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FreezeRN

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  1. Might it have been McKesson? If so I believe they have two systems. One system that uses a hand held PC (admin-rx) to scan medications and patient bar codes. Another uses a COW (computer on wheels) which allows for charting on patients and has a scanner attached to it to serve the same purpose as the hand held PC.
  2. I graduated from nursing school a little over a year ago and have been working on a tele/stepdown floor. I had originally hoped to get a job on an oncology or palliative floor at the hospital I am currently working at. However, none were available at the time since most of my clinical experience in school was on a tele unit I decided to go that direction. I have recently been getting an itch to move to oncology specificly but maybe palliative. I have asked a coworker who recently left the unit I work on how I should go about it. She told me that I should apply for the position I want and then let the nurse manager of the unit I would like to move to contact my current manager. THis is how I would plan on proceeding but currently there are no night shift positions posted. (I have to work night shift so that work doesn't conflict with school) Would it be inappropriate to email the oncology nurse manager with my desire to work on his unit on night shift? There are currently two day shift positions available but as i said before I need to work nights.
  3. FreezeRN replied to mggmy7's topic in Patient Safety Issues
    I have been working on a telemetry unit for aprox. a year now. The patient ratio is usually about 6 so its not as bad as yours but during my orientation period at the end of two months I got a phone call from HR asking me how i was doing and if I thought another floor might suit me better. About an hour later I was called in my nurse managers office with the nurse that had done the majority of my orientation. I was told that I was not picking it up as fast as I should and asked if I wanted to try a different position within the hospital. I went home that night spent a couple of hours making my own "Brain" Sheet. Then I spent a little while longer just thinking about all the things that I could do better and ways to improve my ability to handle all the information that was swirling around me all day. Then I spent a few minutes crying on my wife's shoulder. If your not religious or are offended by religious stuff skip this part. The last thing I did was to open up my bible and go to The last chapter of Philipians 4:4-7 4Rejoice in the Lord always. I will say it again: Rejoice! 5Let your gentleness be evident to all. The Lord is near. 6Do not be anxious about anything, but in everything, by prayer and petition, with thanksgiving, present your requests to God. 7And the peace of God, which transcends all understanding, will guard your hearts and your minds in Christ Jesus. The hospital I work at has what they call prayer rooms that were generally empty when I came on I would go to that room and pray and focus my thoughts and energies before I hit the floor. Within the next week the nurse orienting me told me that I was doing much better. In the past year I have been nursing I have had my up's and down's but I finally feel like I have my feet under me most of the time.
  4. I have found that in most cases the urethra is lower than I expect it to be. I assume that I don't pull the labia back far enough so it seems as if the urethra is even a little inside the lady partsl opening. I have found if I insert the catheter oriented upward then I usually get it the first time. I do this by applying some downward force approximately .5 to 1 inch down from the tip of the catheter once i believe i have the catheter at the right spot for insertion. This seems to allow the catheter to slide easily into the urethra. Also, I usually take an extra catheter in with me. If i miss the first time usually I am in the lady parts. The second catheter usually slides in easily. This also helps prevent infection rather then pulling the catheter out of the lady parts and then attempting to hit the urethra.

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