Sunflowerinsc

Sunflowerinsc ADN, RN

Med/Surg

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All Content by Sunflowerinsc

  1. "will continue to monitor"

    I don't know about this for charting ,didn't really tell me anything about the pt. "Continues to rest comfortably" Does that mean the nurse looked in on the pt who was in bed with eyes closed? Or pt...
  2. "Skills Lab" for JCAHO compliance

    We have those and some of the others were PCA pump, this year we have new ones. The new stages to id dermal wounds. Always have a crash cart that the person on that station ask "which drawer is _____...
  3. Telling family of pt falls

    We have a strict policy to follow for falls including notifying the family member. After taking care of the pt,ect, call shift supervisor, Doc, family. Vital signs, special accident report, notify...
  4. briefs or diapers

    How 'bout "step-ins" !! (same as drawers here!) Our hospital went "diaper free"last year. (not peds of
  5. Abandonment

    I know each state has own regulations and facilities also but after clocking in and even getting report you can refuse the assignment. The nurse who you are relieving is the one who could be charged...
  6. To Scope, or Not To Scope---That is the Question

    Just Do It!!!! Prep now days not as bad or harsh as they used to be. Had 1st colonoscopy because of having breast cancer. Nothing seen. Five years later had a couple polyps removed, who knows if in 6...
  7. doing poorly in clinicals

    All the previous ideas and methods to get organized are so good. But I am wondering if it would help to see your Dr. and have a good check up. ( I don't know your age and young people don't think of...
  8. Doing Research; Need Some Assistance

    I think this answer is very telling about where nursing has gone. The first response is "focus on things only nurses can do --chart. And "we have nursing aides/techs to do this."(baths) I have worked...
  9. why is this a sign of overhydration?

    I am sorry but I am having a hard time following this reply and reasoning. Fluid overload and sweating? And I am not going to pitch in on
  10. How much pain medication is "too much pain medication"?

    I thought by now all nurses knew that pain is what the person says it is and "too much pain medication" is not our call. When a person says that their pain is relieved ,that is enough pain medication,...
  11. To this day ,my family tells their friends that they don't know which "day" will be Christmas,New Years ,ect until "Mom's schedule comes out"! But where I work we pretty much stay on if your worked...
  12. Mrs. Doctor, I don't care what he does

    We use contact precautions for C. Diff but use soap and water to wash with,no wipes ,That has been what our infection control dept. says the CCD says to use. Soap for C. Diff, wipes for
  13. The medical unit I work on has had a adopt family for past 8 or 9 years. (Not the same family) It has gone very ,very well but we have always gotten our family from the Home Health case manager or the...
  14. cathethers, and swollen hands

    If the IV site is swollen, cool to touch, red, no blood return ,take it out right then. I wouldn't measure and wait or call the Dr. Out and restart then. Even if there is a "sorta" blood return, if...
  15. I have a IV insertion question :-)

    Hummm-don't think I've ever seen that. How do you do it , stand on your head to access a vein backwards? Just
  16. Can anyone other than nurses draw from lines?

    In SC, RN's only can draw,flush or infuse medications on any central line, Subclavian, IJ, PICC,Hickman,Ports,. If the line has fluids already infusing, LPN may start Piggy-back to existing fluids....
  17. Calling in sick (question)

    If you are sick,you are sick. Don't go passing germs around! But just wondering ,are you scheduled to work tonight, 7pm. Our hospital policy is for night shift to call in by noon if at all possible ....
  18. "Community" Insulin

    I don't know about it being a HIPAA violation but our hospital did away with vials of insulin some time ago. We use pins, one for each patient. If pt doesn't have one in their med drawer, have to...
  19. Question about meds and PCI

    Opps, I didn't read this right, had PICC on my mind. Well, I would still hold the Bumex and Metformin,give b/p med. Some of our Dr's want the ASA given and another doesn't. They have their own set of...
  20. staffing stradegies

    Never heard of this. If someone comes in 4 hrs late, doesn't someone have to stay over 4 hrs, ect? Go home in the middle? Who covers for that 4 hrs? I don't understand how that keeps the budget down?...
  21. Anyone work PRN?

    I have been working PRN since I retired 3 years ago. I do 8 hr shift ,generally 3 or 4 in the 2 week schedule. And lots of times I will work 4 hrs or 6 hrs to help someone out that needs to split a...
  22. Question about meds and PCI

    What is "PCI"? If it is surgical ,I would hold the ASA and the Bumex and Metformin and give the b/p med. Our hospital policy is to give po b/p meds, antseizure and acid reducer with sips of water...
  23. OMG! why does everyone HATE NURSING!

    This is a JOKE RIGHT??? If this any way is how any nurse feels,I feel sorry for them and even more sorry for the patients and co
  24. Administering heparin and insulin SQ

    Insulin can be injected in either arm(Picc line would not interfere ,there generally lots of sq tissue in the back of arm). Insulin can be given in thighs ,abdomen ,away from the incision,if needed....
  25. Post Transfusion Labs

    If the lasix is to be given after the transfusion is finished, the blood tubing set would be taken down. If pt's b/p ,resp,lung sounds are ok,go ahead and give it. We give Lasix push, flush hep lock...