RN-PA

RN-PA RN

Med-Surg, Long Term Care

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All Content by RN-PA

  1. So what is it like being an oncology nurse?

    I work on a 61 bed med-surg unit divided into East and West, and the East side, 29 bed unit has an oncology emphasis. I've been working on East for a couple of years, and just within the last three...
  2. New LPN and no jobs available.

    I work with a lot of LPN's on our med-surg unit and called our nurse educator the end of last week to ask her if LPN's could take patients with morphine drips. We were told that they could not take a...
  3. Hospital Grub

    Yeah-- sounds like a pretty good deal. I only found out recently from a friend who volunteers there that they get a free meal. And our hospital has LOTS of volunteers; I assume that there's some sort...
  4. Hospital Grub

    99% of the time I bring my own dinner because it's often too busy to get down to the cafeteria before it closes at 7:15 p.m. (7 p.m. on weekends). I usually eat in our staff room where there's a...
  5. What NOT/Never to talk about at work...

    On our unit, it's almost always so darn busy that we don't have TIME to talk about personal stuff. There've been many times when a co-worker has been away on vacation and returns after two weeks and...
  6. No good deed goes unpunished

    I totally agree-- SO sorry you're going through this, but someone higher up than the giggling fool you had to deal with needs to know about all you've experienced. I'm a long-time blood donor, and our...
  7. How often do surgeons order a basal rate for PCA?

    Basal rate means continuous rate ordered along with the PCA "demand"
  8. Some Things, You Never Get Used To

    I hear you and feel for you since I've also experienced similar situations with patients and frustrations with doctors. I WISH the docs would search us out and TALK to us now and then. I often miss...
  9. I believe it's illegal to be doing what your managers are telling you to do. You have to be paid for the hours you're there WORKING. It's falsifying records to be saying you're getting breaks or...
  10. New LPN and no jobs available.

    My hospital has stopped hiring LPN's, but there are a good number of LPN's working on our med-surg floor who are great co-workers and nurses, and some have been there for years. When they ever...
  11. I've only worked at one other hospital in the area in my 10-year career, and LPN's weren't allowed to do admissions there either. (In fact, we had to do assessments on their patients as well as our...
  12. On our unit, only RN's are allowed to do admissions. Ridiculous
  13. feelings about double rooms

    I agree with everything mentioned here. I've worked in a hospital with all private rooms and now in one with semi-privates, and I much prefer the single rooms, and yet I've seen some really compatible...
  14. That's a good question. I'll have to ask my co-workers the next time I work. I know I've had two admissions AND a transfer and/or post-op in a shift. Does that count? Or do you mean admissions-- the...
  15. Does your employer recognize "Nurse's Day"?

    they brought in a scrubs/uniform vendor on monday to offer discounts to staff; they're holding raffles on a few days-- i don't know what the prizes are; there's a hoagie day-- hoagies, chips, soda for...
  16. Insulin Sliding Scales

    I would call the doctor to get a clarification of the orders-- ask whether they want the sliding scale Regular Insulin in addition to the standing order dose of Regular
  17. Horrible day

    I'm sorry that you had a rough night. It makes it even worse when we're criticized for our actions when we feel we did the best we could. I would recommend getting the charge nurse alone before your...
  18. Horrible day

    I'm sorry that you had a rough night. It makes it even worse when we're criticized for our actions when we feel we did the best we could. I would recommend getting the charge nurse alone before your...
  19. Dispute at work tonight

    I have no idea who states no drinks at the nurses' station. I just know our hospital forbids it, although I sometimes see drinks sitting on the desks later during my 3-11 shift and 11-7 when the...
  20. Demerol is passe?? Can anyone fill me in?

    Now that you mention it, I can't remember the last time I had a Demerol order for pain. It's generally been Morphine or Dilaudid that's being ordered on our med-surg
  21. What are your routines like on a medsurg unit

    I work med-surg 3-11 (1445-2315) shift, and I'm always looking for ways to use my time well. If the 7-3 nurse is late in giving me report at the beginning of my shift, I'll start checking charts...
  22. How often do surgeons order a basal rate for PCA?

    I've never seen PCA ordered for lap appy or lap chole patients, let alone 3 mg basal rate The only time I've seen 3 mg/hr basal rate has been with a patient who had MAJOR pain issues. When post-ops...
  23. Someone Please talk to ME....I am Brokenhearted

    ((((((HUGS)))))) I'm so sorry-- for the family's loss and for you and all you're re-experiencing, Deb. I don't have any wisdom to offer, but wanted you to know I have you on my prayer list from your...
  24. Bedside computer charting

    We computerized our documentation in December 2003 and at first, I used to take my C.O.W. (computer on wheels) into the patient rooms and chart as I went. They're somewhat cumbersome and just fit in...
  25. Tips for working swing shifts?

    Please talk to your manager and tell him/her what you've written here. If they think you may quit, they may have a lot more incentive to change your schedule for you. For your family's, your...