miko014

miko014

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All Content by miko014

  1. I think any job you do where you work with patient care is good - one of the hardest thing about starting out in nursing is getting used to hands-on care for people you don't know. I think if you did...
  2. How to approach my manager??

    Okay, advice please! I've been working second shift for several years now, and I'm getting really tired of the hours. I want to go to first, but I don't know how to approach my boss about it. A...
  3. I dunno if I would call it quits just now. You might have to look long and hard to find a non-hospital job that will take you with so little experience. And yes, you could be limiting yourself in...
  4. Idea for any managers out there

    We have a program like that where I work, but here's the catch. The only places you can get the forms are by the elevators. How many of our patients use the elevators?? And how many family members...
  5. Working holidays and weekends

    If your SO is working 5p-5a, have you considered switching to nights and doing 7p-7a? That would at least make your schedules more compatible. As for the holidays, all I can say is, sorry, but you...
  6. Attitudes towards RN's and lack of respect

    I would say that most of the disrespect I have recieved has come from pts and visitors. I think there are a few reasons why. First, like some others have said, they are stressed and just don't know...
  7. Antiemetics

    We give zofran and decadron in the same IVPB prior to chemo, but otherwise we push the zofran prn. And sometimes we use anzement IVPB but not that often. We've been seeing a lot of prn compazine...
  8. PICC lines in the U.S.A. and the World

    I'm in the midwest. We use PICCs all the time. There is no specific assessment tool that we use, it just has to do with how hard of a stick the pt is, etc, and of course what meds they are getting....
  9. Palliative care question.How would you respond?

    I think I would be all over the parents to be honest, and I would maybe talk hypothetically with the child. Get a chaplain or a social worker o whatever multidisciplinary team members are available...
  10. Help! Question about triple lumens...

    Does that refer to me? Because I was trying to help you. Just telling people answers does not teach them anything. I know that you are just trying to understand, and you are doing a great job with...
  11. Help! Question about triple lumens...

    First of all, if you have checkoffs on this, I think you should have the information available to you somewhere (books, notes, etc). I don't like doing other people's homework for them. I'm not...
  12. Precepting Students?

    Hi all! I have just agreed to take a senior level nursing student for 8 weeks or so...I've never worked with a student before (though I do remember what it's like to be one! ). So, any advice from...
  13. Precepting Students?

    Haha Anna - I only get an extra 50 cents an hour! (Obviously not doing it for the money, lol!). Thank you all for the replies! It's going to be different from what I am used to, I'm sure, but it...
  14. What do you think??

    You'll be fine...it sounds like a huge waste of money to keep you guys on orientation for an extra 5-6 weeks. It's like you had 4 weeks of clinical and THEN started orientation...if they are as...
  15. What do you think??

    Wow, I don't know what they are thinking at all! A preceptor should be a one-on-one mentor who works with you on the same group of pts. My orientation was I think 4 (maybe 5, I can't remember)...
  16. blood products question

    We can't run blood products on our current pumps, but we're getting new ones "soon"...whatever that means. Anyway, then we will be able to have them on pumps. We give a lot of blood products. FFP...
  17. Harassment?

    I have one red top, and when I wear that, I wear white pants (and I wear white bicycle shorts under them!). Otherwise all my pants are navy. I hate wearing white, but I do like that top. If you...
  18. securing foleys

    I am the leg strap queen. I swear, every shift I work I put leg straps on at least 2 people! It's nuts! I can't imagine why people are not securing foleys. I have seen them taped in weird ways...
  19. Experience ????

    I worked as a tech/UC in a hospital for 3 years while in nursing school, and I cannot tell you how much it helped me!!! I highly recommend it! First, it will increase your comfort level when working...
  20. My hair is long (mid back). I usually wear a low or half ponytail or a bun. I don't like to do the bun a lot 'cause I don't want to look "matronly", but I get a ton of compliments when I wear it...
  21. Do you write up incident reports when stuff like that happens? Having the same med ordered TID and QID is a med error, even if it does not reach the pt. If you start writing up this stuff, something...
  22. Lost Temper -- Yelled/Swore at Patient

    I also roll my eyes a lot...just try to make sure that 1) you are not facing the pt/family that is making you want to roll your eyes in the first place, and 2) that you are not facing a
  23. We use McKesson Care Manager for doc orders and med admin. It's nice. It has saved my butt - you get in a hurry and say, grab the wrong vial (oops, that's ativan, not hydralazine!), etc. It only...
  24. Coworker as pt??

    Okay, how many of you have had to take care of a coworker? I've had to a couple of times before, and it's really stressful (at least, IMO). What do you all think? Should employees be allowed to be...
  25. Lost Temper -- Yelled/Swore at Patient

    I realy hate stuff like this! I mean, they can abuse us all they want, but the minute we lose it and snap back, our jobs are in jeopardy (not saying yours is, just a generalization)...and if the pt...