vashtee

vashtee RN

DOU

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All Content by vashtee

  1. How to choose which PRN blood pressure med

    vashtee posted a topic in Patient Medications

    I am wondering if anyone can offer guidance about how to choose which PRN blood pressure medication to give when there have been multiple types ordered. For example, when might you choose a calcium...

  2. How to choose which PRN blood pressure med

    vashtee replied to vashtee's topic in Patient Medications

    I should add that the patient was experiencing heart pauses throughout the day, 2-3 seconds

  3. What to expect MedSurg/Tele/Neuro Position?

    vashtee replied to Briana_D's topic in Neurological

    I hope your patients are low acuity! 6 neuro patients can be a lot if they are all stroke

  4. Can Volunteer work count as an Work experience?

    vashtee replied to starghadeer's topic in Job Search, Interview, Resume

    I hadn't worked (for money) in many years when I applied for my current position, so I listed all my volunteer work on my resume so they wouldn't think I did nothing during all that time. It seems to...

  5. Work ethic, what's your take on it all

    vashtee replied to cardiacrocks's topic in Nursing Professionalism

    I couldn't possibly care less if someone calls in sick. We have patient ratios, and my workload is the same, regardless of who else shows

  6. Patient Surveys..vent.

    vashtee replied to Caffeine_IV's topic in General Nursing

    I hate those surveys, too. Our nurse manager insists on having meetings to go over them as a group (this after 12.5 hour days), and they really only ever cover the complaints. It's so demoralizing....

  7. teaching hospital vs. community hospitals and the rn

    vashtee replied to anotherone's topic in General Nursing

    I work in a community hospital, and we definitely treat tons of these. In fact, I work on a floor that takes all the stroke patients. We get lots of "ordinary" diagnoses where I work. The thing we...

  8. Struggling on Medical Floor!

    vashtee replied to NickiJules's topic in General Nursing

    I made up a day planning grid when I was in nursing school, and I still use it every day. There is a column for each patient, and each hour of the day is listed in rows. Before I start working, I...

  9. Catheterization Expiriences

    vashtee replied to ubsjl's topic in General Nursing

    edited - just in case it could be construed as a privacy violation. Too bad, too. It's a great

  10. Dilemma about reporting some no-no's

    vashtee replied to DogWmn's topic in Patient, Colleague Relations

    I think if this happens again, you should simply hand a pair of gloves to the phlebotomist and say, "trust me: you should wear

  11. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    Leslie - Thanks for clarifying! Also, I wanna work with wooh!

  12. Night shift work

    vashtee replied to pat8585's topic in General Nursing

    I just wanted to thank you for noticing the difference between days and nights. I agree that day shifts (at least on MY floor) are crazy, but I could never stay awake all night. To each their

  13. Nurses - favorite part of your job and nursing school?

    vashtee replied to hmadden12's topic in General Nursing

    I hated nursing school, but really admired how smart my fellow classmates were (after the 2nd semester, anyway). I was very happy to graduate. The best thing about being a nurse is that you are never...

  14. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    Lack of moralities? I don't know what kind of people you work with, but none of the nurses or CNAs I work with are "immoral". They are just really

  15. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    I truly wish there was some way to diplomatically tell family members they should be participating in their loved one's care if they want them to be shaved or have their hair fixed if they are a...

  16. Definitive Care Unit

    vashtee replied to heywazzupdude's topic in General Nursing

    HAH! We document about our patient's cardiac activity every four hours, but we have to do hourly rounding. Looks like Wisegeek (website) isn't so

  17. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    I work on a DOU floor that also takes *all* CVA patients. There is a very high patient turnover rate, and the majority of our patients are total care, or close to it. People hate floating to our...

  18. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    Oh, lord. Come back after you get a job on an understaffed floor where 85% of your patients are total care, and tell us all about how we should manage our time better. Until then, you *honestly*...

  19. Definitive Care Unit

    vashtee replied to heywazzupdude's topic in General Nursing

    We have Definitive Observation Unit/DOU separate from the telemetry floor, although all DOU patients are also on telemetry. DOU patients are higher acuity than the tele patients, so the nurse:patient...

  20. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    I - for one - would LOVE someone to come in and teach me how to get better at time management. Maybe then, I would have time for at least one of the 15 minute breaks I am legally entitled to, or...

  21. do you make sure your pts

    vashtee replied to juzme's topic in General Nursing

    I generally hope for the best on days when I have a team of 6-8 total care patients on a floor with 2 CNAs for 18 patients. Yes, the CNAs know they are supposed to do it, and I do it myself when I...

  22. "That nurse is vile" (long)

    vashtee replied to PintheD's topic in General Nursing

    I had a patient "fire" me before. I felt awful until the doctor asked me how I did it so he could be fired, too. Sometimes people are just irrational

  23. Do you ever get tired of hearing this phrase?

    vashtee replied to Double-Helix's topic in General Nursing

    The phrase I get sick of hearing on this site is "lateral

  24. informed consent

    vashtee replied to shortd's topic in Patient Safety Issues

    Our consent forms say something to the effect that "Dr. So-and-so has explained the risks, benefits, and alternatives", so as far as I can tell, I am only witnessing the patient's signing. One thing I...

  25. Bedside Reporting starting Monday :(((

    vashtee replied to 2bTraumaRN2008's topic in Nursing Professionalism

    The hospital I work in says they will be starting bedside report soon, and I am also dreading it. Our floor is chronically short on CNAs, and most of my patients need stuff done the second I walk in...