RN-PA

RN-PA RN

Med-Surg, Long Term Care

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  1. How many male nurses work on your floor/unit?

    We have one male who occassionally works our med-surg unit 7p to 7a, but he's more of a floater, so I'm not sure he counts since he's not a med-surg employee per
  2. Med-Surg Topic of the Week ..... CHANGE

    We're also still working with paper charts, so still dealing with doctors' illegible handwriting and unrecognizable signatures on orders. Only nursing documentation-- assessments, care plans, and all...
  3. Med-Surg Topic of the Week ..... CHANGE

    I've highlighted these two parts of your response to say that I think those who are making these changes happen think that all this technology will help nurses, but honestly, it's adding more and...
  4. If you work at a hospital, and depending on the benefits they have, they may offer reimbursement or at least partial funding for a course like
  5. Med-Surg Roll Call

    I graduated in '93 with an ASN. (This is a second career for me.) After working 9 months in LTC, I got a job working 11-7 in med-surg at the hospital where I had my med-surg clinical rotations. Went...
  6. I work 3-11 on the "east" side of a 61-bed med-surg unit. Our side is 29 beds and has an oncology emphasis, but we get every diagnosis imaginable as well as post-ops. Each shift is staffed 6:1. We...
  7. Med-Surg Topic of the Week ..... CHANGE

    I accept that change is a natural part of working in healthcare, but we're starting to get hit with some changes that are beginning to feel overwhelming. Over a year ago, we switched to computerized...
  8. I definitely feel for you, RGrif. Codes also scare me and like you, I've had patients go south quickly and called Respiratory Therapy or the House Physician STAT, possibly transferred them to ICU, but...
  9. Nurse/patient Ratio.....

    I work 3-11 on a med-surg unit with 6:1 on every shift, although 11-7 can have 7-8/nurse if they're short. Most shifts, it's WAY too many patients since acuity is never taken into account. For a lot...
  10. Bachelor of Fine Arts degree with a major in Illustration. I worked as illustrator in the advertising industry for 13 years before I burned out. (It's difficult to make a living being creative "on...
  11. NOC Patient bathing

    Our night shift staff is encouraged to bathe patients who aren't oriented and maybe if they've had a bad episode of incontinence and need to be cleaned up anyway. They just give a little longer bath...
  12. Our hospital is in the process of considering going for Magnet status. The amount of money I've heard that goes into applying for and attaning that status could be used to make our working conditions...
  13. The nursing director and clinical manager of our 65-bed med-surg unit are trying to come up with a plan for patient assignments. We are divided into two units, East and West, and have a mixture of...
  14. I like the sound of both of these acuity rating systems. Do either of you have anything in writing describing your systems that you could write out here or email me that I could present to my...
  15. should i switch from Med-surg to CVU?

    Excellent response, Sharann-- Couldn't have said it better myself! That being said, would you be able to "shadow" a nurse in your CVU for a shift to get a feel for the unit? Or does anyone on your...
  16. MR. YUK is mean, MR. YUK is green.

    I just did a Google search and found this, but have no idea how current it is: http://www.chp.edu/mryuk/05a_mryuk.php Near the bottom it says: To request a sheet of Mr. Yuk stickers, please send a...
  17. An Eye Opener on Ovarian Cancer

    Thanks for posting this, and I hope many women will read it and pass it on to their family and friends. I had a close friend I'd gotten to know in pre-nursing clases in 1991 and she died from ovarian...
  18. Babying Adult Patients (rant)

    mjlrn97, as a fellow 3-11 med-surg nurse, I feel your pain and applaud how you handled all the challenges that night. As I read a few paragraphs to my husband, he said, "The whole family needs psych...
  19. There was a staff meeting this afternoon and we talked about these patient assignment concerns. It seems that day shift, in particular, is part of the reason for management wanting to try assigning...
  20. IV Toradol?

    I like Toradol a lot. It's a great addition to narcotics and some of our surgeons order it q6h as a standing order along with prn MSO4 or Dilaudid IV. I have had patients complain of burning when...
  21. New LPN and no jobs available.

    I'm not sure I can tell you the "real" reason for phasing out LPN's at hospitals, only what I'm hearing and observing at my suburban PA hospital. I work with some great LPN's and am thankful for their...
  22. Hmmm-- Interesting timing.... I just got off the phone with our unit manager to ask about staffing by acuity since, judging by the last 2 nights and new admissions, my assignment 3-11 today may...
  23. Same here. We have no charge nurses and our patient assignment is generally given according to room numbers, unless there's a patient that an RN must take than an LPN can't be assigned (with PCA or...
  24. do you ever get comfortable with nudity

    It was uncomfortable to me at first-- I am naturally pretty modest, and it was strange to be having such intimate contact with virtual strangers, since I'm not very comfortable with my own nudity...
  25. NG canisters:Do you empty at change of shift?

    Our NG cannisters are emptied at the end of every shift. I don't see much difference among emptying a foley cath bag, a drain (jackson-pratt or hemovac) or NG cannister at the end of a shift to record...