sassy_cassie

sassy_cassie

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All Content by sassy_cassie

  1. I check on all my patients as frequently as possible, but a pt that needs me less gets less visits. If there is a family member in the room who is competent they get checked on less, because they are a lower priority then the confused pt who is alone...
  2. ALWAYS called to work on days off?

    I work prn, so it is a whole different story. When I worked full-time I would only answer the phone if I want to go in. After not answering or saying no enough times they stop calling. If you often go in on your days off they will call you first whe...
  3. Pregnancy: best during nursing school or as a new hire?

    I am pregnant and a nurse. I had my kids after I was done with school. Physically I can no longer do my job. I ended up quiting my parttime job and only do prn 4 or 8 hour shifts at my other job. The hospital I was working at was very unsupportive of...
  4. How does PRN work?

    All hospitals handle it different I work PRN in a small hospital. The nurse manager makes the schedule leaving shifts blank where scheduled nurses have asked off or where they are short for other reasons. Sometimes the full-time/part time hours don'...
  5. Can I be a nurse if I'm not a morning person?

    coffee, coffee, coffee!
  6. Why aren't pt phones & TV free?

    We have free cable, wifi, and local phone calls at both hospitals I work at. I have never really thought about it as it is standard here. However, it seems unfair for the insurance companys to have to pay for these. Even if it is not listed as a dail...
  7. medication time regulations

    We have an hour window on either side to give meds in general. However meds that are given very frequently and insulin I try to give closer to the scheduled time. I have often questioned HS meds though in my facilty they are scheduled at 2100, but 75...
  8. why is the pay so low?!?!

    That is very inline with LPN pay here. Actually I think LPNs here start closer to $13. I started as an RN in a hospital and starting pay was only 17.50 4 years ago. The cost of living here(rural Kansas) is very cheep and shift diffs really help boos...
  9. Exposure to Medications

    I have recently started wearing gloves to give HS meds. There is a warning that pops up on cholestrol meds and prostate meds not to touch or crush if you are pregnant. I am pregnant and 90% of my pts get one or both of these. My pregnant coworker als...
  10. awesome nurse pt ratios

    Does anyone have awesome nurse pt ratios. At my PRN job the staffing is great. It is med-surg. although it is a small hospital so we have swing, peds, and hospice on medsurg. We don't have an IV team or pharmacy after 1800. We have a nurse and an aid...
  11. How many nurses?

    At both of my jobs, if census is low enough we only have one nurse on the floor. Both jobs also have house supervisors to come to the unit if needed.
  12. Per Diem Nurses?

    Most of the PRN people at my job are nurses who used to work there, but now want less hours. Many of us have young kids and didn't want to put them in daycare. $52 per hour is crazy. I make exactly the same prn as when I was not and it is less then h...
  13. Do you answer your phone on your day off?

    I usually let it go to voicemail if it is my part-time job. If it is my PRN job I answer becasue thats how you get PRN shifts. I like to listen to them on the voicemail so I can make a decision and then call them back. 9 times out of 10 if I wait lo...
  14. Most ridiculous patient requests?

    When I was 8 months pregnant. I had a pt ask for a piggy back ride. I told her no we would use the lift. She said all the other nurses give me piggy back rides. ya right.
  15. A nurse by any other name...

    Here patient care cordinators are the nurse managers.
  16. I have a 3 year old. I work 3pm-11pm every other tuesday, sat and sunday. It works well because my MIL watches her for a few hours every other tuesday and then my husband the rest of the time. The downs side is I only work 24 hours every 2 weeks so m...
  17. This is a topic i fuss often at work about. In inpatient rehab the patients all eat in a dining room together. The trays come from the kichen then when give them to the patients at the tables. Our isolation patients sit at the same tables as nonisola...
  18. Have I missed something about tylenol?

    Google any drug with almost any side effect and a link will come up, becasue someone somewhere belives its true. As to tylenol and hearing loss I have no idea if that is correct.
  19. NEVER say we are short staffed.

    When pt's ask if we are short staffed I usually say something like, "Our census is up tonight. Although I have everything undercontrol you might have to be pretty patient tonight. They call it being a "patient" right." Therefore I have not lied or ...
  20. PEG tube dressing help.

    If your facility has stat locks for Foley catheters, put one on the pts abd then you can clip the end of the peg tube into that. Then it can clip in and out for feedings and will not need replaced everytime.
  21. What are the staffing ratios in your state?

    I have 2 jobs. At one job we have up to 6pts per nurse or if there is an IV cert LPN the LPN takes her own 6, so the RN has 6 + keeping an eye on the LPN's 6. We have an aid for about every 6 pts and a unit secretary for the whole unit. At this job ...
  22. Nurses not speaking english at work

    I am as white as they come and only speak English. However, The USA does not have an official language. Due to freedom of speech we may speak whatever we please. If the nurses are speaking to the patients in the patients first language, there is not ...
  23. Tornado Evacutation

    What is your hospitals policy regarding tornado watches, warnings, and sirens? Do you take the patients to the basement via elevator or leave them where they are?
  24. Contact precaution, their visitors, and HIPPA

    Sounds like you did well. At my facillity visitors do not have to gown and glove if they will not be visiting other pts in the hospital. If they choose to gown that is fine. With C.Diff the family needs to be informed to scrub there hands with soap ...
  25. Transition from new grad to RN: What did you wish you knew?

    I needed to easy up on my expectations of myself and others. I still struggle with the fact that I can not always get everything I would like to done. My coworkers don't always do everything how I think they should either. In school everything has to...