Caffeine_IV

Caffeine_IV

LTC, med/surg, hospice

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All Content by Caffeine_IV

  1. If I recall, when experienced nurses have come to our unit...they had about 3 weeks of orientation maybe a little more. I've done LTC at two facilities and like TheCommuter noted...I had about 2 days...
  2. Pregnancy and Critical Care Nursing

    I forgot to say Congrats
  3. Who pays your salary?

    I don't know who pays my salary but I know my manager said we should tell our ceo thanks for the bonuses...I doubt if it came out of his 6figure salary
  4. Pregnancy and Critical Care Nursing

    I'm not sure but we do avoid letting the pregnant nurses give chemo although if they follow the precautions...gown and glove when handling the chemo (it comes already spiked and primed) and the...
  5. Blood Transfusion

    It's serious business but it's not as scary to me as it was when I was a new
  6. does anyone regret becoming a nurse?

    I don't know if I already posted in here lol! I'm a pessimist so I didn't have high expectations for nursing in the first place or a grand idea that it would be so freakin' awesome and I would be...
  7. I recall that you should give the smallest dose first and progress from there to see what minimum amount of medicine will help the pain. Without knowing a diagnosis or anything else about the patient,...
  8. Our new hire, new grad charge nurse

    I guess I'm reading something different than everyone else. TO ME, Op is nervous having an unexperienced charge and probably questions if that is the BEST that management could do. Nowhere did she...
  9. Our new hire, new grad charge nurse

    Whatever my title is, I want a charge nurse that is a good resource to the staff with some knowledge base of policy and procedure clinical and otherwise. I'm a charge nurse and I would not have been...
  10. Job Interview coming up!

    I'm shocked and excited since I've been applying for new jobs for the last 6months. It's in a medical/pulmonary ICU...big jump from general medical. I bombed my last interview at the LTAC hospital so...
  11. wrong order

    That is a small scale mistake that I would not lose sleep over...just be sure that the culture actually gets
  12. Our new hire, new grad charge nurse

    I don't think that the OP sounds resentful at all..merely asked for other opinions and somehow that equates to
  13. asking for meds?

    We do hourly rounds where asking about pain, bathroom and position is part of the checklist. So, I would be asking/offering the pain medications at the available intervals anyway and they can say yes...
  14. Ominous physical symptoms

    A sudden change in: BP/pulse or mental status 02 sat dropping or SOB...new
  15. I don't know what I would do in that situation but I do know about that maternal feeling. I did not watch the show but did she say she was fairly "healthy"? Of course when I see hiv+ patients on my...
  16. Our new hire, new grad charge nurse

    Without knowing much else about this person and their previous background, I don't think a new grad is the BEST choice for charge nurse on a med/surg unit. The charge nurse should be a resource for...
  17. How many patients is/are too many?

    We range between 5-8 pts on the night shift...this is on a medical floor. It's not based on acuity so sometimes the person with 5 patients is busier than the one with
  18. I don't how easy psych is to get into everywhere of course but in the local hospitals and surrounding areas it's not easy because there isn't much turnover. I think OR, PACU, L&D, and NICU would...
  19. Why do patients..??

    How about when you are doing your last rounds and: the patient suddenly declares the IV has been hurting for hours the tube feeding is clogged or the patient pulled out their NG somebody falls you...
  20. I think 1 is a good number if you factor in all of the patients that get dumped on our floor and get no
  21. Doctors That Give you "Band-Aids"

    How do you deal with doctors that basically give you just enough to get a patient through until the next shift but won't get really aggressive or better yet transfer a patient during the night? I have...
  22. Doctors That Give you "Band-Aids"

    I just had a couple of past cases on my mind and sometimes when the outcome is not what you hoped...you wonder if you missed something OR if I'm not painting the picture accurately enough of what is...
  23. Help with blood draws--please

    We do not do this on the floor. The phlebotomist does the blood draws and nurses draw from central lines. In the ER (to my knowledge) patients usually have a set of blood cultures drawn from the fresh...
  24. What is the highest regular dose of Oxy that you have seen

    I'm sure I've seen some higher but recently 80mg oxycontin BID plus 20mg IR Q4hours. I know my cancer patients, chronic pain and sickle cell patients generally get the highest doses of any of the...
  25. Do give up your seat for a doctor?

    Who has the time to sit down? No seriously, at night..they are a minimum amount of doctor's around and giving up a seat is not an issue. During the daytime, I'm doing walking rounds and whatever...