meownsmile

meownsmile BSN, RN

Med/Surg, Ortho

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All Content by meownsmile

  1. Recruiter needs your help!

    Hopefull could be on to something. Let me add, if she has an apartment or home that has a washer drain stack (where you put the washer drain hose) and it isnt stuffed with a rag or towel if no washer...
  2. Is Middle East the best place to earn money????

    Although if you are already rich or royalty, Dubi may be a wonderful place to be. However, i wonder if nurses wouldnt be treated same as any other service staff there. Which from what ive heard is...
  3. Need y'all's opinion please

    You can also send a copy of your/their report to the board of directors as a whole of the facility. The board is another avenue to get some change when there is a roadblock in administration. It...
  4. Nepotism

    We have family members that work together and basically the facility is small enough that it doesnt matter if they work the same department or not. Everyone knows everyone else anyway. It can be a...
  5. Ortho vs Med/Surg

    A lot of facilities combine med/surg and ortho on the same unit. You may just get the med/surg experience anyway. You are still dealing with surgicals on a ortho
  6. Matrix???

    Lvntx-- keep fighting. We work with teams of RN/LPN/CNA's. Our "matrix" would call for 2/2/3 for 15. It drops to 2/2/2 on evenings and down again on nights to 2/1/1. However, if you are routinely...
  7. questions about vomiting

    Doesnt matter one way or the other,, unless you gave your patient only one/two pills and you actually visually see one (which might be drastically different than the other) or both pills in the emesis...
  8. Matrix???

    Oh yes and please be aware the hospitals have paid some company to come in and do a very expensive staff survey that entails them following around staff and timing how long they are in a room with...
  9. questions about vomiting

    I wouldnt give another dose of anything at that point. Document that the patient had emesis following oral medication administration and monitor the patient for blood pressure and any other symptoms...
  10. Illinois license, not from Illinois

    For fear of sounding like a broken record around here, see if you can contact the Illinois Department of Professional Regulation and inquire to them. Otherwise, your school should be able to direct...
  11. Should I push the issue?

    I think this is something the union is going to have to fight for you. If you have a union they should be sticking up for you on this one. When were your papers signed? Your job description...
  12. Easy question on pancreatitis- who's smart?

    I agree, our pancreatitis patients are NPO until we see a substantial decrease in amylase and lipase levels. At that point they start clears
  13. Att?

    A lot depends on how fast your director at school gets all the paper work completed and sent in. You might call and see if they have been sent in and/or what date they were sent so you can watch for...
  14. drawing up small amounts of meds?

    Reusing a single use vial isnt doing anything but costing your hospital. I know it seems wasteful, but the patient is charged by what is pulled from pyxis not by what is signed off on MARs as doses...
  15. Low census?

    We have had periods of low census lately also, but people are jumping at the chance for time off. We arent required to use our benefit time to cover it if they dont need us. We just dont get paid...
  16. OMG! My feet are killing me!

    I think the key is finding the pair that is right for you. If you have a shoe that has been comfortable for you in the past in your everyday wearing, such as what you would wear on a vacation that...
  17. obligation to report abuse of a neighbor?

    Is there a possiblity that you can have a candid discussion with the landlord or super of the building. They may know more about the siutation than you know and could put your mind at ease. I think...
  18. I dont know anything about this woman but... Some want to be shown the door as soon as possible so they can continue to draw unemployment. It would be interesting to see where this woman actually is...
  19. I say this patient is being abused...

    The patient has the right to be interviewed and assessed in private. Maybe if you explained that the privacy act dictates that she be assessed and interviewed in private he might back off for a few...
  20. legal question

    If you are in the building and hear a code on one of your patients,, its just instinct to go rushing back up to your unit. HOwever, if you have left your team and there is someone there for your...
  21. Hourly Rounding / Walking Reports

    We do vebal report in conference then walk room to room for follow up report and introductions to the patient. It works well and take almost less time than taped report. Patients seem to like being...
  22. How do you build up stamina for 12 hr shifts?

    Those of us in our 40's can do it too. I finished my RN when i was 44 and went straight to 12 hour shifts. I do straight days so its twice as hectic as nights. You have to take care of you,, make...
  23. Gastric Banding

    Most dont stay in hospital, its usually same day surgery anymore. When they first started doing them,they may stay overnight obs. Our patients got up and started ambulating and could start on some...
  24. I usually dont advertise the fact that i may know someone if i do. I have been away from where i grew up long enough most of them dont recognize me. Very occasionally i will tell them who i am. As...
  25. Dragging 'em out of bed

    Is there any insight the famiily can bring. Maybe this person was a nightshifter all her life and isnt a morning riser. In that case is it going to be the end of the world if she doesnt get up till...