meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

Member
  • Content

    2,532
  • Visitors

    12,507
  • Followers

    0
  • Likes

    34

All Content by meownsmile

  1. Private vs. Semi-private rooms

    Yes, private rooms would be best,, but reality is not many facilities will cut their available beds in half to accomodate all private rooms. If they are already an all private room facility it was...
  2. TPN thru a peripheral line?

    The only TPN ive ever seen run into a peripheral line was WITHOUT lipids. The only thing ive ever seen piggybacked to run with TPN was albumin, and it ran as a piggyback and theTPN switched back over...
  3. Would You/Do You Offer Assistance?

    I agree to be of support to family but nothing else. If they have 3 ambulances already there the medical aspect of the emergecy is already being handled. They dont need more fingers in the mix, be...
  4. I have a very good friend/neighbor who just got a very bad terminal dx. Even in his cloudiness with pain medication he is looking for me there and WANTS ME there. I can take care of him the way he...
  5. IV Haldol?

    I havent ever seen it written to give IV. But when we use it on an acute floor it is usually because the patient is physical and we probly arent able to keep an IV in anyway. Its one of those meds...
  6. Now if we could just get the doctors to realize they shouldnt use
  7. Nurse tracking devices

    Well they can page me. Im not wearing one. I will admit there may be good uses, however as we all know the main intent is to track nurse contact time with patients. I would almost guarentee that is...
  8. Target of clinical instructor's venom HELP!!!

    I think someone said it in a past post,, there is one in every nurses life. An instructor that made it their project for the semester to make your life H***. I had mine in LPN school years ago. Dont...
  9. Did I Handle This OK?

    Although you shouldnt have any comments about the supervisor being late i understand your frustration when you have to wait on someone who cant get where they are supposed to be on time. The...
  10. Any truth to the phasing out of LPNs?

    My hospital has hired several LPN's in the last few months. Keep looking. I did hear about St. Johns and the LPN situation. Apparently they were offered either a Tech I position or were offered a...
  11. I made a boo boo!!!

    Years ago we used to give an IM dose of Versed pre-op. At least i think it was Versed, its been so long ago. We dont do that at all anymore and most of the reasoning being it shouldnt be administered...
  12. PLEASE HELP... starting the night shift

    You probly are in a pretty good position actually. Your kids are old enough and your husband rotates shifts so finding a responsible adult to monitor your kids the evenings you may need to have...
  13. I made a boo boo!!!

    I would say the charge nurse is the one that may feel the heat of any hot water. You followed policy as far as wastage. She administered and she gained access and signed it off after given so she is...
  14. Anger problems during the NOC shift

    It could be part of it is your diet. But i think the first clue is psycing yourself out before you go to work. I dont know how long you have been at the present job but maybe its time for a change?...
  15. Being called into work on your days off

    Unless your facility mandates a certain number of OT hours a week you shouldnt feel you have to. If you are fulfilling your obligation to them as a full-time employee then dont feel guilty and dont...
  16. Back injury: stories & support for an injured RN

    I had back surgery in 1997 for a herniated severed membrane that was floating into and pinching the nerve coming out between L4-L5. I had the numbness down the front of my left leg (swore i had a...
  17. Posters that are not nurses

    I basically agree, but remember you never know where your next best idea is going to stem from. Not that anyone can DO the job, but sometimes a fresh persepctive is a good thing. You dont have to...
  18. End of life question

    The reason feedings havent been restarted is because it takes energy to digest and blood pressure to help circulate the nutrients being extracted from the feeding. So if feedings are restarted it...
  19. Gag Me, The Hospital's Food's Rank ! ! !

    I have to admit that the meals at my facility have gone downhill in the last 10 years. But they still have some things that are pretty good. And yes it all depends on who's cooking that day as to...
  20. TPN and meds

    I really wouldnt piggyback or ysite an antibiotic. However, a potassium or magnesium rider can easily be piggybacked into a
  21. Mulan,, it has happened where i work. Fact is, if there isnt enough staff for some similance of safe care our NM will and do come in and take patients. No it doesnt happen very often but it does...
  22. Nope your plate is full for the week. I wouldnt bother even acknowledging this call. And they probly dont expect you to either. They have the nasty job of trying to call and get SOMEONE to come in,...
  23. Med-surg and still wating for a call

    Go to another facility. This person wants to see people grovel for some reason. One contact following an interview is plenty enough and if they want a second interview then that should suffice...
  24. Rounds - hourly or q 2 hours?

    My facility is trying to get q2rounds or qhourly if possible but when on a med surg floor you have 10 patients, discharges, admits, and new surgicals coming back,, and still have all your assessments...
  25. Port care question

    Most port should be accessed at least monthly and flushed with heparin to keep the port patent and accessable. I dont really understand if she was in the hospital why they werent using the port unless...