Caffeine_IV

Caffeine_IV

LTC, med/surg, hospice

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All Content by Caffeine_IV

  1. Do you chart lies?

    No I do not chart lies. If I wasn't in a patient room every 2 hours, I don't chart that. Especially on a night when I've had 7 or 8 patients. I will not paint a perfect picture to satisfy management....
  2. will it be like starting over?

    Yes it is like starting over in a sense but having a knowledge base and some experience really helps with the confidence. You will be surprised how easily you pick up a new charting system or learn...
  3. Difference between para and preterm in GTPAL

    There is no para in the GTPAL Gravida/para and GTPAL are two different ways of describing an obstetric history. You already stated what the different is. Preterm is preterm
  4. You gave the reasons why. It would open us up for more complaints and lawsuits. They would feel they are getting subpar care. That said pts aren't stupid. They can tell when we are short and will even...
  5. Why is Med-Surg so hated?

    Patient load, acuity. It seems to get dumped on. Some people presume that med surg nurses can't cut it elsewhere so we are at the bottom of the floor nursing
  6. Do I have to go back to work after FML?

    I would look up the policy at your job. I don't think you are supposed to job hunt while on
  7. So Frustrated I Could Cry..

    I hope you have already asked that nurse or even tried to appeal to a day person. What type of facility are you employed in? Hospital, rehab, LTC? The only time I've been made to stay over was in LTC....
  8. Accessing Ports

    Any tips on this. I have a PRN radiology job and at times have to access ports. I would say 3x a month. I do very well on patients who are slim and the bumps stick out but anyone that is meaty over...
  9. Of Nursing, Nudity and Public Perception

    I haven't had caffeine today so maybe I just don't understand the question. I don't believe in putting nurses or any profession on a pedestal. Should nurses also not use foul language, drink and smoke...
  10. I would stop care and inform that patient that I will not provide xyz care if they are going to do that
  11. progress notes

    If a patient family is saying they aren't happy with the facility, I am going to get a charge nurse or even house supervisor involved so they can file a formal complaint. I would not just place it in...
  12. building a first aid kit to deal with heart attacks victims

    Of course I worded that completely wrong. Wow lol! I meant doing more than CPR in the field for cardiac
  13. I have a PRN job in acute care and outpatient settings. I sometimes wonder if the FT nurse were to retire which she has mentioned if I would want to do outpt FT. I'm right at 6yrs of RN experience and...
  14. building a first aid kit to deal with heart attacks victims

    I agree. It may be outside of our scope to do more than CPR and provide comfort to an chest pain\MI in the
  15. building a first aid kit to deal with heart attacks victims

    Why do you want to do that? A mouth guard and strong arms and hands are all we need to do CPR and a cell to dial
  16. I don't work off the clock. There is no reason to do so. I clock in at the earliest time allowed and gather my info on the patients. We (all hourly workers) deserve to be paid for every moment of work...
  17. Outside income

    Flu clinic season is coming up. It isn't long term of
  18. Accessing Ports

    Those like yours that you describe are the very ones that give me trouble. Do they use a 1 inch needle? We only carry 3/4 inch and sometimes I think that could be an issue but maybe not. Thankfully I...
  19. Accessing Ports

    Thanks to you both for the reply. We do have an IV team and I asked the manager of the team during orientation about a follow along for practice and was told they didn't offer that anymore because it...
  20. Honestly none of them. I work for a large hospital system and they have a total of 5 open positions combined for the jobs you listed. I'm sure the competition is stiff. I have not yet met a new grad...
  21. I really want to quit my job....

    What is the main issue? Are your coworkers helpful if you need assistance or ask questions? If the environment is a good one with supportive management and employees I wouldn't jump ship quite yet....
  22. Measuring Nonpitting Edema?

    You can't grade it in the same way because the scale is for the depth and how long it stays indented. If anything, you could measure the circumference of the extremity to see any improvements or...
  23. I wouldn't quit especially without something lined up. Many nurses dislike med/surg for various reasons and it might not be the area for you long term but there IS something to learn there. Soak up...
  24. Nobody ever likes me that much to ask for my # but I would have said something similar. The hospital/unit phone # isn't private. We have patients that will return to bring goodies, call to give an...
  25. Is there a line floating?

    There should be a line. The policies at my current facility would be that you only float to sister units. The ICU nurses can float between the various ICUS (surgical, neuro, and cardiac). L&D...