msjellybean

msjellybean

Emergency

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All Content by msjellybean

  1. Gave pt the WRONG blood!

    msjellybean replied to codebluechic's topic in Patient Safety Issues

    Similar

  2. How many Hours per Week do you work

    msjellybean replied to pat8585's topic in General Nursing

    Same

  3. Phasing out Unit Clerks???

    msjellybean replied to ShimmaShimma0304's topic in Patient, Colleague Relations

    We don't have a secretary & our charge takes a full patient load. I can handle being without a secretary, because I've never worked with one, except for this one little annoyance: our main line...

  4. Co-signature for Insulin administration

    msjellybean replied to MissRN7's topic in Patient Safety Issues

    I'm not familiar with it either. Perhaps capillary blood

  5. Co-signature for Insulin administration

    msjellybean replied to MissRN7's topic in Patient Safety Issues

    My facility doesn't require two RNs for insulin. We also have glucometers that upload the BG into the EMR. The only time I ever dose insulin without seeing it in the chart is if I happen to be in the...

  6. How many hours of sleep do you require

    msjellybean replied to ICAN!'s topic in Patient Safety Issues

    I can get by on 4, but only in a pinch. Generally 6-7 is good for me before I go to work. On my days off, I typically sleep 8-9. I worked Sat/Sun this weekend and losing that hour of sleep really...

  7. Call Off Policies?

    msjellybean replied to belle87RN's topic in General Nursing

    Up to three incidents in a rolling 6 month period, the 4th one gets you a verbal warning. We do have the benefit though, that if you're scheduled to work 'x' number of days in a row & you call off...

  8. Stroke/TPA

    msjellybean replied to melissacarey's topic in Nursing Student Assistance

    There is some excellent information on the Activase website about indications/contraindications for tPA. Your list is pretty accurate. Pt will get an NIHSS upon ED arrival (and subsequently throughout...

  9. Does suctioning trach's ever get easier?

    msjellybean replied to MadpeysRN's topic in General Nursing

    It does get easier, yes. But sputum is still my nursing

  10. "New" seizure precautions???

    msjellybean replied to AJPV's topic in NCLEX Exam, Programs

    Interesting. At my hospital, we pad side rails & have them all up. When all 4 side rails are up per seizure precautions, they are not considered to be a

  11. Pradaxa

    msjellybean replied to Jenni811's topic in Patient Medications

    I just started on a neuro floor a few months ago. One of my very first patients was a 53yo female that had a massive hemorrhagic stroke, after being on Pradaxa. Floated to another floor a couple weeks...

  12. IVP vs IVPB

    msjellybean replied to PediLove2147's topic in General Nursing

    Huh. Interesting. Used to be an onco nurse and have given a bunch of IV narcs. Never once ran them IVPB. The only time we ever ran anything IVPB as a rule was zofran in doses larger than 8mg (or was...

  13. Any tips with smells? Please!!!

    msjellybean replied to AML2007's topic in General Students

    Time. And for the really bad ones, I rub a little bit of nursing cream into my nostrils. It has a menthol-ish smell to it that overpowers just about anything I can come into contact

  14. How does it make you feel?

    msjellybean replied to prettymica's topic in General Nursing

    Same here. I don't make it a point to tell people that I'm a nurse; but when I visit a specialist or convenient care, the staff usually figure it out pretty quickly, based on my

  15. Fair Patient assignments

    msjellybean replied to GoNightingale's topic in General Nursing

    On my old floor, we assigned by acuity & potential for discharge/transfer. On my new floor, the standard (which I do NOT adhere to when I'm charge) is: get report from as few nurses as you can....

  16. Blood admin question

    msjellybean replied to RNmom24's topic in General Nursing

    I hope this is not to say that you work in a facility where this

  17. Blood admin question

    msjellybean replied to RNmom24's topic in General Nursing

    Personally, I never spike blood until after it's been checked and I'm about to hang it. Because you never know when something will come up & your administration will get delayed. We use a...

  18. Why are some nurses not grateful for my job?

    msjellybean replied to leogirl8's topic in Patient, Colleague Relations

    Well assuming we don't work in the same

  19. Neupogen

    msjellybean replied to Tsatalstrana's topic in Oncology

    I used to work in-pt oncology and we would also frequently give it

  20. Why are some nurses not grateful for my job?

    msjellybean replied to leogirl8's topic in Patient, Colleague Relations

    I read the OP from the perspective that now that the pt was calm & wasn't displaying the behaviors that called for the sitter need in the first place, they were trying to suss out whether or not...

  21. Going green makes me red in the face

    msjellybean replied to abbaking's topic in General Nursing

    You beat me to it with the CFL/mercury comment. Though I guess I'm screwed because my cat knocked over a lamp a couple months ago & the CFL shattered. And you can sure bet I didn't do anything...

  22. Does your facility allow the floor/unit nurses write up other nurses?

    msjellybean replied to DayDreamin ER CRNP's topic in Emergency

    Wow. That's

  23. Does your facility allow the floor/unit nurses write up other nurses?

    msjellybean replied to DayDreamin ER CRNP's topic in Emergency

    Um, what were the circumstances surrounding the potassium? Was a K rider ordered or infusing? And yes, you can treat an NPO pt with insulin. In my facility, all incident reports go the the dept...

  24. What are some good things to keep on hand in your work locker?

    msjellybean replied to Kilika421's topic in General Nursing

    I always have tampons, advil, some kind of a protein/fiber bar, gum, a travel deodorant, & single serve powdered drink mix packets in my

  25. Switching from Night Shift to Day Shift

    msjellybean replied to sameyjaney's topic in General Nursing

    I worked nights for 2+ years. My migraines were terrible, I was to the point where I was only sleeping about 4 hours on my back to back night (not healthy for me, not safe for patients). I was...