Patti 2nd gen RN

Patti 2nd gen RN

L&D, medsurg,hospice,sub-acute

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All Content by Patti 2nd gen RN

  1. Psych drugs and BP's

    Anybody out there have any experience with psych drugs that also lower BP?? My co-worker and I disagree about giving Xanax to a patient with a BP of 80/50--it was MN, and this is her usual when she refuses to drink water...doc said in her case it was...
  2. Do Nurses Eat Their Young?

    I think that new nurses don't yet have the thick skin that we get over time, esp. when dealing with moody docs, difficult families and just different ways of communicationg. Sometimes people are considered rude, when all they are is rushing and brusq...
  3. How do you address your patients?

    My name badge has my first name large, and my last name and credentials tiny...I call my patients by mr/ms until we have a relationship, or permission to do otherwise, but because of how we ask them to address us, we mostly wind up with first names o...
  4. I think learning outside your specialty can be very valuable...I have worked L&D and am now on a TCU unit...and taking classes on grieving, the legal issues with documentation, and with meds I don't usually use..have helped me a lot. Also, I bel...
  5. "English Only" Rule at Work?

    But sports is a different cup of tea. It is a-entertainment, and b-the body gets across the communication...words are needed only after the fact to communicate commentary. In nursing, both with our patients and our professional community, communicati...
  6. "English Only" Rule at Work?

    But what he was doing was a-entertainment and b-spoke it's own language with the body....it needed no words...communication is fundemental to what we do as nurses, both with our patients and in our nursing community....the rule about language needs t...
  7. Getting MSN Online

    I have a meeting with the Regis/ Network college people next week---what kind of questions should I be asking to compare them to other online master's programs??? Any ideas about other schools and financing??? Anybody KNOW a professor that teaches t...
  8. You are speaking from a particular situation, that many of us are not in...and can still be 'smart' nurses and not get a break...we have no manager or person without a team on nights at my facility, and on days, our manager does not cover for staff w...
  9. Don't work any time for free!!! That kind of thinking allows management to take advantage of nursing as a whole..and they should understand, and allow newer nurses to need more time--needing more time as a new nurse is not a bad comment on you, it is...
  10. Psych drugs and BP's

    A woman in her 50's, on methadone as well, and her xanax dose is 0.5 mg q6hrs prn---too much for me....and when I told her if she would rink enought to get it up to 95 systolic, I would give it to her, she said she didn't want to pee that much, and ...
  11. We use our ID's as punch cards..better than the last place I worked where the unit secretary decided what time you came in and put it in the computer--less professional than a punch card
  12. Well, we are supposed to turn in a "no Lunch" slip, so our pay can be adjusted if we don't get a break...BUT..it must be approved by the supervisor or manager---and if you work nights, the one who approves or disapproves wasn't even present...and the...
  13. "English Only" Rule at Work?

    It makes a difference when you could be learning or teaching, when you could get or give some important information about a patient...that happens all the time at our nursing station as people change teams, and know different things about families an...
  14. Debate on alternative methods reproduction

    Having mixed feelings about it personally for me doesn't matter--it's about freedom of choice--just as abortion is not about murder, but about the freedom of choice to decide for ourselves what we believe about when life begins---but I heard in inter...
  15. nursing stuff

    I carried a B-B plus through my undergrad days, including nsg school...I did it because more than one c was unacceptable to my nursing school at that time---but truly, I learned at least half of what I actually use on the floor after I graduated...my...
  16. How do you not get caught up with long winded patients?

    A-I tell someone to come in and pretend someone else needs me B-I tell someone to page me overhead after 5 minutes C-I tell the person the truth, that unless it's an emergency, I don't have time to chat right now.... D-I work nights, so I tell them w...
  17. Hourly Rounding / Walking Reports

    Walking report was awful!!! I work 11-7, and used to work 7-7 nights--both in hospital and sub-acute settings---it became impossible to NOT violate HIPPA, got patients upset because the professional language intimidated them, we have very few private...
  18. Where do you draw the line?

    I would say don't expect it--but be ready for it---guaranteed you will deal with it soon, hopefully not often, and your response will make an impression on your co-workers and the abuser---role plays help.....pick your mentors wisely....
  19. Med decisions in LTC

    YES!!! Especially after we have been here a while --the relationships between doc's and nurses is also more long term, and the trust increases--it's one of the thinkgs I love about TCU nursing!!!
  20. $40/hr in LTC?

    Nurses who get their masters often leave bedside care for several reasons---1- we are told we are over-qualified and won't be paid more for a masters with bedside care, --we are told there is no position except management for an Ms RN 2-it's the only...
  21. Hate floor nursing but reasonable to get DNP?

    Go to a different state!!! I am in Maryland now--not wonderful, but we have needle bxes in all the rooms for Pete's sake!!! NY even pays better, and they have unions--I grew up watching my mom go on strike 3x---it's amazing what happens when nurses s...
  22. Can someone please explain INR & Coumadin therapy to me?

    Our TCU does INR's 2X/week unless the patient isn't stable....please note different goals for different diagnoses...and we don't use algorthyms for INR's because of differing absorption levels---I have had patients who needed Vit K, but it took 3 da...
  23. Hate floor nursing but reasonable to get DNP?

    Before you go to a CRNP--do at least one year of floor nursing---if not on the floor you are on, or the facility you are at... try different things...that's the beauty of nursing....burnout can be treated with a career change---try a different specia...
  24. Written Up Again?? what's wrong with this picture??

    Everywhere I have worked, an inicdent report generates some other papaer that goes on your file--any incident report with your name on counts against you
  25. Written Up Again?? what's wrong with this picture??

    Perhaps with this particualr med error...but this DON sounds like she would treat every med error that way...