delrionurse

delrionurse

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All Content by delrionurse

  1. How should I handle CNA

    delrionurse replied to happymama's topic in General Nursing

    I don't see how the OP was rude in any way. That's the CNA's job to assist in transport. No explanation should be given for someone else to do THEIR job. They know what they sign up for and this nurse...

  2. How can I word this to my manager when she asks me to pick up extra?

    delrionurse replied to Nurse4lifewithparrots's topic in General Nursing

    "Thank you, but I'm not able to work today" or you can also add "If I become available I'll let you know". Not being 'able' can really mean you aren't able. Mentally or physically you may need a...

  3. Leaving my first nursing job before 1 year?

    delrionurse replied to newgradRN267's topic in General Nursing

    To be honest, if you don't feel supported and the work load is more than what you can do, that is a sign of bad management. No support is a deal breaker for me. (if there's no support, there's...

  4. I give 2,640 meds to 35-40 residents by noon

    delrionurse replied to Nurse Beth's topic in Career Advice Column

    That is quite normal and even 1:60 in some states. I read Nurse Beth's comments about reporting, and when I passed meds, you can bet I reported, I called state, I did everything and nothing was done....

  5. Patient abandonment question

    delrionurse replied to Jackson1322's topic in General Nursing

    She/He did answer it. Yes it is illegal. Go to your regulatory boards website and it should be clear. They were clear in their answer, maybe you didn't want to hear

  6. First death

    delrionurse replied to BSNRN_'s topic in General Nursing

    Just know you are a very good nurse for caring. This part of nursing is not what you signed up for but sometimes you are put in circumstances that you don't accept, approve of, want, or ask for. When...

  7. Need Advice - Protecting my License

    delrionurse replied to Maltmom0402RN's topic in General Nursing

    I do agree with giving proper notice, I have found that by the time I want to give notice, my heart is not in it anymore and they deserve no notice. For professional reasons, yes give notice, but if...

  8. Nurse Abuse While on Assignment

    delrionurse replied to K2K's topic in Travel

    I'm sorry this horrible thing happened. Any time I feel undervalued and unsafe, I quit immediately. It's not worth it. Interesting if it was a job where your license is not on the line, I would...

  9. Any job?

    delrionurse posted a topic in General Specialties

    Is having a job better than no job when being considered for employment? When I say having a job, I mean at LTC, home health or something outside of nursing - if apply to acute care. What I...

  10. Patient Death After Shift

    delrionurse replied to Dani_Mila's topic in General Specialties

    It seemed there was a lot going on with the patient. Since you did not give the IVP, but gave the Metoprolol 25mg PO, I highly doubt it was the Metoprolol. It seemed to be indicated. So this ICU PA...

  11. I am really thinking this is not the right job for me - Am I Crazy?

    delrionurse replied to Birdsofprey's topic in Emergency

    Are you sure you trust this hospital to do trauma? If the patient ratio with a level 1 trauma is 1:1 or 1:2, I would say go for it. But if they give you level 1 traumas along with 4-5 other patients,...

  12. So scared - Turning me into the BON for "failure to report the act"?

    delrionurse replied to RnAmy2000's topic in General Nursing

    Honestly you didn't do anything so horribly wrong. This was a staff member. Staff members do patient care everyday. It may not have been their job duty, but SNF's should take staff where they come,...

  13. So scared - Turning me into the BON for "failure to report the act"?

    delrionurse replied to RnAmy2000's topic in General Nursing

    Was the patient harmed? I don't see what you should have reported if there was no patient harm. It just sounds like coworkers and the family were being vindictive, or making a big deal out of nothing....

  14. Medication Order

    delrionurse replied to Nurse1282's topic in General Nursing

    I take this as the patient can have this mg every 3-4 hours, no dosing in between. Usually there is either a mild, moderate or severe pain scale and the doses are given accordingly. The emar may have...

  15. Unsafe situation LTC

    delrionurse replied to Nik6lpn's topic in LPN, LVN Corner

    The resident either needs a sitter or be transferred to an appropriate facility. Admin aren't the ones taking care of her so your concerns won't speed up the process. Maybe ask for an extra CNA to be...

  16. Tricks to getting an Spo2 reading on a difficult patient

    delrionurse replied to mmc51264's topic in General Nursing

    Even if the patient is a DNR and 92 y/o, no distress, if the patient meets the criteria for a rapid, and you did all interventions, then there is nothing wrong with calling a rapid. Maybe in this case...

  17. RN Sup pay rate?

    delrionurse replied to crazin01's topic in LTC: Directors, Assistant

    If you are in a rural area, $40 is pretty good for an RN sup (and not a DON). If the cost of living is lower. But you should not be doing two different jobs. I can see helping out but not two...

  18. Nurse Lunch Break Survey

    delrionurse replied to esrun2015's topic in General Nursing

    This is the single most reason why nurses don't get breaks. The policies are there, they are just not enforced. It is the administration and managers responsibility to ensure nurses get breaks, they...

  19. Registry vs Agency

    delrionurse posted a topic in General Nursing

    In some states they use the term 'registry' for a nurse that works shifts that is not employed by the hospital. Is there a difference between agency nurse and registry nurse? Is there a difference...

  20. EKG order

    delrionurse replied to cepr4's topic in General Nursing

    Aren't they all orders per protocol and not self-initiated? In many places providers are aware of orders per protocol and the nurse enters them

  21. EKG order

    delrionurse replied to cepr4's topic in General Nursing

    I doubt you would lose your license, or even lose your job. An EKG is non invasive, just like a bladder scan, or pressure bag for low blood pressure. It sounds

  22. Failed Orientation

    delrionurse replied to Sapa22's topic in General Nursing

    Who are you replying

  23. What is the toughest part of nursing?

    delrionurse replied to MoLo's topic in General Nursing

    I usually don't say anything, these types usually are loud and will be confrontational. It's not my style. Calling them out on it will make it

  24. Failed Orientation

    delrionurse replied to Sapa22's topic in General Nursing

    It's also none of the employers business why you legally quit a job if they use that as an opportunity to scrutinize and meddle in your business. If they were terminated for diversion or something...

  25. What is the toughest part of nursing?

    delrionurse replied to MoLo's topic in General Nursing

    Doing the best for your patient, then getting critical labs called from the lab and a host of other issues then having to give report to mean 'Debbie' in the morning. And she questions every little...