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...
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....
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...
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...
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,...
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...
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...
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...
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...
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...
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...
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...
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....
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...
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...
Where are you guys working??!! At times I have gone entire 12 hour shifts and not encountered another female nurse. (okay, it was night shift, but still...) From ER, OR, PACU, ICU to the floors,...
308/120 in an elderly lady in for a routine clinic visit. This was her usual BP! I was a student doing the VS checks. Had started inflating the cuff when I remembered to ask "do you know what your...