KaroSnowQueen RN

Telemetry, Case Management

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All Content by KaroSnowQueen

  1. Our N/P ratio has been 1:6 forever. We are a telemetry med-surg unit. Now they are wanting us to take drips and are sending all the nurses to a class to learn about the drips (Amiodorone, Cardizem,...
  2. KaroSnowQueen

    New to LTC/SNF - Does this sound right?

    The nurse/pt ratio seems about right to me. I have seen worse and better, but that's about right. The last LTC job I had several years ago, I was the only nurse for 39
  3. KaroSnowQueen

    Can't go with family on vacation. Is it worth it?!

    No it is not worth it. If you can't get the requested time off, I'd go on vacation anyway. If your manager isn't receptive to the idea, I believe I'd get "sick" and stay home. If you need a dr's...
  4. KaroSnowQueen

    Is it selfish not to get a Flu Shot?

    I have to say I have a lot of reservations about the flu shot. I worked in LTC for about ten years and every year every resident got a flu shot. And every year one or two of them got severely ill...
  5. KaroSnowQueen

    Do you give up your seat for a doctor?

    No! Every GREAT once in a while, one of the really nice docs will come in and look around for a chair with charts in his hand, and IF I'm not really busy, I WILL get up for for him/her. But for...
  6. KaroSnowQueen

    Worst information given in shift report!!!

    I HATE HATE HATE HATE HATE sloppy out of order report. "Mrs. X has a foley. She is on a regular diet. Her lungs are coorifice. Her skin is ok, no wait, she has a Stage 4 on her butt. I didn't...
  7. KaroSnowQueen

    Tattoos and nursing

    Maybe I'm old fashioned, but I just don't think piercings or tattoos look professional. We are nurses, we always talk about professionalism, but some of us don't always look/act that way. I would be...
  8. KaroSnowQueen

    Feeling guilty and mad at the same time

    I never go in on my days off. I have a life, I have plans, even if it's just lay on the couch all day!!! Work doesn't "own" you and they sure as heck wouldn't drop everything for you!!! ANSWERING...
  9. KaroSnowQueen

    What is reasonable staffing?

    Your staffing sounds like cake to me. Often in LTC there would be one nurse (me), one to three aides for 39 patients. No UC. That's all. This was on a continuing daily basis. And this was pretty...
  10. KaroSnowQueen

    17 week gestation

    My grandson was born at 17 weeks. He had a name and a funeral. In most places the parents are given the choice to do just that, or to let the hospital cremate it. Our hospital did photos and...
  11. KaroSnowQueen

    Fear Factor, Nurse Style, Five Stunts... lol

    Y'all ain't right. :) I want to upchuck just READING about this!!! :uhoh21:
  12. KaroSnowQueen

    MY FEET HURT Shoe question

    Dansko Professional. Yes they are expensive. But not any more than other shoes that you have to keep replacing and replacing. I got mine direct from the Dansko site for $109. They are comfortable,...
  13. KaroSnowQueen

    Informed Consent

    It has been my experience that MD's that actually fully explain everything are few and far between. Some do, but most, especially for minor procedures especially PICCs expect the nurse to explain and...
  14. KaroSnowQueen

    Required to work as PCA instead of being cancelled!

    I refused to do it and they still paid me my 4 hrs in the end. They didn't like it but that's their problem. Seems to me the facility is screwing themselves by paying Nurse pay for CNA
  15. KaroSnowQueen

    Are they still using Cytotec?

    My DD was given Cytotec 2.5 mg orally q4h x4 prior to being given Pit to induce her labor. This was one month ago. Do places still use it lady
  16. KaroSnowQueen

    An upsetting fetal death

    I would have to look and find her name, but she actually testified before congress during the partial birth abortion debate. It is
  17. KaroSnowQueen

    What is the best way to take report. (New Nurse)

    When you get your cardex, make a list straight down one side or on the empty side of the page: A&O: HEART: LUNGS: O2: IV: IVF: PPP: EDEMA: BS: F/C: ACCUCK: SKIN: ACTIV: Fill in the blanks as you...
  18. KaroSnowQueen

    Diabetic teaching & glucometers

    At our facility, we do have a diabetic educator, but if she is out or a pt needs teaching on off hours/weekends/holidays, we do it. We have several several several pages of diabetic teaching we print...
  19. I feel for you. I have five children, stair-stepped in age (now 25,25,24,23,22) and it was hard to find daycare. But I felt that bringing that many little kids to an interview would make it hard for...
  20. I am not an educator but I vote for a thorough education. After several (MANY) years as a nurse, I took a job on a telemetry unit, and what little I had previously learned only frustrated me. I had...
  21. KaroSnowQueen

    Women who don't know they're pregnant

    My first baby was born in August. I was breastfeeding (and did so for a year)and my cycles had not returned after her birth. Fast forward to August the next year. I'm lying in bed one morning and...
  22. KaroSnowQueen

    How Many is Too Many

    Well, as the oldest of two children, and the mother of five, plus we had eleven foster children during the time our oldest two were 12-21, I have to say there are always pluses and minuses to both...
  23. KaroSnowQueen

    Pushing with a foley in place

    My DD just delivered Saturday and they put in a foley as soon as she got the epidural, took it out to push and put it back in afterwards (but she stayed in L&D for almost 10 hrs afterward d/t...
  24. KaroSnowQueen

    Darn it. Mistake on my resume after I mailed it!

    Depending on your age, you could just laugh it off if anyone notices it, that you still haven't gotten used to the "new" way of abbreviating the states. Back in the day, we did abbreviate "Ill." for...
  25. KaroSnowQueen

    Nurses Will Eat Anything

    Oh, but grits are good! I have them every morning for