NBMom1225

NBMom1225

Surgical/MedSurg/Oncology/Hospice

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All Content by NBMom1225

  1. Does your unit have to absorb the cost of sitters?

    NBMom1225 posted a topic in Patient Safety Issues

    Our 36 bed med-surg/surgical unit is always inundated with sitter cases, average of 4-6 per shift. If we can't get enough sitters, our techs are pulled to sit, leaving us short on the floor. What...

  2. Is Med/Surge considered acute care?

    NBMom1225 replied to Born_2BRN's topic in Medical-Surgical

    It may depend on the facility...some consider acute care to be inpatient hospital experience vs sub acute LTC/nursing home experience, others may mean ICU/ED experience vs Med Surg/floor

  3. Is this considered patient abandonment?

    NBMom1225 replied to lindsmith88's topic in Patient Safety Issues

    This is exactly the (crappy) new standard at my hospital...no phone or faxed report, rarely an SBAR. The only way we know that the bed has even been booked is if the unit secretary is one of the good...

  4. Handling rude or dishonest patients

    NBMom1225 replied to wildlaurel's topic in Emergency

    We are currently dealing with a manipulative patient, and documenting lengthy narrative notes since this patient and their spouse appear to be looking for a lawsuit, the type that are just waiting for...

  5. Float nurses??

    NBMom1225 replied to WildOne's topic in General Nursing

    If you're on an unfamiliar unit, ask the charge nurse (or anyone) if they could please quickly show you where the clean utility/med room/soiled utility/unit kitchen are all located, and the key codes...

  6. Custom badge buddy/reference suggestions

    NBMom1225 replied to Murse901's topic in Emergency

    If you are new to the facility, take note of all the phone extensions: pharmacy, lab, radiology, nuclear med, the house officer, security, etc. Print it in a small font, laminate it and punch a hole...

  7. No success in refusing admits inappropriate to the unit...

    NBMom1225 posted a topic in Patient Safety Issues

    I work midnights on a general Surgery/Med-Surg/Tele unit in a +400 bed suburban hospital. Our unit does not have any negative pressure rooms, though there are negative pressure rooms on other units in...

  8. No success in refusing admits inappropriate to the unit...

    NBMom1225 replied to NBMom1225's topic in Patient Safety Issues

    @Bec7074...thanks for the link from the CDC! I just forwarded that info to my work email and will print it off next time I work and highlight the section that states "Initiate protocol to transfer...

  9. No success in refusing admits inappropriate to the unit...

    NBMom1225 replied to NBMom1225's topic in Patient Safety Issues

    I admit I don't know all of the details of who decides which unit a patient is admitted to, on the midnight shift it seems to usually fall to the ED docs to put in the order to admit to inpatient, or...

  10. No success in refusing admits inappropriate to the unit...

    NBMom1225 replied to NBMom1225's topic in Patient Safety Issues

    As for why our ED physicians are not ordering the patient to be sent to a negative pressure room, I have no idea...I'm thinking ignorance of the types of rooms on the units are a part of it and that...

  11. DNR/DNI Status

    NBMom1225 replied to 8AsTheBest's topic in General Nursing

    Our hospital has a sort of "a-la-cart" DNR, they can choose to have pressors with no intubation or compressions, compressions only, etc. For plain DNR we would not attempt resuscitation if they stop...

  12. Cold feet?

    NBMom1225 replied to seaglassgreen's topic in General Nursing

    I had no great passion for nursing, I ended up here in a sort of karmic game of tag...it was my turn to be "It" when my youngest daughter was born with cancer. My only previous medical background...

  13. You Know You're A Nurse If...

    NBMom1225 replied to Joe V's topic in Nursing Humor

    when you finish assisting your co-worker do a complete bed change due to a C-Diff/Golytely explosion from a total care patient, and announce "I'm gonna go eat my lunch, I'm

  14. Funniest/strangest dementia patient stories

    NBMom1225 replied to Angie O'Plasty's topic in Nursing Humor

    I work on a Surgery/Med-Surg floor, midnights. I was relieving the sitter for a 90-ish year old little old lady (she was the devil incarnate: biting, kicking, swearing, pulling at lines, etc) who kept...

  15. Hospital Won't Hire Obese Workers

    NBMom1225 replied to chevyv's topic in General Nursing

    I never thought I'd be grateful to live in Michigan...I'm not exactly skinny, and apparently mine is one of the few states where this is considered

  16. Legal issues with only having one RN on the floor

    NBMom1225 replied to photocodo's topic in General Nursing

    Is there a Risk Management department you can contact? Informing the legal department of the potential liability could produce some results...at my facility we are able to contact Risk Management...

  17. hours worked

    NBMom1225 replied to anotherone's topic in General Nursing

    I work three 12 hr night shift a week, and my ex used to give me a hard time constantly about how I "only" worked three days a week, yet he was unemployed and did NOTHING in regards to housework,...

  18. PRN to Part/Full-time paycut?

    NBMom1225 replied to thebeatingheart's topic in General Nursing

    Went from contingent with no benefits to full-time with benefits...approximately $10/hr pay

  19. 0.9 is not full time?!

    NBMom1225 replied to simvee's topic in General Nursing

    Where I'm at, 0.9 is considered part-time with full-time

  20. Salary comparison

    NBMom1225 replied to oriellyk's topic in Diploma, ADN, BSN

    Detroit suburbs RN 3 years, hospital $25.43/hr base, 7% night diff, $2/hr weekend diff that includes Friday starting at

  21. Discharged - RN doubts

    NBMom1225 replied to Nurse SMS's topic in General Nursing

    If there is no on-call case manager or SW on the weekends, we usually call the ones that are down in the ED for assistance, they always have someone

  22. Does your unit have to absorb the cost of sitters?

    NBMom1225 replied to NBMom1225's topic in Patient Safety Issues

    Thank you everyone for your responses, at least I know I'm not alone:bugeyes:! Our floor gets all the ETOH's, elderly post-fall patients, suicides (real 1:1's...but we cohort the others when...

  23. Treatment for uncontrolled N/V post chemo

    NBMom1225 replied to MillieT's topic in Oncology

    I've also found Ativan given sublingually to be a great benefit to some of my chemo patients. Most antiemetics such as Zofran are given ATC on my unit, along with Compazine ordered prn. With a patient...

  24. What is the highest regular dose of Oxy that you have seen

    NBMom1225 replied to ~Mi Vida Loca~RN's topic in Patient Medications

    Sickle cell pt with 180mg oxycontin q8 hrs, plus Dilaudid PCA 1 mg q8 minutes with a 30mg/4 hr lockout...still walking and talking (and complaining!). Recently saw an oncology pt with 225 mcg Fentanyl...

  25. Floor nurses

    NBMom1225 replied to Caffeine_IV's topic in General Nursing

    I work on a 36 bed oncology unit, and I think our matrix calls for 6 RN's and 4 or 5 techs if we're full on midnights...day shift gets 8 Rn's and I think 6 techs if we're