meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Failed because of the HESI? Huh?

    I graduated in 5/02 and it was the first year my school instituted their HESI pass or remediate rule. We didnt get any help studying something particularly for that test, but were told to study for...
  2. computerized charting!

    We have computerized ID badges that we use for all time clock entries, but we dont use them for sign in/out of our computer for charting YET. We use mobile computers for all our charting, and...
  3. Is LPN school easier than RN?

    I was a LPN for 8 years, then went back to finish Rn. I can say for a fact one is not "easier" than the other. LPN is hard because it is usually your first course that you have to study all the...
  4. Help! My grandma is in LTC, advice needed!

    I posted a while back about making sure people in LTC settings get enough fluids/water especially this time of year. They can get dehydrated quickly even though they are in A/C. My grandfather was...
  5. Received an "F" for a "B"!

    Im afraid that is how it is going at most schools. We had weekly dosage calc tests that were basically 4-6 questions and it left little to no wiggle room for errors. Had to pass all of them or there...
  6. looking for feedback/advice on this idea

    It sounds good but im afraid my facility would have a fit if we actually charged the patient for suction sets for that. Laundry is cheaper, and being a ortho unit people should know how to move...
  7. Forced to be charge nurse. Help!

    I definately wouldnt until you feel you are ready. If they are adament about it, ask when you get the raise to compensate for the added responsiblity. I wouldnt until they made it worth your
  8. Nursing notes what to keep or discard

    Im real bad about keeping that stuff that i dont need. But for some reason i convince myself that i WILL or MIGHT need it. I just threw my LPN notes away and that was 12 years ago!!! So i made...
  9. My Shadow is MISSING!

    I agree, dont try to help. Legally you shouldnt be doing anything for any patients. Go observe, listen to report with her, watch her interact with the patients and environment and how others on the...
  10. Worried that experienced nurse may know nothing

    Is it possible she WANTS to work with your peds because they CANT report her on their own? Not sure of your facility but it sounds as if she is counting on little to no feedback on what she does or...
  11. No Overtime Pay after Forty Hours

    Hmm, i dont know what state it is, but you can bet if i didnt have an option to get overtime while on orientation my preceptor will be finishing things up by
  12. orthapedic practicum

    Just pay close attention to your body mechanics when transferring patients. Pay close attention to the patients body alignment and how staff help patients move following surgery. Do not move your...
  13. My facility sounds a lot like yours. We used to do the admissions/discharge nurse thing but that stopped. Presently,, we have our Nurse Manager that is there most of the time during the day. She...
  14. LPN's just glorified nurse aids in LTC? Huh?

    I dont necissarily agree that in the actue care setting LPN's do the same work as a Rn excpet IV pushes, but i guess that could depend on the facility. In mine they dont do the same job as the RN,...
  15. Did you ~EVER~ feel this way??

    There are a lot of us "late bloomers" out there. I had worked a dead end job for 13 years, had 3 little kids and was scared to death. I got delt a hand that forced me to go ahead and put myself out...
  16. I have the best preceptor in the world!

    We have employee of the month and get a reserved parking spot anywhere in the lots we want. But, i had a orientee that brought me a small personal gift as a thank you after she was done with...
  17. Do you run a primary with secondary??

    You can run piggybacks concurrent with a gravity IV, however it isnt recommended as the fluid rate from both bags is difficult to calibrate. The tubings should have a lower port on the line that you...
  18. Advice to soon-to-be hysterectomy patient

    Toradol works very well for the hysters i take care of. Some have the marcaine infusers into the incision, some dont. I dont really see a difference, however if you arent able to take something oral...
  19. Do you run a primary with secondary??

    Most all of our secondary sets will run piggybacked into the primary at the pump cassette, temporarily stopping the primary while the med is infusing. The only thing in my practice that i have found...
  20. Isolation Guidlines

    We dont let anyone pregnant or that is floating from OB to our floor work in MRSA/VRE isolation
  21. narcotic counting question

    Any narcotic count should be done with two licensed nurses. I wouldnt accept anything less, just make it "your" policy if for some reason your facility has relaxed their rules or are not implementing...
  22. I'm the nosy lady in walmart. Woopsie.

    I so agree. I hate dodging kids playing tag in the toy department or between the clothing racks while mom is off looking for her next love novel. And the ones who let them run till they are ready to...
  23. No call/show doing OT.

    At our facility, if you are a no call/no show 1 day you have no job. They consider it resignation unless you meet with the manager and you have a very very clear emergent reason for not being there...
  24. I'm the nosy lady in walmart. Woopsie.

    Continue to be nosey. It's nosey people who help save childrens lives
  25. Syringes and needles were metal. Im sure they must have been heat sterilized (boiled) for reuse. I know they reused the barrels of the syringe, but not sure about needles. Doubt they had anything but...