meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. I have to agree, although it isnt really right, but i agree with your possible reasoning. However, to the OP,there is no way they can keep her in the position if she has failed NCLEX. The basis of...
  2. Trying to get rid of LPNs

    LPN's in my facility dont "take patients". They are assigned to a team and they administer oral meds, ivpb, iv starts, maintain peripheral iv fluids, dressings. My facility hires LPN's, however, if...
  3. Condescending nurses

    I suspect you mean she was a graduate of a diploma school. Well im sure she knows her stuff just as well as any other nurse on the unit. Diploma programs were no cup of tea. I agree you may have...
  4. Troubleshooting PEG tube

    Exactly, now imagine a totally alert adult in a nursing home with minimal muscle control, little to no speech. I'd be manipulating to get people to spend some time with me too. He was real good at...
  5. Artificial feeding-Terri Schiavo

    May she rest in
  6. Scripting: Yea or Nay?

    There are certain instructions/interactions/explainations you have to give your patients on admission, but i wouldnt call it scripting. Scripting sounds so set and un- changable. Every patient is...
  7. Epidural drips and Demerol sensitivity

    I think once i found out that the Demerol had caused him to code in the ICU i wouldnt even think about giving it to him. Usually subsequent reactions are more serious so even though it was cut in...
  8. Troubleshooting PEG tube

    Notice if you patient is tensing up when you connect the feeding. I had a patient with a tube,, but his mind was fine, occasionally certain nurses would have a hard time getting the feeding to go...
  9. I agree Boston1,, VA doesnt treat ME,I'm not a veteran, but they do treat veterans who are taxpayers and those who have actually earned the right to be treated with MY tax dollars. But last i looked...
  10. See this is why i have a problem with religion being a profitable business. Although its supposed to be Non-profit (ya right,,). OK now dont slam me, but most religious based hospitals are completely...
  11. Inquire as to the possiblity of if you do work a rotating shift if there is someone who prefers nights. Then if they are on the same rotation as you (days of the week) that you trade all your nights...
  12. Research Paper ?? and HELP!!

    Again i say go to your schools writing lab, english lab, library and find their tutor. They will know how to show you to paraphrase, and cite according to your schools requirements. There are many...
  13. After a few months of using computerized charting,, there are some good things and some bad things. Good-,, you can read it as opposed to someone's chicken scratching that is illegeble to everyone...
  14. Surgical floor for New Grad

    It depends on the size of the facility. A large facility will have things more separated although you may get some medical patients on a surgical floor. Smaller hospitals merge more of their...
  15. Research Paper ?? and HELP!!

    I suggest you go to your school's library and find their tutor or maybe if they have a language lab. They have many students there to help with just what you are questioning. Utilize your resources...
  16. I have to agree with hypnotic, and marie. Totally rediculous. I guess i can deny care for a Jehovah's Witness then, i dont agree with their religious practices. Anyone want to deny care to a Catholic...
  17. ortho post op pain control

    Ours dont, they get medicated in PACU and then after they get to the unit depending on the Doc, we will start a PCA when they start having pain. Surprisingly we dont have a lot of out of control pain...
  18. 12 hour shifts too long?

    I work 12's and have for some time (years), but for me i love them. I dont feel burned out. Now if i had a commute,, i wouldnt even think about it. No more than a 15 min drive for me if that. I...
  19. Straight A's in Med/Surg

    I dont know about these books,, but i wonder, why do you look for a book to help you get A's when its just one more book you have to deal with while in school. I mean,, why spend your time looking at...
  20. Day surgery patient stays overnight...

    We see these cases too, get SDS patients for pain control to the unit. They do have a higher tolerance for the pain medication so the po stuff doesnt really work. They do watch the clock, they know...
  21. Hip Pain

    Changes in gait can cause pain in other joints that arent affected by arthritis. Adjusting the way one steps, moves the legs during walking to prevent pain from an arthritic joint can cause...
  22. angry at nurse in pre employment screening

    I agree tactless,, and not necissary,, but you kind of sound like you have a lot of impatience for things people say. Are you angry because you have to see THEIR doctor or are you angry because of her...
  23. Doppler device - a question

    I think that would be a great question and observation to point out to your
  24. fever

    Cough and deep breath,,, increases lung expansion and helps dry secreations from atelectasis. Patients who lay around dont breath as deeply,, hence secretions build in the bases of the lungs making...
  25. holding a baby in after being fully dilated??

    I can see where jaundice with a first child is concerning,, it was for me. Noone told me the baby may be jaundiced, however he didnt need bili lights. When i had my second,, she came fast,, the...