meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Pain abbreviated Px?

    meownsmile replied to cowboy_carl's topic in General Nursing

    I agree if its not an approved abbreviation it shouldnt be used. We have some doctors that seem to think that RTC should mean return to clinic and somehow majically we should know this? how? Anyway,...

  2. question about ng insertion

    meownsmile replied to dayshiftnurse's topic in Medical-Surgical

    Anyone who cannot swallow is in danger of aspiration. That instructor is a nut and should know better than to introduce any liquid to a patient that cannot swallow unless you are in the process of...

  3. Liquid Stool - Orange

    meownsmile replied to AggieNurse99's topic in General Nursing

    Hold that thought on the meds. Google post cholecystectomy syndrome. People who have had surgery develop symptoms as described. The stools are frequently yellow to orange depending on how long it...

  4. Med Admin using Bar Code Scanning

    meownsmile replied to DayOhioRn's topic in General Nursing

    We are supposed to be going to a system like that soon. It doesnt sound so good to me since we have a hard time trying to get meds in the pyxis so we can use them. We arent supposed to override the...

  5. Insulin...When/ When not to give

    meownsmile replied to yurnurse's topic in General Nursing

    I have to agree that if the insulin was being held it warrents a call to the doctor for the order. If you just held for a while to see how much he ate and he ate his meal then of course give it. But...

  6. Fall prevention

    meownsmile replied to big-N's topic in General Nursing

    I think the evidence based practice shows that most falls can be prevented with frequent checking, offering toileting at adequate intervals, offering fluids. Making sure call lights are within reach...

  7. Family MD charging office fees for renewing RXs

    meownsmile replied to timpanzee's topic in General Nursing

    Most of the docs in my area require a office visit to renew scripts. Especially if they are meds that you need monitoring for, which most are. 5 bucks a script sounds pretty good rather than 85 for a...

  8. VERY close to failing senior clinical

    meownsmile replied to Sterlink's topic in General Nursing

    I would think it is up to the instructor to coach you through your rough spots some. You should get constructive feedback from the instructor as to where and what you need to try to do better, more...

  9. tb isolation-forgot to put up sign

    meownsmile replied to smartynurse's topic in General Nursing

    Do they not understand why the negative pressure room is used. Was there not an isolation cart parked in the hallway. Come on, they are feeing you a line and looking for a scapegoat for something. If...

  10. I AM "tough enough"!

    meownsmile replied to itsmycalling's topic in General Nursing

    Try to remember there is a separation of empathy and sympathy. You have to learn the difference and how to react appropriately to each. Good luck,, youll be fine. Sometimes being a bit stowic isnt all...

  11. Need help, STAT!!

    meownsmile replied to mummer43's topic in General Nursing

    We do group interviews with new candidates for positions. The questions are already printed out for you possibly. They will give you a list of questions relavant to the position and you read the...

  12. How to communicate with patient who has a language barrier?

    meownsmile replied to beauty1216's topic in Geriatric, LTC

    There is a translation line you can use for patients who have communication barriers. We have had people from all over the world and were successful in using it. We had a little lady from Poland and...

  13. I blew it!

    meownsmile replied to Jo Dirt's topic in General Nursing

    I have to agree, if the "little man" is that cold, how would you ever want to work for him. Especially in a hospice type situation. He has no compassion obviously and would be a nightmare to work for...

  14. Next time I will tell her to shut up

    meownsmile replied to jessiern's topic in General Nursing

    However wrong dont mislead yourself into thinking that it is just a formality if you have to go see the DON. If the woman was in complaining the DON is going to have to at least show that she gave a...

  15. question about ng insertion

    meownsmile replied to dayshiftnurse's topic in Medical-Surgical

    I agree, I was taught the 180 turn after initial insertion in the pharynx will promote avoiding the

  16. Passed The Nclex Rn Whts Nxt?

    meownsmile replied to helen smith's topic in Illinois Nursing

    Wow i cant imagine anyone having a problem finding a job. Keep looking and unless you are just really not wanting to go in depth work at getting a hospital position first. Even a couple years in an...

  17. Riddle me this

    meownsmile replied to cmonkey's topic in General Nursing

    I guess the short answer is they do everything the LPN and CNA's cant do and then everything the LPN and CNA can do but dont get to or we dont delegate because we know how busy you

  18. "The Turn"

    meownsmile replied to leesespieces's topic in General Nursing

    Ive seen it with turning to the left also. I dont know any documented reasoning behind it, but myself i have figured it had more to do with the pressure on the left side of the heart and the ability...

  19. preparing to be one of them????????????

    meownsmile replied to RN2B73's topic in General Nursing

    Makes me wonder if you were there in the middle of a shift change. It can be very misleading seeing the number of people around at shift change and it appears noone is doing anything. But they are,...

  20. Mandatory On Call???

    meownsmile replied to truern's topic in General Nursing

    Mandatory call is usually from that days staffing. If we need to cut staff because the census is low they might call someone off and put them on call for the day. We dont have mandatory call for...

  21. can LPN take verbal telephone orders?

    meownsmile replied to mom4jesus's topic in Geriatric, LTC

    For LTC yes,, but in acute care hospitals you need to check their own policies. In my facility LPN's do not take telephone orders. And according to joint commission, verbal orders(not telephone...

  22. How infectious is MRSA really??

    meownsmile replied to Epona's topic in General Nursing

    If you use proper precautions that are outlined in the hospital policy and are very careful about your own handwashing you shouldnt have a problem. Isolation precautions are instituted as much to keep...

  23. Hostile and demanding patients. How do you handle them?

    meownsmile replied to Virgo_RN's topic in General Nursing

    I guess as a last resort you could always explain what Narcan is and what it does and how it will affect their care. That you dont want to use it but if they slip below a safe level of conciousness...

  24. What is "Press Gainey"?

    meownsmile replied to ScooterNurse's topic in General Nursing

    Press Gainey is also used for employee feedback for hospital administration. They survey employees yearly and employee satisfaction is ranked. A hospital worth its salt will use the employee surveys...

  25. Med-error & down n the dumps

    meownsmile replied to Advocate1's topic in General Nursing

    Unfortunatly ive seen it happen too. Family get upset at something done or said at the bedside and someone loses their head. Im so sorry you had to deal with this situation so early in your career....