med/oncRN

Off the subject, this is for Easttexasnurse31, I can't figure out what the heck your picture is, is it a cake, or something to do with a clown, or Easter Bonnet? Sorry no offense meant, I really can't tell what it is.

Well, I guess the lesson here is if you have diverted and quit without getting caught thank your lucky stars and keep your mouth shut! If you are diverting, Stop now! I work with a nurse who self reported and it has been 5 years of hell, she has re...

I've never had a blood toxicology screen for employment, only urine.

However, if it's GI bleed poop just breathe through your mouth! Once you smell that & C Diff, you will think nothing of regular poop. Somedays even us "vets" get grossed out by the smells. I would smell anything rather than look at sputum or h...

They actually now have vicks in a tube that is more like cream, not greasy. Kind of like a lip gloss tube just a little bigger. Won't give you that shiny runny nose look.

One trick is to keep a jar of vicks and put a little on under your nose before you have to do anything with unpleasant smells. Just a trick we used to use when we had to work on cadavers.

We were only allowed to wear them to clinical rotations. Reasoning was you should not be wearing scrubs in community and possibly transmitting bacteria. We are encouraged to change at work.

The facility I work at doesn't have locks on the carts. However, all contents in the drug drawer & respiratory drawers are sealed/dated. No narcotics in drawers, just ACLS drugs. We do check it every shift. It is crazy, but I have seen people...

Hey guys, We have a wonderful nurse apprentice who is graduating in May. She started as a unit clerk, became a CNA, started nursing school and now is our apprentice. She will get her RN and is going to make a wonderful nurse. Truly, she is more c...

Nurses who think they are above CNA work. Remember we are the ones who are responsible for seeing to it the patient is cared for. Yes, we still have to wipe butts, empty commodes, answer call lights, fetch water, etc. Treat your support staff grea...

I would never stay in a position where questions were not welcome. I would much rather help out another nurse, than dig them out of a bad situation where they should have asked questions. Usually when a nurse doesn't want to be asked questions by a...

Our hospital it doesn't matter unless the MD orders DNR. The EMS will follow the state DNR if it is shown to them, but in the hospital what goes is what the doc writes. Unfortunate.

Eucerin lotion or cream is excellent as is Lubriderm. They both come unscented which is important in patient care areas.

We often have the "problem teens" on my floor, you know, the ones peds refuse because they are such trouble makers. While it is true they are most often the products of poor parenting, that is still no excuse to put up with bad behavior. I apologiz...

I have worked both days and nights. I am always the 1st to defend the noc shift when people say they do nothing. Nights are busy in a different way, and I agree--a large percentage of patients don't sleep at night. In fact, that is when they get cr...

I actually have seen one md who had the balls to tell a patient who was circling the drain that we could absolutely do nothing more for him other than to keep him comfortable. The patient wanted to be a full code, but the doctor wrote DNR. The ethi...

I, too am small (5 feet, size 1-2) and have a huge problem buying pants. My local scrub shop carries Cherokee flare pants in XXS petite which are still a little big but the best I have found and they come in many colors. Ask your local shops if th...

I would be interested to know how many RN's are married to ETOH'rs. I have found many of the patient's we detox are married to nurses, anyone else see the same or interested? I've heard many RN's are co-dependent (I hate the word) and that is why t...

Clamp the NS, run the blood and then flush with NS so the patient receives all the blood.

When I get a patient, I always discuss code status. It is very easy to bring up especially upon admission when you screen for advance directives. I then inquire exactly how much resuscitation they want and explain what CPR REALLY is, not what you...

Our facility does not allow crushed meds down a dobhoff. They clog very easily and to say "so what, just sink another" is to have the patient incur needless charges for another tube, and x-ray, not to mention the discomfort of putting it down. I dou...

I have a pair of Dansko Professional. When I first saw them I thought they looked heavy and clunky. I heard from several people how great they were, so I bought a pair. What a difference! They are not heavy at all. They are the most comfortable ...

Check with your protocol and the pharmacy. At our facility we piggyback it on a pump. We use D5 or NS depends on the brand. Some also require a 1.2 macron filter (like for TPN). Start slow, some people have reactions. We give this frequently as ...

oxycodone does not have tylenol in it. Percocet is oxycodone with tylenol. Oxycodone is just that, oxycodone

If we are running a k-ryder, then we ALWAYS run it with a compatible primary to dilute it. We never run potassium alone, it burns like hell and will wreck your IV, not to mention possibly give the patient phlebitis. First make sure your IV site isn...