meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. i definiately think a trip to the ER would have been effective. No discussions,, if the family member was ill enough they needed to lay in the bed with the patient, they needed to be seen. I would...
  2. Animosity between the shifts?

    Not all places are like that. Sure there is some friction between individuals maybe, personalities sometimes clash but for the most part i havent felt that where i work. I would hate for you to...
  3. Idiopathic Edema

    Just becasue her blood sugar was OK last week doesnt mean she hasnt been trending high. It could be that she just hasnt been detected yet, she could have some normal decrease in vascular elasticity...
  4. How bad is this med error?

    I agree ,, totally to much time on someone's hands. Ive come across iv stylettess stuck in matresses for gosh sakes,a long time ago, dont use those now but non the less, thats a write up. I would...
  5. Although most surgical floors try to limit their patient load to just surgicals, realistically some patients come in medical and go surgical while there. Someone comes in with abdominal pain,, ends...
  6. help... need advice.

    I dont know that nursing is more prone to back injuries than working a loading dock or somekind of sedentary job. Secretaries have back problems because of improper bending/lifting too. Back injuries...
  7. NCLEX - the test we love to hate

    I totally agree about really reading the test taking tips in the front of the review books,, i think it makes a world of difference if you apply what they tell you. It dosesnt however, keep you from...
  8. First let me say i LOVE having students and am the first to welcome each new semesters group. I take student interns,externs and seniors doing their team leading rotations. There are a few things...
  9. About medical-surgical units in the USA

    My med/surg floor tend to keep to mostly surgicals,, we do however catch some overflow from the medical floor so far as COPD, pneumonia, elderly from LTC with dehydration etc. The difficulty is you...
  10. HESI is quickly becoming the standard exit exam. My school had a pass expectation of 85 or above in 2002. Any practice and review you can do will help. Even if its just looking over notes and...
  11. Vacation Woes (rant)

    Vacation time at my facility is just that. Noone calls while you are off unless you have told them you will work if needed. But then why would you take vacation if you were willing to go in on a...
  12. Question about Trachs

    I remember having to do trach care with the plastic inner cannulas. Washing with peroxide was part of trach care. Yes, sterile technique. Just be careful those things are slippery as all get out...
  13. flushing question

    Anything given IV push should be administered to the port lowest to the insertion site. Always flush before and after, ill give you an expample. When a patient comes from surgery, some of the iv meds...
  14. You brought up the right points to her, wonderful.. However, i think i would have had the conversation in the privacy of the conference room and not at the nurses desk. Could it be that others heard...
  15. Need help in wording

    Daytonite, my standard for charting in those instances where the patient may be sleeping is,, "patient resting quietly with eyes closed at this time. No respiratory distress noted, no facial...
  16. On site childcare for nursing staff

    Sarah,, im not sure, dont know that anyone has tried to use it on night shift. Usually people had someone who could be with kids during the night at home i guess. I'm thinking they are just open...
  17. Wrote a doctor up!!!

    Was the doc an attending in house when you called them or was he at home. Just wondered, because the day i see one of our docs insert a peripheral line is the day it will snow someplace it shouldnt....
  18. Interventions to maintain nutrition after hip surgery

    A short list, mainly because the patient will return to their normal diet within 12 hours of surgery barring any nausea/vomiting is to consult dietician for further teaching regarding coumadin...
  19. On site childcare for nursing staff

    We have onsite care for sick kids,, if our kids get sick we can take them to peds for a nominal charge daily for them to stay so we can work. How's that for decreasing callins!!! LOL Dont have...
  20. Merit Raises? What is your annual raise?

    Ours arent merit raises perse,, it basically is a whatever they can budget raise. Some years its better other years its not much at all. We have scale raises, and after you hit a certain point the...
  21. LPN to RN student forum

    And there are plenty of us who have gone through it that can help with support and advice maybe. Especially after completion,, is different than just becoming a new RN,, different hurdles to get...
  22. About teenagers....

    LOL,, i so relate, only i have the battle for the land line,,the cell phone and the computer,, on a daily basis. UGHHHHH I can only say i have one oozy in my pocket going in for the battle,, I KNOW...
  23. I need suggestions for my sons dressings

    I agree, there shouldnt be any reason they cant be covered with a stockinette or even a loose Kerlix roll. If they are weeping ( i understand YOU are, but maybe the wounds are too) it will help...
  24. Education vs. Experience

    I think only you know if you are able to do grad school at this time. Depending on what your goal is for youself, it may be fine to go on if you want. However, consider your child and where they are...
  25. Is there a good method to decide who works what holiday?

    We used to do the preferential 1-5 method. But some it seemed never got what they wanted. So they switched to every other method and it has worked. Everyone knows a year in advance what holidays...