lpns than ADN and Diploma RN's?

Why were you suspended for that? I know a nurse that hung the wrong antibiotic on the wrong patient and he wasn't suspended. That happened a month ago, with the state there. This was a long term care facility.

This is what I don't understand. Why do hospitals want to hire Lpn's and not hire ADN RN's? I always maintained there is no nursing shortage. If everything improved with staffing ratios, pay, etc and hospitals accepted ADN nurses, this nursing shortage will evaporate overnight. The hospitals always claim there aren't enough RN's but then they skip over ADN nurses.

A homecare job I was applying to for per diem hours asked a question on the job application about who my malpractice carrier was and to provide my policy number. I provided it as the time, but after thinking about it for a bit and researching it on Allnurses, it left a bad taste. Some posters were saying you shouldn't let an employer know if you have it or not.

Question: Can she still work in the medical field( just not as a licensed nurse)? Even though her license was revoked, could she work as a PCT or in insurance? Or open up her own non medical home care company that provides home health aides? Can she go back to school for PT and work as one? Let's say she does get her license back. Can she work in homecare where no medication administration is involved?