ginger58

ginger58 ASN, RN

Palliative Care, NICU/NNP

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All Content by ginger58

  1. Who's requiring the BSN??

    They tried the BSN only in the 70s and that non-BSN RN's would only be emptying bedpans! I think when the BSN matters is if you want your MSN, a management position, to become a NP, or whenever the...
  2. to buy a new drug book or not??

    In California we have to have the current year's drugbook. The feeling is if you take info from an earlier book it might not be current. So all guidebooks will have to be 2007 soon. I doubt that...
  3. for the heels - isn't sheepskin used anymore?

    We aren't allowed to use sheepskin and I think it has to do with washability and that it traps moisture. Now that sounds hokey! I'll do some looking around and get back to you. We use "Skin Prep" to...
  4. My thought GardenDove is how you feel about the human population and pain. I am a palliative RN and have done a lot of reading, classes and clinical time dealing with the people you're talking about....
  5. They Think I'm Working Christmas??

    Total disagreement. Why are you whining about people that whine too much? Just because you get your schedule five days ahead doesn't make it
  6. nurses getting consents signed?

    Daytonite, Yes, this should have been discussed and maybe it was. Often it's not but it's stuck in a handbook. Of course us folk can't give her specific info about her place of employment, but...
  7. Insulin verification

    We require a double check which is sometimes very time consuming because no one is around! We have a separate sheet for blood sugars, the amount of insulin, site and a
  8. Does anyone have a form you could post for a patient to go smoking AMA? Also that releases the hospital from liability if they get hurt going to the smoking area, which in my case is off the property...
  9. Does anyone have a form for smoking AMA?

    Leslie, Believe me, I am an advocate for freedom from second hand smoke! In CA we have very fine laws. The hospital went to non smoking almost a year ago. Staff is not to take patients out. They...
  10. subQ narcotics?

    In palliative care we do a lot of IV narcotics if the pt has an IV. If they don't then we use sublingual morphine if possible. If no IV access then SQ and if a pt is dying an needing frequent pain...
  11. Licensure requirements for Montana

    Why don't you just contact the MT BON via email or phone? You'll need their paperwork
  12. JCAHO and Clogs

    I don't think it's a JCAHO position but your
  13. Causing financial damage at work (by accident)

    Sounds like you should have filed a complaint about damages to you from the
  14. Well said. Also those asking about State requirements when they should be going to the BON for the
  15. Question about crushing meds

    I think your concern about the BCp is valid. A lot of them are very small. Sometimes I think docs get reports from nursing or other care staff that the pt. can't swallow or has trouble taking meds...
  16. Thank you for the
  17. "Personally I think the idea is ludicrous! I became an RN first, worked in my area for several years and went to NNP school." If you think I've made that statement because I walked through three feet...
  18. Should I just "go along", or possibly rock the boat?

    "...when asked, all these pt's rated their pain a "10", which I didn't see in my assessment. They were sleeping or resting quietly, vs wnl, no other s/sx of distress." I congratulate you for trying...
  19. Taking Respirations

    I know what you mean about standing there counting. I usually count when I'm listening to the chest/heart. Since I work inpt on days I go by their room in the morning and they're usually resting so...
  20. Do you change your TPN tubing Q24 or Q72??

    I just looked at the CDC site and my question is, do you infuse lipids separately? "Replace tubing used to administer blood, blood products, or lipid emulsions (those combined with amino acids and...
  21. Floating of ICU RNs

    Our critical care nurses only float within critical care areas. ER nurses aren't floated. We have about seven med-surg floors and we're only required to float to a M-S floor as a M-S
  22. the bottlenecks of nursing

    We have had numerous new grads take non-RN jobs waiting for an opening. It was good for them. They got to see how the unit/floor works and we got to see how they
  23. Personally I think the idea is ludicrous! I became an RN first, worked in my area for several years and went to NNP
  24. OUCH!!!! Ampule issues. Anyone else have problems?

    I'm really sorry that happened to you. It sounds horrible and I'm sorry you weren't compensated for your days off. Knock on wood, but I've never been cut and didn't realize they make a device to...
  25. I'm a little tired but I did find a rather simple explanation for you. When I think of hypo versus hypertonic I think of fluid shifts rather than what happens to cells. Think of eating potato chips...