meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Now I feel bad... What would you have done??

    There is no reason for you to feel bad. When admissions like this come in there is always going to be something left for the next shift. Thats why nursing is a 24 hour a day job. Being more...
  2. what is team nursing in your facility?

    Well i think i answered this on the above post but. Each team has a varied number of patients depending on census. I have had as few as 5 and as many as 12 on my "team". A large team warrents 1RN,...
  3. MedSurg - Team Nursing

    I agree, my facility has done team nursing since the early 90's and it works well. Each "team" is comprised of 1RN, 1LPN, 1CNA. The RN can focus on assessments, orders, calls, teaching and more...
  4. please tell me it is

    OH heavens, i still call back on occasion to make sure i told someone something,, or i did something. I dont live far from work so ive actually gone back to make sure i signed something off or done...
  5. Is it my fault???

    You gave a medication that was legally prescribed to the patient. If the family didnt want her to have it for some reason,, that should have been passed to you in report or it should have been noted...
  6. Anxiety before work

    I go to sleep every night i work the next day not wanting to go. I get up every day i work not wanting to go. I get ready, get in the car and im still thinking i dont want to be here by the time i...
  7. How to deal with MRSA patients?

    Exactly what i was thinking. ALL MRSA patients should be in contact isolation if they are known to be colonized, have active infection, or have not had the proper number of negative cultures to clear...
  8. How do you Handle Floating?

    I hate floating. We usually get the screws when we float, worst teams, hardest patients. Its really
  9. Reasonable requests made to the med-surg nurses?

    Is there some reason your mother cant verbally give permission for the nurse to talk to you and give you her condition. Unless she is totally incapacitated and doesnt have her mind a POAHC isnt a...
  10. What would you do?

    Its unfortunate but employers who use workers comp doctors will run you in circles so fast you wont know where you are going or if you have been there and back yet. I know people who have been run...
  11. Partying after work

    Exactly why i keep people at work at arms length. Casual friends but i dont hang out with people i work with for a
  12. Cellphones

    I think cell use during working hours is totally out of line unless you facility has them for nurses use in patient care. I found 2 of our CNAs in the linen closet one evening texting their...
  13. That DREAMY First Check!

    Dont go to crazy with that first check, but i do suggest starting to put a bit back so you can buy something nice for just you in a few months. I went to the nearest jewler and bought a real...
  14. Dosing Off While Charting ?

    I used to get the sleepies when we still did paper charting at the door. Asleep on your feet trying to do notes at the end of a long night shift. Some were legible some werent. I hate
  15. Coworker as pt??

    IM going through this right now.. I need to have some surgery, but i am having a big problem with going to "MY" OR, letting MY PACU nurses take care of me and then because i will be there at least a...
  16. Squirted in the eye with peg contents

    No, not paranoid at all. OSHA dictates what is considered an exposure and last time i knew any time you are exposed to blood or BODY FLUIDS like that it is reportable and should be. Your supervisor...
  17. If I didn't have to work...what would I do!?!?

    I would definately stay in nursing although would reduce my work hour and frequency of work. If i wanted to go a month and not work,, i
  18. Blowing up like a balloon!

    If you know who is your grams direct power of attorney for health care is get in touch with them and talk about your concerns. They may not even be aware there are problems. If she doesnt have a...
  19. Do you allow Tele patients to leave unit to smoke?

    Patients arent allowed to go smoke. Usually the patient will go to the lobby or gift shop and then moves out the door with friend or family to have a quick smoke. We dont know if they go out or not....
  20. terminated last 2 jobs, what should I do? :(

    I agree you probly will have to give some explaination regarding the terminations. Do not focus on the facility and what was wrong there. Do not dis the employer or employees of the other...
  21. How Much

    We had a pretty large group of new nurses a couple years ago. One in particular would work whenever called, extra hours etc. I tried to explain to her that she wasnt doing herself any favors at all,...
  22. N/G tube: suction & clamping schedule?

    We usually start with 2 hrs open and 2 hrs closed if patient tolerates it. If they start clears and become nauseated then the tube should be opened per patient symptoms. If that is the case though,...
  23. Disturbing incident in triage .....

    I dont want to downplay that indeed there are some kids who have behavioral and mental issues that need medicated. No denying that. However, it also seems with such an increase in "diagnosis" it is...
  24. MA's please stop letting school practice on you !

    Good grief if a school told me i would have to take 70 sticks in order to get through a program id be outta there. Even a extremely ill patient doesnt undergo that many sticks in the course of an...
  25. whats happening out there???

    Census is always slower in the summer. Noone wants to be couped up with an elective surgery during summer months. Things pick up again by september