AnnieNHRN

AnnieNHRN

med/surg, ER, camp nursing
Member Member Nurse
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All Content by AnnieNHRN

  1. I am recovering from a herniated disc L5-S2 injury (not work related). Have been off of work for the last 2 weeks and got the OK from my neurosurgeon to go back to my Med/Surg job with a 30 lbs lifting restriction. I will be seeing employee health to...
  2. do not return camper form

    From my experience, it is up to the Director of the camp to decide who returns and who is listed "DNR". Good communication between the nurse, counselors and the director would make it clear on who is not appropriate to return.. But it is still up to ...
  3. MRSA precautions in the ER?

    I am wondering how your ER deals with contact precautions. On the floors we place all pts with any MRSA/VRE history on contact precautions. In the ER this is not even looked at! I often don't even find out a pt has a MRSA history until they are admi...
  4. Jacked Up Sodium

    Did they check her for Syndrome of Inappropriate Antidiuretic Hormone Hypersecretion (SIADH)? That can cause low sodium.
  5. Hypothermia, inside the unit, any ideas?

    Pts with spinal cord injuries have a harder time regulating their temperature, especially when their fighting an infection. He might have a brain stem injury/stroke, which would cause temp control issues.
  6. 16 fired for HIPAA Violations

    They did fire doctors. "All 16 have been fired and they range from doctors to supervisors to staff nurses, not only at Ben Taub, but across the entire hospital district." I should print this at work and see if this will stop all the people looking up...
  7. texting at work

    That's the problem! How totally sad. What ever happened to just doing the job you're being paid to do?
  8. Herniated disc and work restriction

    Just wanted to update: My very kind manager has agreed to let me go back to work with the lifting restriction! I am very lucky. This of course will have to be temporary. Will see my neurosurgeon in a couple of weeks to hopefully get the restriction l...
  9. Looking for advise on career change into nursing.

    Don't get discouraged. Yes, right now the job market is not rosy for nurses as well. But in a couple of years things will be better again. The good thing about getting your LNA is that you'll be able to work 7-3 and go to school in the evening, meanw...
  10. How long did you oriented as a new nurse?

    I think for a hospital setting, between 6 and 12 weeks is a good period of time to get a good foundation. Depends on the nurse. Does she have previous hospital experience, etc? I know nursing homes often only provide 2 days - 2 weeks. Yikes, scary IM...
  11. Help! Suggestions needed.

    Doctor's office?
  12. DNR question

    I think what happened here is that the family did not have a clear plan in place with the doctor when she was made a DNR. This is the time when a doctor should talk about what the family's/pt's wishes are. What can they expect during her last days/w...
  13. How nursing has changed over the years...

    :smackingf
  14. How nursing has changed over the years...

    To prevent bedsores we were told to rub all pressure areas with every repositioning... totally contradicted today! Didn't give much/if any IV pain meds. Demerol/Vistarel IM was the drug of choice. The average Pt took only about 1/3 of the meds a Pt t...
  15. Pain Scales

    I understand your frustration. Since all your documentation is on paper, is there space on your vital signs/flow sheet to document pain meds and levels? That makes it easier for the next shift to see when meds were given and to assess pain levels ove...
  16. Pain Scales

    We also have computerized documentation and note pain levels, description, intervention, and follow-up level. One thing I liked at my old hospital was it automatically asked you the pain level when documenting on pain meds in the computerized MARS. I...
  17. How to quit an agency?

    Giving your notice before your shift today would be very frowned upon, even for agency. Will you be using them as a reference in the future? A 2 week notice is the most professional way to go. But if you are truly that miserable I would talk to them...
  18. Dealing With the Patient in Pain

    I agree with a lot of the previous posters. One thing I have noticed, especially with post-op ortho pts, is that Percocet ends up giving better pain relief than a Morphine PCA. I see a lot of nausea with Morphine too. Heavier guns don't always mean b...
  19. New RN Grad with Peace Corps Dilemma

    Not sure I understand. You haven't taken your NCLEX since graduating in Dec 08? If you have graduated and are having a hard time finding a job as a nurse, I would say YES totally go for the peace corp position. What a great experience to get when you...
  20. Our union hospital in MA only has 8 hr shifts and one of only a few hospitals in MA to have mandatory OT. During the month of June and July our census was very high and we were low staffed to start off with. This results in someone from the previous...
  21. Relocating

    I would put the name of the hospital in your title so it will catch someone's eye. Good luck with the move!
  22. Shadowing a Nurse

    From my experience most hospitals will no longer allow shadowing since you haven't completed a hospital orientation (including Hippa). I know, it a bummer.
  23. Need Help...

    Go through the questions you got wrong carefully. Try to look at the reasoning behind the correct answer. Also make flash cards to help you study. Don't panic! Just keep studying and practicing. You can do it!
  24. Job Search: Applying Online for RN Positions

    From my experience, most hospitals ONLY accept applications online. I started off hand delivering applications, but they told me to enter it online anyway... I think it is important to follow up with a phone call a week or so later. That's how I end...
  25. OK, I love being a nurse! Been one for over 9 yrs. Yes, the job has MANY frustrating distractions that make my job very difficult to enjoy A LOT of the time... Paperwork, phone calls, difficult patients/family, finding IV pumps, working short staffe...