mom4josh

onc, M/S, hospice, nursing informatics

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All Content by mom4josh

  1. mom4josh

    Question about donating blood

    See the Red Cross website:
  2. mom4josh

    i'm lost and feel trapped

    I work on a hem/onc floor and we also get hospice/terminal patients. However, with 23 beds, we also get CVA's, UTI's, dementia, pneumonia, and everything else inbetween. Although this is not what I...
  3. mom4josh

    worst clinical story please??

    My worst clinical day was in my last semester. I was going through a difficult time at home... upcoming separation from my husband, my father being ill, etc. Had been having horrible days...
  4. mom4josh

    Nurse-Patient Ratio Laws

    Texas is currently working on same. We can only
  5. mom4josh

    Charge Nurse vs Nurse Manager

    I work nights as a charge nurse. My responsibilities are to oversee the operations of the floor, provide assistance to others, call physicians for nurses if needed, be the primary contact to the...
  6. mom4josh

    Nurses who act incompetent...

    I agree that there are inexperienced nurses as well as lazy nurses. However, let me add a category: those with no critical thinking skills who will never be able to handle a crisis without help! We...
  7. mom4josh

    Did I overreact?

    I agree with the other responders. Probably would have asked my charge nurse or another experienced person first for their input... that is what they are there
  8. mom4josh

    Waco

    I work at Hillcrest in Waco. The NICU is 25 beds, but don't know the level or anything else specifically. I can tell you about Hillcrest in general, however. I have worked here for almost five years...
  9. mom4josh

    Question for Charge Nurses

    this is for all of you charge nurses out there. in our facility, the charge nurses have been told that we can be held responsible for orders that we sign off but the primary nurse does not carry out....
  10. mom4josh

    Patient deaths?

    1 - Less than 10 (we usually try to get a DNR from family or transfer to ICU before it gets to this) 2 - Oncology/med-surg 3 - 6
  11. mom4josh

    Worst Nursing Experience--What's Yours?

    One of my worst days came a few months ago. I was taking care of a hospice patient who was in her last days. I did everything the family asked of me, including calling the MD at 2 in the morning for...
  12. mom4josh

    Abandonment???

    First of all, 5 or 6 patients on a tele floor is way too many, esp if you have trachs and drips and such. I think even an experienced nurse would have trouble with this. Our tele nurses gripe when...
  13. mom4josh

    What is your work day like?

    Hospital - Oncology/medical floor - 23 beds Charge RN - ADN 5 years Love it... most of the time No I arrive about 2230 for 11p-7a shift. Make assignment if not already made. Take report on my...
  14. mom4josh

    "A good first impression???"

    Solid black? How
  15. mom4josh

    "A good first impression???"

    We just started wearing designated colors in April, after a 6 month "warning". Navy blue for RN, royal blue for LVN, and charcoal gray for unlicensed (YUK). The charcoal is the only thing that looks...
  16. mom4josh

    So, when a patient says "I'm going to die"...

    I work on an oncology floor, and we also get hospice patients, so we have our share of dying patients here. A while back there was a man with cancer but we thought he had a fair amount of time left....
  17. mom4josh

    will lower back problems restrict my ability to be a nurse?

    I have had back problems since I was in my 20s and was diagnosed with degenerative disc disease about 10 years ago. I finally fulfilled my dream and became a nurse 6 years ago. Yes, I do at times...
  18. mom4josh

    Any Suggestions for Comfy Shoes?

    PayLess has some croc-like shoes that are fabulously comfortable. They are also easily cleaned with antiseptic wipes and come in lots of colors. You can get them with and without holes (preferably...
  19. mom4josh

    Ugh...

    Pie, Sorry things are tough for you now. I feel the same way lots of times, and I know many others who do as well. We're going through somewhat of a crisis at my hospital, but it's starting to look...
  20. mom4josh

    Altering documentation?

    Working night shift the other night I came across orders for patient to be discharged to NH the next day. They had not been signed off, so I did so with a time of 0005, started the discharge...
  21. mom4josh

    Thinking of moving to Texas and need some help

    I live in Temple which is about 30 minutes east of Fort Hood. I work in Waco at a hospital about 40 miles away, but only because I prefer it over the ones in Temple. The weather is fairly warm in...
  22. mom4josh

    Caring for a neutropenic pt

    At my hospital, vancomycin is never used as a first line of defense for neutropenia. In fact, it is only used if a culture has grown MRSA or if other antibiotics have not been successful. Our...