delrionurse

delrionurse

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All Content by delrionurse

  1. 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, I would say run. No way you could give good care t...
  2. 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, some can draw blood, some can transfer patients, som...
  3. 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. You maybe should have done it, but you didn't ask...
  4. Medication Order

    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 a pop up that states it's too early to give if yo...
  5. Unsafe situation LTC

    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 her sitter until she is transferred or request ano...
  6. 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 I would have spoke with the charge nurse before c...
  7. RN Sup pay rate?

    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 different job descriptions.
  8. Nurse Lunch Break Survey

    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 just pass it on to the nurses to make them responsi...
  9. Registry vs Agency

    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 with their pay between agency nurse and registry? ...
  10. EKG order

    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 in.
  11. EKG order

    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 ridiculous.
  12. Failed Orientation

    Who are you replying to?
  13. What is the toughest part of 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 worse.
  14. Failed Orientation

    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 like that, then yes I can see that as misleading. No ...
  15. What is the toughest part of 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 thing and rolls her eyes on why something wasn't do...
  16. Failed Orientation

    If you live in a competitive state, I understand don't put the ER, but if she/he lives somewhere where staffing is scarce, then it would be OK to put the ER experience. The OP will get another job. In certain areas, they look the other way with small...
  17. Failed Orientation

    Depends on where you live. Some areas are more forgiving than others. If you are still employed there, I would still look elsewhere while being employed and leave the ED experience. It's still some experience and it's still valuable.
  18. Should I quit my residency at 5 months?

    You can try, but if you blindly signed a contract, you might have someone contacting you soon. If it's a big company, most likely they're prepared legally to get their money back. If you have documentation, maybe try filing a complaint, and go throug...
  19. Assessments

    Again not saying it's right in any way, but I believe part of it is burn out. How many times do you have to assess pedal pulses in ER or a different unit when someone is there for a broken finger? This is administration not doing their job by not loo...
  20. Nursing Guilt

    If you force someone to work in a hostile environment, then those are lines for calling out.
  21. Assessments

    It's not right in any way but how many patients does the nurse have and what is the acuity? In these hospital nowadays, nurses are bombarded at the beginning of their shift with unaddressed problems, unstable patients and admissions/discharges. Those...
  22. Nursing shortages

    This 'nursing shortage' is also due to hospitals and managers not willing to train new nurses. There are plenty of qualified applicants. The gov needs to ask hospitals how many applicants they have vs how many nurses they have. A hospital sets ...
  23. Refused UDS, what to do now?

    Have you tried the smaller, rural SNF's? I know it might not be desirable, but some are so desperate that they might work with you. I had a friend with stips for a severe offense (needing another RN in the facility) and she was able to work at the fa...
  24. Being Too Slow

    I feel like I am a slow with tasks. I am not fast like the other nurses. All the different codes to get in med rooms, supply, soiled utility, etc. on the floor I am working are hard to remember. 5-6 codes to remember. Then the devices have a code. th...
  25. Being Too Slow

    Thank you for the response. I think the unit you work on makes a difference. I don't particularly like the unit I am on, but I am doing it for experience. I have the experience that if you bombard or overwork the nurse, people are not in a good mood ...