meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. I don't understand this profession..

    meownsmile replied to smg's topic in General Nursing

    Fortunately i can say we USED to have some situations like this on my unit. We dont have much of it anymore. For the most part people get along and HELP one another. In our case anyway, it seemed to...

  2. Hip replacement questions

    meownsmile replied to milenko's topic in General Nursing

    Pre admission tests done prior to day of surgery would be EKG, chest x-ray. Day of surgery or maybe the day prior they would do CBC(wanting H&H,RBC,WBC,BUN,Creatine),CMP(potassium, sodium, calc...

  3. 12N Sleeping During Break

    meownsmile replied to MEDRQST's topic in Patient Safety Issues

    If its unpaid, it shouldnt matter. If she goes out to her car for 30 min and naps SHE IS ENTITLED. She however, chooses to power nap near her patients where if there is a problem she can be alerted...

  4. I like Med/Sug-Isthat wierd?

    meownsmile replied to JustJen's topic in Medical-Surgical

    I have worked med/surg/ortho since 1993 and wouldnt leave i dont think. Yes it gets a little nuts, you get busy and frustrated at times. But, the diversity in cases, patients, everything in general...

  5. Epidural and PCA at same time?...

    meownsmile replied to Larry77's topic in Medical-Surgical

    Wow,, 24 hours of epidural for a total knee? Some of our arthroplasties come back with a PCA, but others arrive with IV prn. Our orthos dont use epidurals post op except for maybe an occasional...

  6. Have you ever done/wanted to do this?

    meownsmile replied to DutchgirlRN's topic in Medical-Surgical

    We see these come in frequently,, admitted with nonspecific abdominal pain. Given IV meds but are up and going as soon as the medication arrives. You have to remember the abdominal pain is a s/s of...

  7. your very own personal crusade

    meownsmile replied to goats'r'us's topic in General Nursing

    And another one,,, WHY is it that when people are in the hospital bathtimes arent guided by patients habits at home? If i hear someone complain one more time because not ALL the baths werent done on...

  8. Are nursing students allowed to give IV push meds?

    meownsmile replied to GrnHonu99's topic in General Nursing

    All Rn students that come to our floor can give IV push meds with their instructor. LPN students and LPN's do not give iv push meds but can hang iv piggyback meds through a

  9. Peripheral IV's

    meownsmile replied to BaByMaMa's topic in First Year After Licensure

    You can wrap the arm with a warm blanket from the blanket warmer for about 10 min. to help dilate the veins,, and instead of using the tourniquet, try using the blood pressure cuff. Sometimes...

  10. Caring for status post hip fx with Alzheimers

    meownsmile replied to dinkymouse's topic in Orthopedic

    First, determining what kind of repair this lady has is important. Did she have a pinning, or did they have to do a total arthroplasty? That will make the difference on how this lady is transfered....

  11. Please post your report/cheat sheet aka "brain"

    meownsmile replied to Nickle's topic in General Nursing

    You will have time to learn organization during your orientation. I'm sure your preceptor/preceptors will each have their own outline that makes sense to them. I have told my orientees, look at what...

  12. your very own personal crusade

    meownsmile replied to goats'r'us's topic in General Nursing

    Ill add another amen to all of the above and add. I'll even acknowledge the word "attends", "adult brief", but DONT refer to them as diapers please. If your resident has been hygenic enough to care...

  13. Are you at work?

    meownsmile replied to Nathalie's topic in General Nursing

    No visiting allnurses at work for me. We dont have "access". They found there was way to much time people were "playing" and not working so they password protect the internet access on the units....

  14. Caught in the middle

    meownsmile replied to outbackannie's topic in General Nursing

    I have no problem if the pharmacy calls and questions a dosage the dr has prescribed to suggest they call the doctor themselves and discuss it. Most generally they will. I dont have the time to be...

  15. Paid Preceptorships??

    meownsmile replied to VeryPlainJane's topic in General Nursing

    Usually the orientee gets paid, the preceptor doesnt. It is usually part of the terms of employment that you agree to precept new staff and sit on committees as able or requested. I wish there were...

  16. Recent Grad, But No Job!!

    meownsmile replied to Havnfun's topic in First Year After Licensure

    It might not hurt to network a little with people you know already working a unit that you might like to work. Sometimes the personal office will tell you one thing but, as much as i hate to say it,...

  17. trouble with my preceptor..help *sigh/sob*)

    meownsmile replied to purplecotton's topic in First Year After Licensure

    Purplecotton,, this is where your self confidence has to take over. When they are telling you to come WATCH,, you tell them no id like to DO it and let you watch me. You have to take the initiative...

  18. needing info to get school money

    meownsmile replied to fireemsmanlpn2's topic in Illinois Nursing

    I did clinicals at MMC, and was thinking that when i replied. LOL Good luck. She may want to get her CNA and get her foot in the door for a few months, then go for the

  19. Tech to Nurse

    meownsmile replied to jensdandy's topic in First Year After Licensure

    Been there done that. You will have a few that will have petty jelousy for a while. You will have to learn to deal with them. Make sure you WEAR your NEW badge at work, someplace very conspicuous so...

  20. ETOH neb treatments?

    meownsmile replied to MissJoRN's topic in General Nursing

    Yes, please do find out more. Id like to hear the rational myself. Thinking about a rational the only thing i could possibly consider would be the displacement of fluid(phlem) in the lungs, moving it...

  21. My bp is 160/120, go to the ER?

    meownsmile replied to Chad_KY_SRNA's topic in General Nursing

    Yes, id also suggest you get your tail in there, but.... my question is.... What kind of fellow employees let a co-worker walk away with a blood pressure and symptoms like that? I dont care, my super...

  22. Will a new grad be considered.. if experience is required?

    meownsmile replied to newnurse.rs's topic in General Nursing

    Clinicals while in school can count toward experience. Dont discount your experience even with an

  23. needing info to get school money

    meownsmile replied to fireemsmanlpn2's topic in Illinois Nursing

    Although i dont regularly encourage people to go to facilities for "scholarship" money, she may want to get her CNA, work at one of the local hospitals until she is eligable to apply for their...

  24. nurse to patient ratio...

    meownsmile replied to Sarasgrd94's topic in General Nursing

    It depends on census of your unit, but yes, occasionally you may have that kind of ratio on nights. I see that ratio on days sometimes, its not easy, and you really feel like youve been run over by a...

  25. degrees

    meownsmile replied to lpnstudentin2010's topic in General Nursing

    I recommend going to your school counselor, asking pertinent questions and listen carefully to their suggestions. They can be a great wealth of information for each individuals