IngyRN

IngyRN

Med/Surg, Homecare, UR, Case Mgt

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All Content by IngyRN

  1. Thanks for all your help. You are a great resource. I am sure I will have more questions in the future. Thanks
  2. Changing PICC Dressings

    Is it ok to change a dressing while pt has running
  3. Need tips re: organization

    Thank you all for your words of support. It makes me feel so much better that I was not the only one experiencing this. I think it is especially frustrating for me because in my previous role as a...
  4. Need tips re: organization

    I am returning to bedside after a long time. The feeling is AWFUL. I feel like a new grad again. Could anyone please give me tips on getting organized. It seems it takes me forever to do my head to...
  5. iluvivt, Thanks you soo much for all your suggestions. They all make perfect sense! Just returned to bedside after being out for 6yrs. I now work on a neuro med/surg. The population is just as you...
  6. Just one persons opinion

    That is bulls$%t-excuse my language. How could experince mean nothing! I am still amazed that newer nurses 1year or less are precepting, taking charge, even teaching clinical groups! I am not saying...
  7. Psych.
  8. Need tips re: organization

    BelleKat, Thanks for the tips. I keep a clipboard as well. the documentations (actually the double documenting & redundancy is unreal!) I guess I just have to get used to how this hospital works....
  9. Need tips re: organization

    Thanks binkie! Do you mind sharing that organizational chart with
  10. IV push meds

    Thank you all for your responses. It was really helpful.I am orienting right now after being out of bedside for a long time. Back then, we would dilute the med either to make a total of 10cc, or mix...
  11. Hi all, Several things are bothering me about my new job but right now I will only mention 2. 1st- It is expected that the RN gets consent from pt/family members for OR or other procedures-stating...
  12. What do you do when your pt who has a h/o CVA new SDH w/high aspiration risk, is aspirating on lunch, coughing, turning bright red, w/hob 90 degrees. anterior LS sound rhonchorous sats 93% ra. What...
  13. Swallow eval was done prior to lunch which found High Risk for aspiration>nectar consistency/pureeed/dypahgia protocol ( 90 degree hob, chin tuck, etc). Modified Barium Swallow was ordered for the...
  14. Would you document "pt aspirating on lunch" or is this inappropriate since no CXR actually confirmed this??? Or would you just document objective observations ie vs, coughing, LS,
  15. Breastfeeding and working...was I out of line?

    Correct me if I am wrong, but isn't there some kind of dept of labor law that says you are entitled to get a break after working a certain amt of hours (like 6 hrs or so). You are entitled to this...
  16. At the hospital which I just started working, they hold fluids for 1 minute prior to drawing blood from PICC? I was wondering if this was long enough? Also, when you guys listen to lung sounds do you...
  17. I want a job as a case manager in a hospital

    Why would you like to get into case
  18. MDs you love?

    Dr. F.T.-who is always pleasant on those 3am phone calls. who always says thank you the nurses after those 3am calls. who is always calm, patient when we call even if it seems like only a SLIGHT...
  19. Just got rejection letter, what happened?

    I would definitely email or call to inquire why you were not accepted and thank them for the opportunity to interview. First, it will serve as a learning experience and 2nd, it may show them how...
  20. NURSES & DOCTORS - to flirt or not to flirt

    I am engaged to an MD. We met at work, we were very discreet, most people didn't even know we were dating for quite a while. We always kept a very professional relationship. I fell in love with him...
  21. Contract/Bonus repayment

    I have signed contracts for completion bonuses ( on travel assignments) and relocation reimbursement. Unfortunately, most of these contracts are very strict with the conditions. If you cannot fulfill...
  22. Grades don't matter!

    Stanley, With all due respect, when you are actually practicing as an RN in the critical care area, then you can form an educated opinion whether an "A" nursing student translates into a good critical...
  23. ER or Medsurg first?

    Go to the ED. Most hospitals offer excellent new grad orientations. Med/Surg gives you a great base....but if you know for sure that you want to work in ED-go for
  24. Grades don't matter!

    Get over it!! Some people are truly straight "A" students but can not transfer that into clinical practice. Yes grades are important. However, having a "C" average in school, does not make you an...
  25. Yeah! I got my first CM Job!!!

    1) Medicare rules-for the most part, they will not make any sense-don't try to understand them just memorize them. Sometimes this will pose one of your biggest barriers to getting patients placed and...