delrionurse

delrionurse

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All Content by delrionurse

  1. Call out

    delrionurse replied to BSNRN_'s topic in General Nursing

    If it's an emergency, but if you are scheduled to work and have advanced notice of this, then why not notify them before then that you cannot make

  2. Giving PRN pain meds to hospice patient

    delrionurse replied to A2024's topic in General Nursing

    You followed the order, there was no order or knowledge for you to call family before giving a PRN pain medication. She complained of 10/10 pain. You gave Morphine. It's justified. Who gives Tylenol...

  3. Wondering if I am cut out for bedside nursing

    delrionurse replied to Baynurse's topic in First Year After Licensure

    Once you start having anxiety before going to work and after because you feel you've missed something, and then spend extra time charting and you're caused anxiety, I would look for something else....

  4. Double standards b/w nurses and police officers

    delrionurse replied to raindrop's topic in General Specialties

    I am not advocating for unjustified excessive force, but I believe it's because officers are put in much more dangerous situations than we are. They have to be ready to use force, and are more likely...

  5. One nurse to cover 2 locked units simultaneously?

    delrionurse replied to Mary Block's topic in Patient Safety Issues

    Depends on the state and if you are in a rural area or not. Facilities try to evade the staffing requirements (specifically RN staffing requirements) by filling out hardship waivers. Big mistake by...

  6. NO LUNCH? NO BREAKS? Is that common in nursing?

    delrionurse replied to CleveRN2008's topic in General Nursing

    Yes it's common. There is very little advocacy for nurses to get fair wages or breaks who don't live in California. Labor regulations are not enforced in other states, and in my experience, facilities...

  7. New Grad Los Angeles Nurse - WHEN AM I GOING TO FIND A NEW GRAD PROGRAM?!?!

    delrionurse replied to NewNurse143's topic in Nurse Residency Programs

    Are you in the Los Angeles area? So cal is brutal. Have you tried inland a bit? Like central or San Bernardino area? I went to nursing school in Texas and everyone had jobs before graduation. And this...

  8. 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...

  9. 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...

  10. 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...

  11. 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....

  12. 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

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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,...

  19. 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,...

  20. 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....

  21. 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...

  22. 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...

  23. 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...

  24. 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...

  25. 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...