NurseKatie08

NurseKatie08 MSN

Geriatrics, Transplant, Education

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All Content by NurseKatie08

  1. How many other nurses do you work with?

    NurseKatie08 replied to rob4's topic in General Nursing

    I work with two other nurses and four CNAs on a 26 bed rehab unit 3pm-11pm. Days is the same staffing, nights is one nurse and 2

  2. Worst case scenario needle stick

    NurseKatie08 replied to LaughingRN's topic in General Nursing

    So sorry you're going through this, OP. It's a scary thing. I had a needlestick about a year ago (barely penetrated my thumb with an insulin needle, pt was negative and so was I after all the testing)...

  3. Skin tear in Assisted Living

    NurseKatie08 replied to MommaRN86's topic in Geriatric, LTC

    I respectfully disagree re: your comment about transparent dressings. I have healed many a skin tear with OpSite. I like it because you can visualize the wound, and you don't need to change it every...

  4. giving report to a SNF

    NurseKatie08 replied to psu_213's topic in Emergency

    I agree as well. When I am getting admissions to my rehab unit I almost never get report. Usually just a chart from medical records with copies of the hospital MAR & the screen from our admissions...

  5. IV fluids in LTC setting?

    NurseKatie08 replied to CrystalClear75's topic in Geriatric, LTC

    I've given plenty of IV Fluids, as well as IV antibiotics. Even once had a patient on IV

  6. Report by exception?

    NurseKatie08 replied to handyrn's topic in General Nursing

    I think that would bother me. Our long term care floors at least run down everyones name....even if much of it might just be 101a was fine, 101b was ok...etc. I work on the rehab unit in my facility...

  7. Blister Pack Blues & The Dreaded Med Pass

    NurseKatie08 replied to croppyRN's topic in Geriatric, LTC

    Are people reordering meds when the supply is low? May seem like a silly question, but I know sometimes if people are rushed they forget to reorder. I would make sure you take the time (what little we...

  8. That is not how you address one on the telephone.. *vent*

    NurseKatie08 replied to Forever Sunshine's topic in Patient, Colleague Relations

    LTC/Rehab nurse here...as alluded to by a PP, bed hold is not the same as discharge. When a LTC resident (speaking only from my experience in my facility, but I'm sure it's somewhat applicable in...

  9. Pradaxa

    NurseKatie08 replied to Jenni811's topic in Patient Medications

    Funny it should be mentioned today, because I just admitted a patient on it to my rehab unit last night. New onset Afib, declined Coumadin d/t dislike of blood draws. Had heard of it before but this...

  10. Has anyone ever seen this done before?

    NurseKatie08 replied to NCRN2010's topic in General Nursing

    Gross! Who knows what junk they were introducing into the

  11. What was the lowest diastolic bp you have seen?

    NurseKatie08 replied to Florence NightinFAIL's topic in General Nursing

    Had a patient who used to run hypotensive---around 70/30 but would be awake and alert...not as exciting as some of the other stories here. Most exciting was my patient whose apical HR was routinely...

  12. Would you give Lantus without BG check?

    NurseKatie08 replied to Prettybrowngirl's topic in General Nursing

    Yes and no. For me, it depends on the patient and how well I know their baseline. I work in sub-acute rehab, so I get to know my diabetics really well. I currently have one patient on Lantus QHS with...

  13. Well it happened my first needlestick

    NurseKatie08 replied to Peeker19's topic in General Nursing

    So sorry this happened to you--I have been there done that (also with a low risk patient in the nursing home setting)...it's no less terrifying no matter what the risk level. Fingers crossed that you...

  14. What's the nicest thing a patient has done for you?

    NurseKatie08 replied to Cyndi13's topic in General Nursing

    Recently was chatting with a patients daughter about coffee. The next day, she showed up to visit her mom & had brought in Dunkin Donuts coffee for myself & my nursing student. Wicked cute

  15. Tylenol max/safe dosage

    NurseKatie08 replied to Gabby-RN's topic in General Nursing

    No way would I have administered a med that would put them over the max safe dosage of Tylenol/day. That being said, this patient's pain management needs to be evaluated. Sounds to me that the MS...

  16. Tufts nurses vote 70% to authorize strike

    NurseKatie08 replied to Chin up's topic in Collective Bargaining, Union

    I'm familiar with the hospital. Spent some time there during nursing school. I'd stand with them--they're doing the right

  17. New Nurse in LTC

    NurseKatie08 replied to RoyalNurse2010's topic in Geriatric, LTC

    As a staff nurse, sure....as a unit manager ...no way, not in any speciality. A new grad does not have enough experience for that. I wouldn't feel comfortable considering a position like that even at...

  18. List your school if you use HESI exit exam.

    NurseKatie08 replied to djsolji's topic in General Students

    Salem State University-Salem,

  19. Funniest/strangest dementia patient stories

    NurseKatie08 replied to Angie O'Plasty's topic in Nursing Humor

    Oh I have tons, but a really cute one here... 100 y/o LTC resident found lying on the floor next to her bed by the aide at the start of 11-7 shift. Me: Mary (name changed) what happened? Mary: Well, I...

  20. SL Nitroglycerin, O/C MD Blues

    NurseKatie08 replied to suzem's topic in Geriatric, LTC

    I believe the OP is speaking of the long term setting. That being said, OP: You absolutely did the right thing. In my facility, if we have to utilize prn Nitro we notify the MD/NP on call just for the...

  21. What do you do when......

    NurseKatie08 replied to rainbowsandsunshine's topic in Geriatric, LTC

    CNA's get temps at my facility. Those that work on my rehab unit also get fingersticks. Long term nurses at my facility do their own fingersticks, however from overhearing things on the other floors,...

  22. I want to become Male nurse but am under qualified

    NurseKatie08 replied to GentlemanNurse's topic in General Nursing

    Try Salem State--they have a direct entry MSN program (appropriate if you have a Bachelors in another field). I'm an alum (& current Master's student) from there, so feel free to PM with...

  23. OMG! Why??!!

    NurseKatie08 replied to cna23's topic in General Nursing

    Rehab...sitting down? Yeah...not gonna happen. At my rehab, we get probably 95% of new admissions on evening shift. Thats on top of having no unit secretary, phones ringing off the hook, patients...

  24. What pay are nurses making these days?

    NurseKatie08 replied to BeOne77's topic in General Nursing

    BSN Grad in 2008 Boston, MA Geriatric Rehab/SNF $26.02/hr (started at $25), diff only available on nocs & weekends, I work pms I'll take the few dollars/hr less compared to working downtown...free...

  25. What are the top 5 medications YOU administer daily?

    NurseKatie08 replied to northmississippi's topic in Patient Medications

    Excluding pain meds, I'd have to say: Colace, Senna, Zocor, Metoprolol and Calcium+D. Oxycodone is probably our most common narc. Sub-acute