meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Entering All New Orders

    The only time we have to put in our own orders is between the hours of 11pm and 7am. We have a unit clerk all other times and she is valuable as a piece of solid gold. If it werent for the clerk i...
  2. It's a pretty good program as far as i know. I dont think any of their classes count for college credit or are transferable to LLCC down the street though if you are considering going on to their RN...
  3. Question please read thank you:

    Fairlythere,,, 120 hours isnt enough depending on your experience level. If you have worked in your role before at another facility it may be you will be almost ready with that much. But if you are...
  4. Question please read thank you:

    Through orientation you should generally be with the same preceptor if possible. Due to vacations and adjustments in scheduling that may not always be possible though. Be ready to be with a...
  5. Overtime-Do you get it for over 8 or over 80?

    In my facility, 12 hour shifts dont get OT until after 80 hours. 8 hour shifts get OT after
  6. Anyone who has the time to spend tearing apart something someone else does, doesnt actually do much of anything. If they were actually doing their job they wouldnt have time to spend finding fault...
  7. Central lines/ PICCs

    There wont be issues if there is nothing else running piggybacked into those you mentioned. Nothing should be run into the same port with blood, insulin gtts or TPN. Now once the blood is completed...
  8. My wife is starting nursing school

    There is NO stigma in getting a 2 year degree then finishing the BSN later. Passing the boards is passing boards. You dont have to retake them just because you go back for the BSN or MSN. Once they...
  9. Checking HR before Giving Digoxin

    I agree, id do a manual count even if there was a machine available. Ive found the machines tend to be unreliable for a variety of reasons. So with dig id just count when doing the lung/heart sounds...
  10. Group One

    Wow talk about making up jobs for people. What a mess, so then is your file frozen until all investigations are completed? This just sounds completely nuts to
  11. When to complain to a manager and when to keep it quiet

    I know there are a lot of things that go overlooked or ignored in this area. Yes you have to pick and choose battles wisely. However, a reminder to unit staff is definately in order in this case....
  12. Hi I have a question about being an LVN to RN

    No i havent ever heard that either. There are instances where the LPN boards are challenged after the second year of a RN program, but i wouldnt necissarily recommend that either. As far as i know,...
  13. Pet Peeves in Nursing...

    ... patients who complain to everyone BUT the nurse. Let us know if there is a problem and maybe it can be remedied BEFORE it becomes something big. ....Staff who dont give skin care with TED hose...
  14. Patches

    In our facility we date, time and initial directly on the patch. I have also come across patients with more than one nitro patch on at a time. That's just plain laziness and lack of proper...
  15. I Need Info About Soapie

    I dont know that SOAPIE charting is used much anymore with computers being
  16. Opinions for a new grad

    I didnt work as a CNA on my unit but i did change roles. I went from LPN to RN on the same unit. All i can tell you is give your co-workers time to adjust to your change in roles. Some will take...
  17. help please--position of amputation

    It sounds good Louisiananurse, but trying to get your patient to lie prone for any time at all is going to be a
  18. The Good, the Bad, and the Ugly....

    I agree with Prn,, and will add,, The good/and bad: Know how your ortho docs want their cases handled. Do they want to be called ONLY for ortho complications or is everything fair game for them. Find...
  19. synvisc

    I have heard the same reports that it is very limited as to how much relief it brings and is only a short term
  20. need advise

    We have "on call". Its used when census is low. Like you we get 2.00 per hour to stay home. But i guess its better than not getting anything and having to stay home "in
  21. Need help drawing labs from PICC line

    Ditto, sounds
  22. Do nurses get MRSA easily?

    There were some cases at our school district too. They attributed it to wrestling mats and benches in the weight
  23. WHAT?? NO med cart and NO nurse's station??

    It sounds more like a true assisted living facility rather than LTC. Regular LTCs are so hospital
  24. Questions about peak and trough levels??

    Trough levels arent as important as peak. Peak levels are done to ensure a patient is getting a theraputic level of medication but not becoming toxic and causing hearing or kidney damage. Peaks at...
  25. Please Help Orientation Program

    I totally agree with DONN,, also i might add,, make sure you have a good reliable sitter that isnt going to kick a stink because you dont get off work exactly when you are "supposed" to. Make sure...