sistrmoon

sistrmoon BSN, RN

Inpatient Oncology/Public Health

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All Content by sistrmoon

  1. What is your flu process?

    The way ours is supposed to work is: if a patient is febrile with respiratory symptoms when they come to the ED, they are swabbed and placed on droplet precautions and this is communicated to the...
  2. Is your mom generally supportive otherwise? Or critical and likes to tear you down? I'm not sure this is about
  3. How was your shift?

    We are Oncology and yet we still get people in traction who should be on Ortho, chest pain/elevated troponin, strokes, etc. We would get laughed at by supervision if we tried to refuse! We can really...
  4. Coma scale

    Nah, only for neuro patients, which aren't frequent on my
  5. Advice

    At my hospital, there is an incentive pay if you don't call out and have no tardies. It's an extra $200 per paycheck for full time employees. However, you can't even be a minute late or it's gone....
  6. We've had a huge increase in falls the past 2 weeks on my floor, worse than I've ever seen and one with the worst result. We have a lot of confused patients so I do think staffing is an issue, as 2...
  7. Im just going to come out and say it..

    Home healthcare case manager? I'm starting to think the key is getting out of the hospital :) Awesome you like your work and
  8. How was your shift?

    You and me have different ideas of piece of cake shifts. Mine is all walkie talkies, few meds, and they sleep all
  9. How was your shift?

    Mine was awful too. Confused patient with liquid stool pouring out. Either of those is bad on its own but together? Bad combo. Then sickle cell pt with inadequate pain control, riding the doctors all...
  10. Becoming cynical about bed alarms

    Well, a lot of falls happen at change of shift when report is happening and everyone is busy with that, so doing report and bedside rounding at change of shift takes care of toileting and other needs...
  11. How does your facility prevent falls?

    We've had a huge increase in falls lately and we all respond promptly to bed alarms. Most of these falls were with prompt response to bed alarm. I think staffing is another huge piece of the puzzle....
  12. MAGNET Designation

    My experience was opposite. The non-magnet hospital is much better about constantly changing to follow evidence based practice, including the example you
  13. No patience being a patient

    Can definitely empathize. I was recently diagnosed with AS after 17 years of sometimes debilitating pain. I've not been impressed with what I've had to navigate so far as a
  14. Getting report during change of shift

    That sounds like a med error waiting to happen. I'm glad our ED is now on the same med admin program we are
  15. Getting report during change of shift

    I could never work ED, and I'm not making any judgment calls as to why, but we have an electronic "board" that shows when our beds are assigned from the ED. And they are sometimes booked for 6+ hours...
  16. MAGNET Designation

    I've worked at both a Magnet and non Magnet hospital. I was much unhappier at the Magnet hospital but that's because it had horrible ratios and very little support staff/services. Having to...
  17. The work of a nurse is sometimes unspeakably awful. But what can be really hard and what can erode your faith in humanity? Other nurses. Not all other nurses, of course. But some of them. The Perfect...
  18. Ugh. I work every weekend. What a pain this would be for me, especially considering most dr offices are closed weekends. So then you get to venture out to an urgent care for a note like a school child...
  19. Getting unemployment for called off

    Are you sure this was unemployment and not disability pay? In NY(and a handful of other states), you can get disability pay while on maternity leave. I received it with both my kids and it was based...
  20. What did I do wrong?

    Wow, we have Desenex powder on almost all our patients(does require an order) and PCAs can apply it. That and pro shield, calmoselptine,
  21. Other Nurses: a compendium(of love and hate)

    Yeah one of our interrogators gets there early and reads the charts before clocking in then quizzes you during report. I say it's like studying for a test you know you'll never pass when you're...
  22. Influenza

    We had 40 cases of H3N2 at my hospital just in the last week. Haven't gotten it so far.
  23. When to piggyback This

    Zosyn is given over 4 hours at my hospital unless it's a renal patient, then it's over 30
  24. We had a transgender patient recently and everyone seemed to treat the patient respectfully and use the right name/pronouns,
  25. Protonix beads for g-tube

    We have new little packets of protonix beads specifically for g-tubes. The med instructions say to draw up with apple juice and flush with apple juice until clear. That's what I did but it still...