Most nursing textbooks recommend advancing 1/4" after getting a flash of blood. Unfortunately this only works for patients with huge veins. Try to drop the bevel as low as seems reasonable (15% or...
I worked for one place through agency that treated some of the agency staff like dirt! I was amazed at how rude and gossipy they were. The staff weren't even subtle about their dislike for some of...
Wow, excellent post. I have offered many times to pray for patients and have had patients ask me to pray for them. I have never pushed it on a patient and have been respectful and sensitive in doing...
I have cared for many patients with narcotic addiction or tolerance issues and I am amazed at how few are actually honest about their issues. I have cared for several (some prisoners) who have...
Happens all the time in LTC and hospital settings too. I prefer a faxed order over a verbal or telephone one because it is already signed by the doc and there is much less chance of making an error....
If I were you I wouldn't take medical terminology while you are in your nursing program. Your nursing program should cover medical terminology and test you on it, but if you want to get a jump on it...
Try to blow it off if you can. Some people have very poor social skills and don't even realize how rude their behavior is. Other people are so consumed with themselves that they don't pay attention...
Must haves that I always have on me: stethoscope, sharpie, scissors, pens, gum, alcohol swabs, hair tie, chap stick. However, the most huge, important must have is a WATCH!!!! The days that I...
I was taught that same thing and it never made much sense to me either. Thankfully so few dressing changes that we do now are sterile that it hasn't been an issue but I do feel kind of silly pouring...
When I had problems with a facility I was staffing as an agency nurse I spoke with the agency about it. Your travel agency needs to have a heads-up about this woman and her management skills because...
I just finished the ACLS refresher course and the new AHA guidelines specify making two attempts at IV access and then proceeding directly to IO. I've personally never done IO
When I graduated from nursing school I thought I was going to have a big problem with delegation because of my age. However, this has never been an issue for me. I start the shift by giving report...
I did that for a while and hated my job. I just felt like I did not provide good care to the patients at all. With rehab nursing a huge key component is time. Patients need staff to be able to have...
Pre-op medications have a certain time frame that they have to be given within. For instance, Ancef needs to be infused 30 minutes to 1 hour prior to incision. Other antibiotics have other time...
Well, I know that Apollo College accepts students and turns them into LPNs in eleven months. I think that they incorporate all of the pre-reqs into their program to get it all accomplished in a year....
Dolce replied to KarmaComesAround's topic in General Nursing
Go to the interview, it is good practice! I started out in Psych/LTC as a new grad and had no problem adjusting to other areas of nursing after I found out that it wasn't for me. While a year of...
Mine shut off at 79 questions and I went home crying, certain I had failed. All that fear for nothing...I'm sure you passed. Remember, the NCLEX throws in a number of test questions that are not...
I worked at a place that only stocked Morphine in 10mg/1ml cartridges and I rarely gave more than 2 mg and then had to waste the other 8. Unless its in the PACU we rarely give 10 mg Morphine all at...
I think the rational for not drawing certain drug levels through a PICC is that it may cause a false high. For example, if a patient is receiving vanco through a PICC line and then a peak and trough...
That's gross. I am a magnet for all sorts of bodily fluids when I'm working. I've been peed on, pooped on, bled on, coughed on...you name it. That's why I go home and immediately peel off my scrubs...