AprilRNhere

AprilRNhere

RN- Med/surg

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All Content by AprilRNhere

  1. how do I present my concerns without seeming negative?

    We have team nursing here and it works great...BUT- our "teams" take 6 patients
  2. admission assessments

    Our wound expert says photographs are not reliable. Unless you have exact distance, angle, and lighting it won't look the same if taken twice within a minute. Also- quite honestly....wound or not- if...
  3. Third night of orienting...needed to vent

    Sorry- I didn't finish my post. For report...honestly- I felt dumb for almost 6 months. It was the part of the shift I dreaded the most. It helps to type out the important stuff ahead of time then...
  4. Third night of orienting...needed to vent

    There's no way you should be able to handle 9 patients 3 days into your orientation! I was oriented for 6 weeks on med/surg and never took more than 4-5 until I was done with
  5. My first Post! Question re: MAR documentation

    I was always told in LTC that we legally had 24 hours to chart an incident. If you can't remember something- DEFINATELY don't chart
  6. Double gloving

    I double glove and pull off the top layer when needed....BUT ONLY in the middle of the same task. exp...cleaning up a code brown...and I know it'll be messy. I double glove and pull off the top one...
  7. The Great "Nursing Show" Discussion

    My thoughts...a show that realistically portrays nurses...would never make it past the pilot. Who wants to watch someone clean up after, take BS from, put up with family's, barely find time to...
  8. question about IV push

    Very old
  9. Is this LEGAL?

    She was a guest speaker...she can speak about whatever she wishes. You aren't evaluating HER. Freedom of speech. Appropriate..maybe not..but certainly not
  10. nights

    I don't understand why everyone equates nights with no sleep. If you worked days...you would surely put your child in daycare right? You get a differencial I'm sure for working nights...so you're...
  11. What are the best days & shifts for moms?

    Find what works for you. It's different for everyone. I work nights...and LOVE it. I sleep when the kids are at school. I have a friend who went into home health. she works days/nights and is home...
  12. Is There a Nursing Shortage in MN?

    I don't think it's true that BSN gets preference over ADN. WHen I was applying I saw MANY ads that said BSN was preferred. But- when I interviewed I was told it didn't matter by nursing managers..but...
  13. Missouri Salary Poll

    South MO, actually I called Springfield and Joplin area. I know it still gets cold in MO...but not MN cold. We see WEEKS of 40 below zero every january. My husband and kids would be devestated if I...
  14. Missouri Salary Poll

    How many years experience is this?? Since MO is non union... will they negotiate or do you just take what they
  15. And- I just HAVE to add....the day nurses STILL find a way to complain about those numbers..and actually will refuse admits based on staffing! Sometimes they start with 3, discharge 1-2..and STILL...
  16. Days....RN alone gets 2-3 pt's and RN/LPN team gets 4. Evenings RN alone 3-4 pt's and RN/LPN team get 5-6 Nights RN alone gets 4-5, RN/LPN team gets 6-7 We have no CNA's employed at the
  17. Scared

    When was the next dose of Vanco due and when did you remember? I would have called the hospital right away just in case. Everyone forgets things...but don't ignore
  18. They sent us a 1 week postpartum pt...we do openhearts!

    Thanks for clarifying...I don't work L&D. It sounds like you did a great job of advocating for your pt. I'm not sure what our facility would have done..prabably transfered her. I know L&D...
  19. They sent us a 1 week postpartum pt...we do openhearts!

    What was she on mag for? Also..what does 1 week post partum have to do with anything..I'm confused. Noone stays in the hospital 1 week after giving birth..not even c-sections so how would it be an OB...
  20. Missouri Salary Poll

    I've been looking into MO and am shocked not only at the pay..but at how little the increase is for experience. I talked to a recruiter today who told me new RN's start at $17.45 and with 1 yr...
  21. patient romance?

    Ditto everyone else. Not only is it NOT your job to stop it...it IS your job to provide them privacy IMO. If they are both alert and oriented and consenting...then it's not your place to stop
  22. IV catheter gauge for rehydration patient

    Whatever you can get in..though I doubt that's the "right" answer. A LOL who is dehydrated often = difficult stick. Defnately 20 if you can get it in. Often we resort to a 22..but they don't last as...
  23. Want to quit my job, help please!!

    You're always going to have pt's/residents that don't like you. It just happens. Move past it. When I was an aid I had a resident that brought me to tears more than once. I had been a CNA for 5...
  24. My son was denied health insurance!!!!!

    It's a difficult situation, but honestly...I think MORE insurance companies should deny based on weight. MANY pre-existing conditions can't be helped. I don't think these people should be denied-...
  25. Illegal to call yourself 'nurse'?

    Because I don't know CA laws. If she's claiming to be a nurse...then I'd say yes report her. I don't know the gist of the show. But- you said they stated she was NOT one, but that it was her...