meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Walking into a minefield...

    I agree the NM shouldnt have LET another nurse "run someone off". That is just laziness on the NM part. We have a couple who tend to not be well liked as preceptors. Dont let them run you into...
  2. Where did 12 hour shifts come from?

    I think part of it came out of continuity of care for patients also. You have to agree that people get better care when there may be only 2 nurses caring for them over a 24 hour period than if 3 or 4...
  3. What do you do when the narcotic count is off?

    You absolutely were not wrong in not signing that narc count. The pharmacist should have left a sheet or documentation of what and how many he brought, he should have stayed until she counted and...
  4. Curious about Fast Track

    We use standard post op orders. All our orthos are up the evening of surgery for 30 minutes unless written to remain in bed. All are discharged after the fourth night or on day3 post op and follow up...
  5. petty ? about med student

    Umm, i would think if he was seeing this patient, and has a general knowledge of the patients status, there is no "acceptable" reason they couldnt have helped the patient to the bathroom and then...
  6. Refusing oral care!

    I agree, ruling out dental problems first is important. If a patient still has their own teeth, they more likely havent neglected them through their youth and adulthood. If the dentist says there...
  7. Don't put that in your nose!!

    My lovely daughter stuck a rock up her nose when she was about 3. A nice smooth pea gravel pebble. Did it at daycare of all places and i was called out of,, you guess it one of my nursing classes...
  8. I work in a hospital but i would think the rules would still apply. No unlicensed staff (CNA's, wardclerks) can check in narcotics or go to pharmacy to retrieve
  9. 12 Hour Shifts

    My hospital has been doing 12 hour shifts for both LPN and RN's for almost 15 years. Sure you miss a game now and then, but its worth having the 2-3 days off in a row to be there for the school...
  10. pregnant and securing a job as new grad?

    I really dont know about the benefit situation although im pretty sure pregnancy before employment would fall into the pre-existing condition clause. That said,, we have had several new hires lately...
  11. Central Illinois Jobs

    As far as i know most hospitals here still hire LPN's. The only issue is most of the towns in that area (and mine) if they have a hospital it is small, rural and you pretty much have to know someone...
  12. Grumpy nurses??

    Disposition definately is based on how the people you work with interact. IMHO if certain shifts are more easy going, lighter and generally more friendly, then the people who work that shift tend to...
  13. 3 12s or 4 8s (nights) what's better???

    Id take the 3 12's. Your daughter will enjoy going to daycare and playing with the other kids and you will have a couple days a week to spend with her. The difficulty may be in finding a daycare...
  14. Please Help Me Out!!!!

    With the upsurge of STD's that county health departments are dealing with they should have a wealth of information you could use. Try calling
  15. Ok I need somehelp here with coworkers

    I agree if she didnt check the MAR to see if it was signed off already SHE is at fault not you. Howver, if you pass meds and then wait to sign them off after the patient has actually taken them i can...
  16. Pt Threats and Name Badges (again)

    Did someone report this to the prison this guy was from? When we have people from prisons we remove our name badges when we go into the room. If we have problems with an inmate(although they always...
  17. It's official, I'm stupid!

    I'd make sure i wasnt available to give her ANY help from now on. Let her sink or swim. Eventually the NM will see she isnt keeping up and i dont know that its your responsiblity anyway, where is the...
  18. smelly feet

    I think this is where having a couple pair of socks and shoes come into play. Change them during the day and continue to use foot powder and i think you (oh i mean the other nurse) will see a big...
  19. Losing Confidence

    I think we all go through periods where our confience and our self doubt take over and make us wonder what the heck were doing there. Please dont give up though and maybe next week will be better....
  20. Does your hospital provide patient transportation?

    None provided here unless you consider senior transport. Other than that its cab, family or
  21. Does this bother you?

    I dont like the sound of that at all. They have CNA programs in high schools here and not many that actually do finish are mature enough to deal with that job, let alone be in a position of...
  22. ER didnt treat our resident......

    Hmm, Wordnet, 2003 Princeton University,, as i said chill.. When we need a proofreader we'll call. Get over it and dont hijack threads with this kind of behavior. probably adv 1: with considerable...
  23. ER didnt treat our resident......

    I think Gabiebaby needs to TAKE lunch and chill. Good grief we arent writing for our thesis papers are we? And im pretty sure everyone who has posted their thoughts have probly seen instances where...
  24. Low Sodium? What are the dangers? What is the fix?

    You did say the doctor changed the iv fluids from 1/2 NS to NS. And i summize he reordered labs for the next morning? Was there a change in mental status? Did the patient have a fluid restriction...
  25. ER didnt treat our resident......

    Maybe a better course of action could have been for the doctor to call the on call surgeon and arrange for him/her to see him in the ER and do the pericentisis. That procedure is just not something...