:smiletea: After some pondering and a lot of dressing up and back down at work tonight, I wonder, Do you ALL put people on contact iso if they have a hx. of mrsa, no matter what?? Often pts come...
Had two of them tonight, Q2h and one wanting more within15 mins, yet she was not grimacing, writhing, she even fell asleep between asking and getting it, yet would wake right up and say she was so...
They started this at our hospital at the same time--perhaps the same one as you--but after three months, Id have to say its not working and I still rely on nurses shift notes and reports. Handoffs...
Fairlythere replied to Fairlythere's topic in General Nursing
I wish. We have to track labs on new pts as far back as we can to see if they have a history of MRSA, VRE, CDIFF, Etc. If they do, they go to ISO. Unfortunately, its the new cases we don't know if...
Fairlythere replied to Fairlythere's topic in General Nursing
I had a lady come up tonight! Put her in a rm with a comfort care pt. Orders say CDIFF TOX SCREEN ASAP - hx diarrhea and others at her facility have been sick. You just KNOW its gonna be positive -I...
:chair: Well, I graduated in March. I got nclex in April and started at the hospital in May. Orientation on med surg began, 12 hour nights, 5 days in a row for 15 shifts. :smilecoffeecup: I made it...
Of course you do!! I was just wondering though, how common is it for you to come on to a shift and find orders not carried out and lots of excuses. Is it just me or is this really a theme. Im not...
New Nurse question: I have been told I will learn the nuances, like when to worry. What to do if, etc... but I don't think my patients can wait, so I tend to over worry right now. So, dumb...
Fairlythere replied to Fairlythere's topic in General Nursing
Thanks Tweety, I guess the breakdown and finding more information is the key. ED reported she was here for gallstones, conservative treatment, sweet lady, given pain meds, labs looked "okay", etc....
I posted this on Med surg but want more opinions: I had a pt. come in with a critical low sodium level, altered LOC, seizure, etc. The docs orders were: Give bolus 3% saline (done in ed), then give...
Fairlythere replied to Fairlythere's topic in General Nursing
Thanks Triage RN. I still hunger for more info. She was NOT a renal pt, however, she DID have Hypo-pituitaryism. (sp). I figured during the admin of the sodium,that is why even NPO she "peed out"...
Last week I had a pt. come in with a critical low sodium level, altered LOC, seizure, etc. The docs orders were: Give bolus 3% saline (done in ed), then give 500 cc@ 66/hr (hanging when she came...
Boy, I have been on the medical floor (some surg,mostly med) for three months now. I cant say there is a certain skill I do every day because our cases are all so different. Lets see, things I do...
Okay, I know Cdiff when its serious becomes pseudomembranous colitis, and I had a pt. with this. He was newly paraplegic from a trauma a few weeks earlier, prob. had multiple abx and was in a ltc...
Fairlythere replied to Fairlythere's topic in General Nursing
Oh duh, That makes a lot of sense Tweety, thanks. Come to think of it the poor guy was on clear liqs but had been on NPO so that was why he had been IV, but I think retrospectively the whole thing...
Fairlythere replied to Fairlythere's topic in General Nursing
Yeah, the third spacing I forgot about, obviously his epithethial cells were damaged and he has much fluid in the abdomen, never really saw the rest before but Im new and it makes sense. However,...
Fairlythere replied to TEXAS4LIFE's topic in General Nursing
I work a 60 hour pay period, so I have to do five 12 hour shifts in 2 weeks. I usually work three days, once a month I do a four day weekend Fri-Mon. I have between three and eight days off in...
I am a new nurse, graduated in March, NCLEX in April and started work end of May. Having been on my own only a few weeks at night. Anyway, I work on a med surg floor. Every night with only one or...
Hey all, I am a new RN on a med-surg floor. Mostly medical with COPD'rs, Pneumonia, empyema, etc. So we do computer charting. Almost everyone's assessment seems to have DECREASED under lung sounds. Or...
Fairlythere replied to yadda_yadda_yadda's topic in General Nursing
Hi there and welcome to Washington!!! I live way up North, but have lived in Olympia too. Seattle area is a whole new world. I find the people here open and friendly. We have some awesome state...
Fairlythere replied to Fairlythere's topic in General Nursing
Wow, thanks for all your replies. I guess it is a universal problem. One thing I do not understand, how can they expect me to say yes when they call so late? If I have not slept all day, I cant...
I don't work on ICU, but if you are willing to float, you should be able to stay plenty busy. I get calls from staffing almost EVERY night and Im brand