RN-PA

RN-PA RN

Med-Surg, Long Term Care

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All Content by RN-PA

  1. Typical Shift For Med/Sur RN

    RN-PA replied to madwife2002's topic in Medical-Surgical

    On a medical/surgical ward What would be a typical shift for an RN? Things I would like to know are When you arrive on duty what do you do after hand over. I work 2:45 p.m. to 11:15 p.m. (usually,...

  2. Priorities and time management

    RN-PA replied to RNAnna's topic in Medical-Surgical

    Glad to be of any help, Anna! I've been a med-surg nurse for 11 years now and it took me a long time to find my way. I did a lot of observing of other nurses over the years to see what works and what...

  3. Priorities and time management

    RN-PA replied to RNAnna's topic in Medical-Surgical

    You're very welcome, Kitty-May! I was a slow-learner and late-bloomer as a nurse. I didn't have Allnurses or mentors to help me in those first challenging years. I wanted to quit many times, so I'm...

  4. Priorities and time management

    RN-PA replied to RNAnna's topic in Medical-Surgical

    Hi Anna! I answered a similar question over a year ago on a thread entitled, "What are your routines like on a medsurg unit" and found the thread here:...

  5. UNIT SECRETARIES-- the good, and the not so good...

    RN-PA replied to Mystery5's topic in General Nursing

    I've worked with a number of different Unit Clerks over the years and experienced the good and not so good. The majority I've worked with have had some degree of anger issues and were often control...

  6. Nurse to Nurse shift report

    RN-PA replied to kaseyrn1967's topic in Medical-Surgical

    On our Med-Surg unit, we only listen to report on our own patients (I work 3-11). If we leave the unit for a break or meal, a brief report is given to whoever's covering our patients. That seems crazy...

  7. Rapid Response Team

    RN-PA replied to Lukestar's topic in CCU, Coronary, Cardiac

    The "mentoring" aspect just needs to be emphasized during training, I guess. There's sometimes a feeling of inferiority with Med-Surg vs. ICU nurses that some ICU nurses may perpetuate or exascerbate...

  8. Rapid Response Team

    RN-PA replied to Lukestar's topic in CCU, Coronary, Cardiac

    I certainly hope that wouldn't happen. The RRT would end up getting very few calls from us, and our nurse manager wouldn't tolerate that attitude,

  9. Rapid Response Team

    RN-PA replied to Lukestar's topic in CCU, Coronary, Cardiac

    My hospital began a pilot program using a Rapid Response Team (RRT) a month ago on our 65-bed Med-Surg Unit. It consists of an ICU RN and Respiratory Therapist. For now, it is available between 1900...

  10. Troubleshooting PEG tube

    RN-PA replied to gilliganracing's topic in General Nursing

    I admit to doing the same thing if I've ruled out other problems. Then I put a doubled over towel around it to keep the bedding clean if it leaks or blows. It's just a pain in the butt when you have...

  11. Most dreaded Dr.'s orders

    RN-PA replied to BBFRN's topic in General Nursing

    I guess he's in his late 40's early 50's and is a surgeon. The patient did get good results from the second milk and molasses enema, but I wonder if he'd have had similar results from other types of...

  12. Most dreaded Dr.'s orders

    RN-PA replied to BBFRN's topic in General Nursing

    Getting back to the topic of milk and molases enemas, I came in to work last Sunday to find the chart of a newly admitted patient with a bowel obstruction. And the orders that caused me to get...

  13. Health Question & Answer Session

    RN-PA posted a topic in Nursing Humor

    HEALTH QUESTION & ANSWER SESSION ___________________________________ Q: I've heard that cardiovascular exercise can prolong life. Is this true? A: Your heart is good for only so many beats,...

  14. What weekends do you work?

    RN-PA replied to TLC RN's topic in General Nursing

    WOW-- that IS a dream schedule. Do you work 8 or 12 hour shifts? I work part-time, 3-11 and work every other weekend and every other Friday (and two weekdays included in a 2-week pattern). It's...

  15. double-checking insulin with cokworker

    RN-PA replied to bth44's topic in Medical-Surgical

    We aren't required to have another nurse check insulin with us at my hospital. We do have to double-check and co-sign on blood products and PPN/TPN, and double-check on PCA and continuous epidural...

  16. How often is a TB Mask Fit Testing done?

    RN-PA replied to VivaLasViejas's topic in General Nursing

    I believe our hospital is fit-testing once/year now. I'm not normally claustrophobic, but with the combination of the mask and hood when I was first tested years ago at a different hospital, I thought...

  17. I'm having major assessment problems. Please help!!!!

    RN-PA replied to Jessica Student RN's topic in General Nursing

    I also used to have a lot of problems with lung sounds and found that a good stethoscope helps. I hear them so much better since I got a Littmann Cardiology III a while back. I use the stethoscope...

  18. Salem Sump NG Tubes

    RN-PA replied to annmariern's topic in Medical-Surgical

    Here's a picture of the valve we have on our Salem Sump tubes: We don't even check the pH of gastric fluid at my hospital, let alone getting an Xray. We just check for placement with air...

  19. Salem Sump NG Tubes

    RN-PA replied to annmariern's topic in Medical-Surgical

    An Xray is REQUIRED by JCAHO??? You've got to be kidding. I'd love to know if anyone else has heard

  20. just have to tell you guys this story

    RN-PA replied to oramar's topic in General Nursing

    I wondered the same thing!

  21. Most dreaded Dr.'s orders

    RN-PA replied to BBFRN's topic in General Nursing

    I don't know who to feel sorriest for-- You or that poor little girl! I had a 14 year old who'd had her foley D/C'd post-op and because of various issues, I was afraid I was going to have to cath...

  22. Most dreaded Dr.'s orders

    RN-PA replied to BBFRN's topic in General Nursing

    I'm with YOU! I pray like mad--before and during-- NG tube insertion. I always get a helper to hold the patient's hand and to help them sip water so the tube advances. It's so hard to see tears...

  23. Doctors on Call

    RN-PA replied to sstromberg's topic in General Nursing

    There are 3 groups of general surgeons at our hospital with one to three partners each. They decided last year to take turns covering one anothers' patients after hours so on our med-surg unit, after...

  24. Just following the Dr's orders?

    RN-PA replied to DutchgirlRN's topic in Medical-Surgical

    Something I was taught to do after doing a dressing change was to write somewhere on the dressing the date, time and my initials. We do that on tegasorbs and dressings like those that are to be...

  25. Can you write a word "error" when correcting mistake in charting?

    RN-PA replied to Ms.RN's topic in General Nursing

    We no longer write "error" but write "delete" next to what was crossed out with one line and our initials are written next to