I<3H2O

I<3H2O BSN, RN

Home Health

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All Content by I<3H2O

  1. the assessment schedule

    You should check your hospital poilcy. For the hospital where I work, Temp is taken every 4 hours until ROM then it is q2h. VS are taken every 15min x2 hours, then hourly on all laboring patients....
  2. Hospital nurses - is it really that bad?

    Honestly, I have only worked in the hospital. I work a med surg unit where we regularly have 5-6 patients each. I work 12 hour days that sometimes turn into 13, 14, 15 hrs. I go home in enough time...
  3. I have wondered the SAME thing for the SAME reason! So frustrating. Hope someone can tell
  4. I usually call someone out if I hear them talking rude to a patient. At first, I may say something like, "whoa, that was uncalled for." or "I hope you weren't percieved as rude and I just thought...
  5. Looking for name of a book about charting

    I had Charting made incredibly easy and it was HORRIBLE! I would not recommend that to
  6. BAD Preceptor, HELP!

    There is one nurse in our department who is a great nurse. She gets mad if she is not allowed to precept the new employees. HOWEVER, she is NOT a preceptor. She is not a good teacher. She runs...
  7. We recently have "trained" every single RN on our floor to be the charge nurse. I (and a few others) feel this actually is counter productive. The boss looks at it like he never has to come in to...
  8. Thanks for your replies! From a mgmnt perspective, I can see the positives to having multiple CN however, I just cannot understand putting someone in charge who can't even manage to start their own...
  9. Infusing medications with blood

    I would never ever ever run any medication with blood. In my practice, it is NS and nothing
  10. Diagnosed with DVT....now what?

    On my floor, we used to do strict bedrest with a bedpan and everything and a heparin gtt. Same floor 6 years later, they are on bedrest with BRP, getting Coumadin PO and Lovenox
  11. Incident Reports

    An incident report is more to help figure things out, why things went wrong and how we can fix them so they don't happen again. In the chart, you just need what happened and what you did to rectify...
  12. Time off for Funerals???

    Where I work you get 3 days for immediate family. IDK who all that covers but I don't think in-laws or nieces/nephews are considered
  13. When To Hold Blood Pressure Meds?

    I totally agree with the PPs. Look at BP trends for this specific patient, ask the pt. themselves if they routinely check their BP at home and how it normally is (I find that most do not), find out...
  14. question on tube feeding and flushes

    Every nurse I have ever known has mixed all the meds together in one cup and given them. I believe our hospital policy says to give each one separately. We sometimes have pts on 20+ meds. Can you...
  15. D5 1/2 NS and insulin coverage

    The way our department handles meds with surgery patients is to call the anesthesia department and ask them which meds to give. Including insulin. If a pt. is going to surgery, usually the...
  16. You are working and are busy but it is your turn for admit. Charge nurse says s/he will do the admit for you. At the end of shift, you find that the CN did ONLY the hx and did not communicate to you...
  17. hourly rounding

    We also have hourly rounding logs. Some staff member is supposed to be in each room once per hour. This usually happens at the top of the hour. Usually the nurses take the odd hours and the aides...
  18. Exactly what I thought about it!
  19. How to Address a Catholic Priest?

    I say Hello my name is
  20. We do that on our floor too. Gives you a renewed appreciation for your CNA doesn't it? Would you rather have nearly your full load with total pt. care? If you were the Charge how would you have...
  21. I have thought about this many a time. It grosses me out. We put chux pads on every bed and use them like a "draw sheet". So even if you are continent you are laying on one of those pads and you...
  22. Example: You pull a narcotic out of the med station with intention of giving it to a patient. Patient decides they do not want it or order has changed or any other reason that would result in you not...
  23. Does your facility have a specific policy on this topic? I was surprised to find that we do not. This nurse was mad about the write up (obviously) but there was no P&P on "missing meds". I had...
  24. Looking for the PERFECT ink pen ;)

    Zebra F-402 Everyone at work knows if they see one, it is MINE and they return it to me! LOL I make a HUGE deal if my pen goes missing! I've never (knock on wood) lost one forever at work...at home...