classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. CNAs no longer doing vitals on our floor

    maybe you will be able to demonstrate (document) how having more nurses would be more beneficial than having CNA's, especially since they are not doing any nursing assistance. I worked in a unit where...
  2. Declaratory Order help!!!!!

    hope it all works out for
  3. Paranoia or Valid Concern, I Don't Know...

    do the children have a father? If so, outline expectations and even write them down if needed. He sounds like he is waiting on you to take the lead, and maybe you have "trained" him that way. This is...
  4. 'Runaway' IV of 50% dextrose?

    Crazy question. What is "runaway"? Accidental bolus? I would not do any till I checked the blood glucose level. But I do know it is dangerous to leave someone on hypertonic fluids too long due to...
  5. My personal opinion is that the book business is a big scam. An acquaintance of mine writes text for nusing and the publisher changes to "new" editions periodically without consulting her for updated...
  6. Incorrect Medication Administration Route?

    think of it this way: if there is a negative outcome and you did not follow the order as written, who is getting blamed???? Call the person who wrote the order to get it clarified. Think of it as...
  7. agree. This situation needs a breath of fresh air or it will become stagnant and ruin
  8. agree. It is difficult, although I have experienced too much gossip and social issues being discussed when pt/family are not around. We have a checklist for our staff to takes notes on while getting...
  9. Help! Manager won't let me off night shift

    did you ask her why you are not being allowed to transfer? Have you talked to HR? If this manager cannot accommodate you, maybe HR has another option in another department. Otherwise, you need to...
  10. Would just want to ask help for reaserch problem. :D

    have you tried the PICO model for formulating a research question? How would you measure "good" in planning interventions? I agree this is a hard assignment, but once you grasp how to hone your...
  11. Diabetes The Hows and Whys Please

    sorry you have this condition. I know it must be a
  12. Do I need my license to take NRP and ACLS?

    Your new employer might even PAY for your classes, so consider waiting till you are hired before spending that money. Nurses are not the only ones who take these courses. EMS/Paramedics and MD's also...
  13. Charge Nurse

    It is harder to justify costs when someone does not have direct patient care duties. I do agree that a charge nurse is valuable, but ours also have patients, though less of a
  14. I do not have to know everything. Just learning that caused me to release a lot of anxiety. I have smart friends, co-workers and other resources and I have learned to say in a professional manner, "I...
  15. Books for Ped's/Maternity & Cardiac/Resp. ?

    I did not even buy texts my last year since the instructor's lectures were so comprehensive. I figured if I knew that info I would pass. To me the biggest challenge with kids was the actual hands on,...
  16. Nursing Program Preparation

    pretty much. You will be learning a new language and culture. You will have to be totally focused. It is not high school. It does get easier as time goes on
  17. good textbook or instructor question. Your instructor may feel strongly about one method over another, so tell him/her "I am thinking of doing this because---" then see what reaction you
  18. Discussing lab/test results....

    check with facility policy. It is easy to get in way over your head because the patient may ask questions and you tell them something the MD needs to explain. If you give info be sure to say that you...
  19. compatibility

    always check with pharmacy or a drug reference. To me, incompatible means just that. I would find another option for the push med. Also, if the incompatibility is with the D5 you might check with...
  20. are you for real??

    I had a young adult male who was involved in an auto accident. He was an in-patient. His Mom was treated and released, as she had been in the car with him. She had trouble walking so wanted me to...
  21. CPR

    their employer may have liability issues as well as not wanting to pay for the courses. Hopefully, everyone knows to call for help (911 in USA). My personal opinion is that you should have basic CPR...
  22. New to ClinIcals!!! 🏥

    pay attention to your objectives as they were designed to guide you thru this process. Expect to feel like a fly on the wall because you will not know what to do. ASK questions to anyone who will...
  23. I would be physically ill before a shift that first year. It is a stressful job but think like this: you must be a good, caring nurse or you would not be working up such a lather stressing about doing...
  24. you really will have to research various areas and compare salaries to cost of living. Consider rural areas that may not have a large pool of nurses to pull from and will pay more to get you. Even 100...
  25. Horrible Interview

    I read somewhere that a job interview is like having strangers look at you naked. Of course you were stressed. I hope the next interview is less