miko014

miko014

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All Content by miko014

  1. Coworker as pt??

    Yeah, I know in a perfect world, it shouldn't be a big deal. But there are a lot of HIPAA things that happen...I mean, when we get report, everyone in the room hears what's going on...housekeepers...
  2. IV pumps beeping during report,

    We all listen to all the pts on the tape. In other words, if I'm the only one coming in at 3, I only have to listen to my 5 pts. If all the nurses on our side are all 8 hour people (we mix 8 and 12...
  3. Coworker as pt??

    Well, I got the impression from this coworker (who is above most of us in the food chain, but works on our unit), that she was not entirely thrilled when certain people took care of her. She was...
  4. IV pumps beeping during report,

    Looks like I'm in the minority here - I put 1000 mls on the pump when I hang the bag. They all have overfill in them - up to 20%. I know that because our chemos NEVER finish on time because of it,...
  5. A patients story

    Yeah we have a few techs we have to chase down to get anything done. Half the time I just grab my own vitals or whatever it is that I need. I'm not going to go into another pt's room and pull the tech...
  6. It doesn't matter that your skills are a bit rusty - you'll have an orientation and a preceptor to help you with that. Someitmes they send our rusty nurses to endo to start IVs for a few hours just...
  7. Now be fair. Don't you think that's just as bad as saying that all nurses are slutty young girls who only want to marry a rich doc?? I don't want to marry a doc either, but not for that
  8. Well, I know that's why I page
  9. Anyone here drink a can of soda a day?

    I used to drink pop like crazy - several 2 liters a week. Now I limit myself to no more than one can a day (though sometimes I do the 20 oz bottle instead). I am very sporadic about it. There are...
  10. Nursing vs the media

    Yeah this kind of thing grinds my gears sometimes too. What really gets me is that the patients truly have no idea what we do. I had a guy literally ask me for his meds at 8:37 (I'm making up the...
  11. Please share nurse to pt ratio

    Sounds like IP chemo to me...but I've never heard it called a "belly bath"
  12. Nurse Medication Admin Safety

    They should post signs on the doors and on the walls every few feet that say, "please do not bother the nurses". That would be
  13. The worst or strangest orders you have seen...

    We get that a lot with our hospice pts...if they want a foley, they can have
  14. 5 pounds per year

    I put on about 15 lbs in the 5 years I've been at the hospital, then I decided it was time to do something before I ended up like some of my coworkers (not to be mean, but it's the unfortunate...
  15. Ah you just posted another great question! The euthanasia thing...as long as the intent is to relieve pain/suffering and NOT to end life, it is okay to give the drugs. You are trying to help the pt,...
  16. it's always hard to witness a death, especially when you feel the pt is not comfortable. We use ativan a lot for people with resp. issues, and also robinul IV or SQ or atropine gtts (SL, not in the...
  17. Opportunity...help!

    Oh, I didn't think you were trying to undermine anyone, I was just pointing out that the op probably has had the benefit of seeing a lot too.
  18. Opportunity...help!

    Isn't that really true of all bedside nursing? I see a pretty wide variety where I work...just not the trauma stuff or ICU...I do agree that ER probably has a lot wider range of "stuff", but I think...
  19. Swelling vs. Edema

    Maybe I'm being dense, but isn't "swelling" just the generic (and non-medical) term for edema? Think about it - swelling really means to just get bigger, right? Your ego can swell, you can swell...
  20. How lame is this

    I started a heparin gtt yesterday and the initial bolus dose was 4,000 units (4 ml). And of course, if the PTT is not therapeutic, we bolus and increase the rate, and often with more than 5 ml. It...
  21. 60 Second Tube Feed Stop********

    Yeah, and (like someone else said), if you have to stop the TF for an hour before you reposition, and you reposition every 2 hours, then the pt only gets 12 hours of tf a day (instead of the 24 they...
  22. Bariatric Nursing?

    Hi all! Just wondering...what does a bariatric nurse do? Is it mainly education, care plans, maybe case management? I'm not talking about direct pt care with morbidly obese pts or anything like...
  23. Gastric bypass - psycho

    I think a big part of this is that we only see the ones who have complications...it seems that there are a lot of them. But there are also a lot of success stories too. I personally can't see having...
  24. I am personally not a night shifter...I can muddle my way through a few if I pick up extra, but it doesn't work for me long term. This is a decision you have to make for yourself. I work evening 8s...
  25. Gastric bypass - psycho

    It seems to me that, no matter what counselors or doctors say, gastric bypass pts believe what they want to believe. If they think it's going to be easy and they can jusut do what they want to do...