mom4josh

onc, M/S, hospice, nursing informatics

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All Content by mom4josh

  1. mom4josh

    Doors to patient rooms: open or closed?

    All of our rooms are private. Since I work 7p-7a, I usually leave the door closed just before latching. This way, when I make rounds, I don't wake anyone when opening the door. However, if the patient...
  2. mom4josh

    Question

    i am going to quit my job of 8 years and begin travel nursing in january. i would like to get a letter of recommendation from one of the oncologists with whom i've worked for the entire time. is it...
  3. mom4josh

    Eliminating the Charge Nurse on a Med-Surg unit

    My first job was a small hospital with 32 beds. We did not have a charge nurse on the floor. However, I can't see it in a larger hospital, especially a Magnet
  4. mom4josh

    Twilight Zone Phone Call

    i had a confused patient the other night, and one of the aides says, "why don't you call her daughter who was here last night? she said she could stay with her." so i find the face sheet (no...
  5. mom4josh

    2 cents?

    I don't think you're an idiot. I think you have had a couple of incidents that have thrown you for a loop, and you're probably nervous since you have been off for a while on maternity leave. Don't...
  6. mom4josh

    Quick question for night-shift nurses

    Yes, please don't wear a headlamp. We have a male LVN who wears these old, faded uniforms and looks unprofessional as it is. Now, he has added a baseball-style cap with a headlamp. He looks like...
  7. I would go back to my old job... grammar police! Seriously, I love to edit all types of things, so probably either that or human resources
  8. When my manager first started, the morale was horrible and there was much of what you described. She had numerous staff meetings (always bringing food and encased in positive feedback), and basically...
  9. mom4josh

    What would you do?

    We have a new RN on one of our units who has been there almost a year now. She has poor organizational skills, frequently questions the charge nurse and others about what to do (but does not do what...
  10. mom4josh

    What would you do?

    Thanks for all the responses. - No, she can't be fixed. Not trying to be mean, but she's just not the type of person who will ever be charge capable. - Yes, the manager is aware of the problems...
  11. The most bullying I have received came from a former manager. She would write what we called "nasty-grams" at least every week about something or another. Once she wrote a memo about our infusion...
  12. mom4josh

    Scared Of Bullying

    Please don't take this a mean-spirited, but I think you need more than a few comments from us. You need to see a counselor, both at school and off. It seems that you have a lot of issues to deal...
  13. Your manager or DON or someone higher up needs to tell this family that if this happens again they will not be permitted to visit. If the patient is alert and oriented, she also needs to reinforce...
  14. A couple of weeks ago I had a patient who was not very, um, "mentally balanced" shall we say. Anyway, I went in to give her some pills and she must have missed her mouth with the water cup and had...
  15. Just a couple things come to mind right now. I hate giving blood (but no idea why). I loathe dealing with the addicts. I hate it when we are short staffed. That
  16. mom4josh

    I need some professional advice on this situation

    If your new boss seems to be approachable, I would sit down with her and discuss your concerns. Tell her that you don't feel that this is a safe environment. After all, it is your license on the...
  17. mom4josh

    Inappripriate things you've seen a CNA do?

    1. Don't sleep on the job in public areas and tell me you weren't sleeping or that your were taking your break. 2. Don't not report abnormal VS (know what normal ranges are). (And don't tell me a...
  18. So sorry for your bad night. I can certainly relate. I think you should file an incident report with lots of details. That way everyone who can do something about this situation will read it....
  19. mom4josh

    Your Favorite one liner used with patients

    These are great! - Sometimes, when I say good-bye to my patient before leaving in the morning, I tell them I don't want to see them when I come back. - When they keep bending their arm causing the IV...
  20. We had an aide who kept falling asleep, but every time I would confront her she would say she was taking a break. Finally one night she was heard snoring through the bathroom door when the day shift...
  21. mom4josh

    telephone orders

    First, I agree that the nurse who took the order should sign it off. However, if it was an order that I could verify was done, why not sign it off? What's the big deal... or am I missing
  22. mom4josh

    Not My Fault, But Worried Anyway

    What I would do is keep a journal of events as they occurred. I'm not sure if it's just a lack of communication or what, but keeping a record will help you if it comes back to bite
  23. In addition to the above, I would add the following suggestions. -Make it at three paragraphs, with the first being an introductory-type, second outlining your experience, and the third your...
  24. mom4josh

    Help! In Need of Encouragement

    I, too, was in a difficult situation during nursing school. I separated from my husband during our last semester and subsequently divorced. I was blessed to have a neighbor/friend who would watch my...
  25. mom4josh

    Anyone had this problem?

    Yes! We had an aide (now a nurse tech) who kept resetting an IV pump on one of my patients. What drove me over the edge was that this particular patient was getting Rituxan, a med where severe...