msjellybean

msjellybean

Emergency

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All Content by msjellybean

  1. No blood transfusion r/t high WBC??

    msjellybean replied to Aeterna's topic in Oncology

    This was my thought as

  2. Quick answer to question, pls..

    msjellybean replied to tunafish1's topic in General Nursing

    Is this for school? Think about what neutropenia means, in terms of counts. And then apply that information to the typical s/sx of infection & how it may be

  3. a mess!

    msjellybean replied to muesli's topic in General Nursing

    To an extent, yes. At my facility, we have a scale that is critically high, even while on a heparin gtt that if you fall into it, it warrants a phone call to the doc. I want to say it's above 150, but...

  4. Central line dressing changes

    msjellybean replied to Chieif20's topic in General Nursing

    At my facility, central line dressing changes are every 7 days, unless the person is neutropenic, in which case it's every 3 days. This has always seemed so counter-intuitive to me! They're at a...

  5. "Potty Talk"

    msjellybean replied to RosesrReder's topic in General Nursing

    Our bathroom always has some kind of notice up. As does our break room. Since I can't really leave the hospital when I'm on my "lunch" break, it would be nice if I could at least pee w/o being...

  6. Nightshift vent

    msjellybean replied to teleRN08's topic in General Nursing

    I started on my dream floor (onco) two years ago, on nights. I'm leaving in a couple weeks, to go to a different floor on days. There was no nights to days movement on onco & it was really...

  7. Chronic lateness- what is that about?

    msjellybean replied to xtxrn's topic in General Nursing

    We have one nurse, that whenever she is in charge, she's late. As charge, you're expected to be clocked in by 0645/1845, ready to take charge report. She frequently doesn't arrive until the rest of...

  8. Report without Orders?

    msjellybean replied to missbutton's topic in General Nursing

    A good chunk of the ED nurses seem to have this "I'm better than you, b/c I work ED" complex. To them, calling a verbal report is somehow above them. Even though their manager has informed them time...

  9. Report without Orders?

    msjellybean replied to missbutton's topic in General Nursing

    No, but we frequently are expected to take patients from ED without getting a report. And they usually come along with minimal

  10. nursing and nutrition

    msjellybean replied to newtotown's topic in Pre-Nursing Students

    I graduated with a BS in dietetics. Went back to school about 18 months later for nursing. What people are probably meaning about being ahead of the curve is with the science aspect of it & also...

  11. Held to standard of an RN

    msjellybean replied to mmm cdiff's topic in General Nursing

    My facility held health care techs/CNAs to the RN level once you were licensed by the state. At that point, you could no longer function in the support staff

  12. No creativity in nursing? Hah!

    msjellybean replied to nurseprnRN's topic in General Nursing

    Using a yankauer to unclog a toilet, because the tech flushed a bunch of disposable washcloths yet again. If engineering finds that a toilet is clogged with those, they won't help

  13. Worst case scenario needle stick

    msjellybean replied to LaughingRN's topic in General Nursing

    Sadly, that doesn't always happen. And if I happen to notice it when I come on (I work nocs), it's a suck it up & deal with it situation. We don't have access to the extra

  14. Worst case scenario needle stick

    msjellybean replied to LaughingRN's topic in General Nursing

    interesting articles, thanks for linking them. as i was reading how karen daley was stuck by a syringe in a sharps container, it makes me a little nervous to be honest about our sharps containers. we...

  15. Night Shifters: Does your hospital have cafeteria hours for night shift?

    msjellybean replied to AZO49008's topic in General Nursing

    Level I trauma, 300 bed teaching hospital, stroke center, top 100 hospital this year, and Magnet. Cafeteria closes at 1900. Opens again at 0630. Hate it. It's funny because for the past couple of...

  16. new medical intern on the service.... need advice

    msjellybean replied to doc123's topic in General Nursing

    Generally this is what we do. Except when on draw 1 they draw a BMP, then second draw is cardiac enzymes and then 3rd draw is some misc test or blood cx. And

  17. new medical intern on the service.... need advice

    msjellybean replied to doc123's topic in General Nursing

    Please please please think about what labs you want before you order them. So many times my patients have been stuck for something and then the intern or resident decides they want another lab drawn....

  18. Digital/computerized charting...

    msjellybean replied to manchmal's topic in General Nursing

    My hospital uses EPIC and I love it (of course, it's the only charting method I've ever used, so I do have that bias). I wanted to chime in with a comment from the legal angle, since several other...

  19. Need Opinions on Med Bar Coding Systems

    msjellybean replied to Sum77's topic in General Nursing

    We have computers in every room. If I had my druthers, each workstation would have a wireless scan gun. Overall, I really like our system. My only complaint comes from sometimes the scan guns...

  20. What to buy/read before starting nursing school!

    msjellybean replied to GamerGirL337's topic in Nursing Student Assistance

    If you're planning on buying a recorder before school, I would suggest holding off. Some schools don't allow you to record lectures, as they discuss real patient situations from

  21. Gloves or not for IV meds?

    msjellybean replied to Shibby3's topic in General Students

    Only time I wear gloves with IVs are when I'm hanging blood, drawing labs, or hanging/pushing chemo. It's really useless to do so

  22. Acuity staffing for Oncology

    msjellybean replied to Testa Rosa, RN's topic in Oncology

    Sounds very much like my floor. When I float, I'm amazed at how stable the general medical patients are. During floats, I've had people ask what our floor does (they generally think we just help...

  23. looking up a patients arrest records?

    msjellybean replied to LPNweezy's topic in General Nursing

    On occasion, we get inmates on our floor. A lot of people like to look up what they were arrested for, but I feel like doing that clouds your care. For example, we had a pt recently that needed...

  24. Things you've learned about patient's religions and care?

    msjellybean replied to Aly529's topic in Spirituality, Religion

    Had a patient on our floor a while back who was Jehovah's Witness & was diagnosed with AML. For some reason, she went ahead with induction chemotherapy. No supportive therapy via PRBCs &...

  25. 2nd job drawing blood-will i be held accountable as a RN if something were to happen?

    msjellybean replied to HickoryRN's topic in General Nursing

    I would be very careful with this. At my hospital, we have a lot of health care techs (UAP) that go on to become RNs. Once their license number is posted to the professional regulation website, they...