Charity RN, APRN

Reading that made me ill. I wonder how "descriptive" her charting was to validate her lack of medication. Your doc should have ordered the pain meds q1hr, or an infusion. No PRN. One of my docs calls PRN doses "per RN." He says too often patients ar...

I wander in all the time, and I think I may have posted as well. Do I need to be chaperoned?

Radiography is the preferred method of verification. Mark the tube at the exit of the mouth or nares with indelible ink at the time of the radiographic verification. This mark's location should then be verified prior to any flushes or such. (read ab...

Don't worry! I am sure a full assessment was "charted.". :icon_roll

A lot of nurses smile nicely when given the birth plan and then do whatever they want to anyway. "Doctor's orders. It is/isn't our policy. Protocols." So you want to get out of bed. Get out of bed. What are they going to do? Call security? That's ass...

My two sisters became nurses. When I was in college trying to decide what I wanted to be when I grew up, they said, "Go to nursing school. You can support yourself until you decide." I loved/love it better than either of them. :bugeyes:I love nurs...

On the exam front, not only did we do exams on each other (including breast), we gave each other bed baths! The point was to have the experience of being a patient. It worked. I can still bathe my patients while protecting their modesty. (we wore pa...

Our OR staff can't work longer than 12 hours, and most do not like it. We had part-time nurses who used to work 16/hr weekends. (second job) No more. Now our regular staff has to work weekends also, and rotate nights. We don't do call (except back-up...

Well, I am not a NICU nurse, but I shall reply anyway. I first charged the day after I got my nursing license. It was the same with many nurses I know. There was no pay differential at that time. As far as how I was treated: All went well unless I tr...

It all depends on the hospital and the unit. Our hospital is trying to limit hours worked consecutively (no more 16 hour shifts), but most nurses I know work more than 80 in a two week period. I work 60 one week and 36 the next. Some work 4 10 hour ...

If someone, especially a patient doesn't know my name, it is no problem being called "nurse." That IS my title. Or they they could call me what a young woman kept calling me when she called out whenever I stepped away from her bedside: "Miss Lady.......

ASPAN standards just say 2 RN's IN THE SAME ROOM. And adult care should be 1:1 for the first minutes of admission. Not illegal, but if other hospitals in your area do 2 RNs, then you are deviating from the established standard of care for you area. N...

One of our docs wears one with "$" s all over it. Always gets comments.

Don't think checking cuff pressure isn't important. We had a 7 y/o arrive from a city 35 miles away--intubated in the field, direct admit to our PICU. Our RT's first action was to check the cuff and to deflate it. She said the pressure was way too hi...

You may have to give an attorney a call. A call from an attorney to a school often does wonders. I know more than one person who had to go this route while in nursing school.

I would be in the deans office. Your instructor must provide documentation of your unsatisfactory performance before dismissing you. You have the right to see it. When I was a student, and when I taught, students could "challenge" a clinical with ano...

Keep us informed if anything else comes of this!

We don't have a separate PACU for different cases. We have separate PACUs for different groups of ORs. Our pediatric operating rooms have their own PACU. Our OB/Gyn room have their own PACU. Of course our Day Surgery Center has its own. Our main OR s...

I had 5 years experience prior to PACU, 2 in Peds med/surg and 3 in Critical Care. Don't panic about the lines- Make sure things are labelled, waveforms visible and no blood! (not necessarily in that order) start from there. Treat the patient and rem...

not only that. I made sure that I got disability insurance before I went to my neuro guy for my MS workups!

Why would one need to refrigerate a package of morphine?

plexipulse units are considered standard room equipment. They go on unless that limb is getting operated on.

I think it depends on the type of unit on which you work, the shift and your co-workers. I did a 7/70 for a few years around 10 years ago and loved it. I worked 1-11. Most of our day people were 7-3. Our night crew was 10-8. Notice the overlap? Lots ...

We generally start PCA's if it is a floor patient waiting on a room and we have used all that our docs have ordered. Then we get an order that we may use surgeons post-op orders for pain control. "May start PCA in PACU" We always start femoral infus...

You mean you have CCOF nurses?? We have to recover and do the ICU thang. Actually, we have more of a med-surg overflow problem here. Floor patients waiting on rooms. WHY do they operate when they KNOW the house is full? :smackingf These poor souls ...