meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. rapid response team.anyone using this?

    There are whispers around our facility of starting a RRT and i hope they do. Especially on days when we are busy as all get out and one little patient can make the whole thing come to a screeching...
  2. 4 hour shifts

    We have a lot of occasions when a 12 hour person is floated for 8 and then has to return to their home floor to take the last 4 hours of a shift. It does truely stink. Noone likes to do it....
  3. To CNA or not to CNA

    Unless you plan on working LTC, go to the hospital and see if they have a tech position. A lot of hospitals will work students in tech positions rather than CNA positions. Which gives you a little...
  4. Catheter Question

    I guess if you really wanted to irritate a foley, pull on it real real hard!,, LOL,, sorry couldnt resist. I assume you are talking about a foley that is in post TURP while CBI's are running to...
  5. Question?? Tender hearted

    Heck tender hearted? I can cry at a Hallmark commercial. But in a given siutation when you know youve done what you can and cant do any more, you stand by the family, feel their pain, try to console...
  6. Post Procedure Vital Signs...help??

    True a lot of facilities have policy, but as a general rule,, and i think ive seen this in print in the med/surg books.. q15 x4, q30 x4, q 1hr x4 then q4 x72 hrs. Otherwise at least in my facility it...
  7. Continuous Insulin drip

    We have had a couple people on insulin drips. I raise heck, call, call dr,, raise some more H*** because we normally cant staffing wise have the ability to deal with Q1 BS and call DR with results...
  8. Pet peeves!

    People who give "baths" and dont bother to take TED hose off for days to wash the legs. Then when you take them off the skin dander and flakes look like snow in Alaska. Gross. I have actually...
  9. Hi there

    Sign on bonuses usually require long term commitment. Make sure you are willing to make the sacrifice and they are the place you are willing to
  10. Please assess your patient well!

    This isnt a case of the previous nurse leaving things for the next shift. Its a case of the previous nurse just not doing the job, plain and simple. She needs to be given a written warning and put...
  11. Accredited Vs. Non-accredited???

    I agree it sounds as if you have found your own answers in your
  12. Nrs/Patient Ratio

    Hello from the midwest. Im sure there has been a thread on this but i really dont have the wear withall to sit and sort through all of them and i cant seem to get the search to work. If anyone has...
  13. Nrs/Patient Ratio

    Thanks,
  14. So what's the deal with recruiters?

    I have to agree, they will find you a job alright. Most recruiters will be pushing jobs that are basically unfillable by the facilities. They gave up so they hire it through a recruiter so they dont...
  15. Dress code...Shorts in summer

    How can these facilities get by without A/C for their residents? Dont they have people with breathing difficulties, allergies etc? I would think not having a/c would pose some serious problems for...
  16. What is "KVO" on your unit?

    Normally if the nurse decides it is approx 30ml/hr. I have however seen a dr write for 10 with a pca, which made no sense to me at
  17. Oddest things found in a patient!

    There are many stories im sure. Having worked with DD folks and the PICA they suffer from, i know ive seen and heard a lot, i just wont go there though. The ones ive seen are slightly humorous at...
  18. Let's call Oprah

    Primetime just did an expose on blended families where hours upon hours of video were taken. Of course it was edited and compressed into a 2 hour show, but it got the point across. This same...
  19. A Fellow Nurse Called Her Patient an A......

    I agree with the others, you did the right thing. If you in fact ever witness it again though, i would definately step in the room,, tell her you heard everything she said to the patient, go...
  20. Medicare coverage out patient IV antibiotic

    You need to check with the admission office/UR nurse to see if they have verified that it will pay before you take your first treatment. I would think if they are doing their job they will have done...
  21. "Pre" code team

    Rumblings in my facility about developing a RRT too. I cant wait. There are so many times it could have been used and we end up calling codes because the patient is so close why wait. It will be...
  22. air bubble in syringe

    Sure it does make sense. If medication is measured correctly the dose includes that in the needle too. So if you use a bubble it also ensures the accurate dose is being administered. Consider...
  23. Theft or missing items?

    When my grandfather was in a LTC it was usually his electric razor or his wristwatch that would turn up missing. Now if anyone can convince me that staff didnt use the same razor on several residents...
  24. Nursing Diagnosis

    Fever would rank higher than gas exchange if the patient is already known to have a respiratory issue or infection. If the temp is continuing with antibiotic use, cultures would be in order with...
  25. Nurse to patient ratios

    AM glad i found this thread, thanks for the link. This has been in discussion for a couple days now at my hospital. The concept sounds good, but there are still a lot of questions that need to be...