meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Need Help FAST Please. RE: Inappropriate discharge

    Is there any family? Maybe its time the patient move back home with family assistance. If she has nothing wrong with her why is she in the LTC in the first place? If she has nothing wrong, and she...
  2. how would you feel as a pt?

    Most of that scripted stuff comes out of surveyland. What it does is promise something that in our day of low staffing and overworked nurses very rarely can be achieved. They have a nice little...
  3. Graduation gift for new nurse

    Hallmark have these cute little nurse statuettes. They are personal and very nice for new graduates. Some are precious moments, some are the bear figurines. Also a nice gold necklace with the RN...
  4. Crazy stuff can happen

    I havejust a plain ewwww..... gangrenous toe fell off,, found in
  5. should i have questioned it??

    You can always call the patients pharmacy and see if they have been taking it at home. Or in this case look at the Nursing home med sheet and see if she had been getting it previously. There is a...
  6. Nursing students that DON'T get report...(m)

    I would have thought your NM would have had a meeting with this clinical instructor before the students started on your unit. You need to mention to the NM that none of these students are getting...
  7. question about getting first license

    I would recommend taking your test as soon as you can schedule it. Waiting to long so you can "study" wont help. Shorter reviews during the wait time after you schedule to look things over again is...
  8. low o2 sats after ORIF?

    Usually even with spinal, they have iv sedation and it takes a while to metabolize. Decreased depth of respirations will cause it. The patient coughs and deep breaths, uses the spirometer a few times...
  9. Hep C exposure?

    If they were so worried, why didnt THEY get your bloodwork done etc. Why is it that it is on your nickle that you get tests done? Maybe take them the bill and have them pay it for not following...
  10. Liquid Gold

    OH i dont know about the hardest thingto do. Id put foley after foley in before i want to drop a NG tube. I think it has to do with how uncomfortable the NG is to the patient. Foley's are little to...
  11. LPN to RN wages

    There is not really any difference between a new grad scale and a new grad who was a LPN for any length of time pay scale. If any not
  12. Report from Recovery Room

    The PACU nurse that brings the patient back to the room gives verbal report with the patient
  13. fluid restriction

    Use a clear graduated cup. Most units have them on their CD cart for measuring drains etc. Ice melts at half volume, so if you give them 260 ml of ice you will have 130ml of water. And yes it counts...
  14. dosage calculation quizzes after nursing school

    Yep my facility requires med/math test/competancies during orientation. If you dont pass the first time they may let you retest after some re-education but i doubt it will be let fly a third
  15. Is it just me or is this offensive?

    She might want to see what the doctors have to say about that. Most drs understand that they probly couldnt do most of their jobs without
  16. Rastafari nurse and marijuana use

    I didnt have to have a drug screen prior to school, but you sure will have one pre-employment. I agree, its an illegal substance in this country and claiming religious practice isnt going to hold...
  17. Newbie questions: Assisting Male patients Issues

    Its more a patient issue really than a nurse issue. Within a few months youve seen enough of them it doesnt bother you anymore, its the patients that have a harder time really. I like to tell them...
  18. 35 with New Baby Taking Pre-Reqs

    Well first congrats on the new baby. I dont envy you your task by any means. You arent alone though. Good
  19. Are you paid for orienting someone?

    Nope, none here either,, its included in the job description we read and sign on for when we are hired. However, i might say it really isnt right when you tend to be the one they always send the...
  20. Tips For Improving Morale

    If you notice it is usually one or two people who prevail at the negative attitude that pulls the rest into their mindset. There usually isnt anything that will make these few negative people...
  21. Is doing a little private duty on the side "okay"?

    I think a referral to a home health agency, or even a referral to hospice they are going home with would be more appropriate. No conflict of intrest between you and the hospital. I also might remind...
  22. Nursing Musicians?

    I have a family member that has a music degree and is now going back for nursing. I really think you should look at combining the two degrees and see what music therapy is doing. They are using...
  23. Patient LOAD anyone?

    I think this is pretty normal. Ive had as many as 10-11 on days with an LPN and CNA. But that doesnt help when you have all the assessments, new orders etc. Night shift ratios can be even
  24. floating

    It is appropriate if you dont feel comfortable with what they have you doing. However, dont expect they will. LTC is kind of notorious for short orientations and high expectations i think. I hope...
  25. I think id call for a bottle of citrate of mag or a few doses of MOM. Removing stool manually not only is unplesant from both sides but really isnt necissary with whats available. A suppository and...