NurseKatie08

NurseKatie08 MSN

Geriatrics, Transplant, Education

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All Content by NurseKatie08

  1. HIPAA violation? Please help...

    When I was in school, we were not allowed to go near a patient unless our clinical instructor was on the floor. Sounds to me like it was a school policy you were
  2. What is your least favorite kind of med-surg patient?

    My least favorite patients are the demanding know-it-all types that want to tell you exactly when they're supposed to get their meds, and exactly how their dressing is supposed to be changed--I'm...
  3. When to wear gloves!?

    I wear gloves when I flush lines...it couldn't
  4. Am I wrong because i don't want to do CNA duites

    "CNA Duties" are nothing more than nursing tasks that can be delegated to the UAP. If no UAP is available, then the nurse should assume the responsibility for completing the tasks, as they are...
  5. Please interpret this med order

    I think you're thinking of Percocet? I've never learned, or read anywhere of Oxycodone containing Tylenol. Percocet contains
  6. Question about Tufts Medical Center

    Good luck getting in there. Yes, they do have a general surgical floor, which I interviewed for when I graduated in May. (I had previously worked there for more than a year as a nursing technician on...
  7. Meds: PRN or scheduled administration

    working 2nd shift, i often run into the issue of people sleeping, prn pain meds, etc. where i work short term rehab, my pts are there for a while and i get to know them. i always ask, or am told in...
  8. Please interpret this med order

    I've always seen it as three separate orders: Oxycodone 5mg q4h prn for mild pain Oxycodone 10mg q4h prn for moderate pain Oxycodone 15mg q4h prn for severe pain Then it's up to you to assess the...
  9. It took me three days after I sat the NCLEX to get my license number...I would just call the number and see what
  10. Mass Nursing homes

    As I mentioned, though the floor with the 8-9 ratio is not LTC. It's short term rehab, therefore, more meds, IVs, wound vacs, treatments, new tube feeds etc, because many of the people are either...
  11. Mass Nursing homes

    At my NH, the LTC floors are 18-22:1, for meds, treatments, everything The short term rehab floor I work on is 8-9:1 for
  12. What procedures are you curious about?

    I am fairly curious about some of the procedures my patients have done, however I am a big baby when it comes to pain, and couldn't imagine having to experience something I didn't need. After almost...
  13. Anyone else frustrated with 12 hour shifts?

    I guess I'm the only one that doesn't mind evening shift...I work M-F 3p-11p & love it, except I will say that the 5 days are draining. When I was a tech, I used to work D/N rotating, 2 8s & 2...
  14. Shift change report in your facility???

    We do verbal report on my unit, because we then have to count narcs with the off going
  15. What more could I have done?

    Great job! You couldn't have done anything more. Just a few weeks ago (on my third or fourth week off orientation) I had to send a patient out to the ED from our rehab unit for chest pain. When the...
  16. Patient Abandonment???

    I don't see how you could be reported for abandonment. You didn't take keys, do count or take report at all. Kudos to you for refusing the assignment. You did the right thing for your patients, and...
  17. nurses accepting telephone orders from other nurses

    Only person I'd take a TO from is a Doctor or Advanced Practice
  18. nurses writing admission orders

    I work rehab--we review the referral from the hospital, call the MD, read the orders and take down any changes or additions and write it out as a TO e.g. "Admit to Medicare certified bed for SNO, SNS...
  19. The best gift I ever received from a pt was a big kiss on the cheek and an "I love you!" She was 96 y/o, deaf/mute...a pt on our TCU since before I started orientation two months ago, moved down the...
  20. What is Nurse:Patient ratio at your hospital?

    I work TCU/Rehab at a SNF in Boston...I have 8 if my team is full, but tonight I had three empty beds so I had five patients--Fridays seem to be big on admits, so I'm anticipating that some of my beds...
  21. Things that make me HATE nursing.

    Patients who tell me step by step how to do their dressing change (mind you, nothing complicated, a simple wash up, apply prescribed ointment & wrap up a lower extremity cellulitis) am I sure that...
  22. Do you Pre-Pour? Is it legal?

    I'm also a new grad. I gather that it's against the rules because you should be pouring the meds by looking at the MAR or eMAR, doing your three checks, and giving them to the res/pt etc. If you...
  23. For the nightshifters.

    I did day/night rotating as a tech for a while, and was absolutely miserable. I used to work 2 12s & 2 8s. Switching back and forth was too much. I did like the 2 12s & 2 8s, though. I'm not...
  24. What's your patient load?

    I have up to 8 if all my beds are full--I work TCU (Short Term/Rehab), evening
  25. # of residents in LTC

    Holy gucamole...I work sub-acute/rehab....My team is full at EIGHT patients, nine for the other two teams. As you mention, I do pretty much the same things as you--med passes, tx, charting, new...