BlearnRN

BlearnRN

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All Content by BlearnRN

  1. Changed jobs-Grass not Greener

    So, I took a weekender job at hospital B but still work at hospital A per diem. Hospital A had a weekender job but did not offer it to me/ did not exist until I took hospital B job. B is great but now is becoming somewhat dangerous and is in a state ...
  2. It is hard to ask for help.

    "I should be able to do this. "- I have been telling myself this the last few days on the floor. I realize I am new to the floor, but shouldn't I be picking this up fast. The floor is in the same area that I have been working in, so why am I having t...
  3. seizure questions...help!

    So I have worked with a lot of epilepsy patients. Unfortunately there is no common time for an episode or how long the person is postictal. I think you should ask the doctor what you should do if the person has a seizure. Usually they tell patient if...
  4. So I took on a new job. The biggest thing that I am having a problem with is powerchart. It seems like the system is not as friendly as epic. I have been struggling for the past 3 days with powerchart while working on the floor with a preceptor. The ...
  5. leave or consider staying?

    I have been an RN for about 2 years. I left my last job because I could not do overnights. My current job, which I really like and have been there a year, decided that they would not work with me with getting set hours. the reason why I wanted set ho...
  6. leave or consider staying?

    Thanks all for replying -So my manager sat me down the other day and asked if i would stay if she offered me a position. - I said I would have to see something in writing - she said that she would have the paperwork on monday and asked if i would rec...
  7. Tell them you were hired on as an cardiac ICU nurse and was excited to get an ICU job but however upon arrival for training you realized that it was not a ICU anymore but a tele unit and they were no longer doing cardiac surgeries at the moment becau...
  8. Is any other hospital out there doing this? We have just been told that if you do not have a BSN, your pay will be capped and you cannot be promoted past a certain point. Oh and also the nurses that have been there a million year--they are making th...
  9. Called Off for Low Census!!!

    For the last couple of weeks our pt census on our floor has been low. It sucks, not much to do, low acuity. I did in the beginning welcome the extra day at home and the longer bouts of down time. But now, I am 19 hours short on my next paycheck!!!. I...
  10. Supervisors that gossip!!!

    Ooooo I am sooo mad! I am on FMLA and I had to take some extra time because I got sick. The diagnosis I am going to keep to myself. However, I told my supervisors that needed extra time off and the reason is because of this certain diagnosis. Come to...
  11. So today was my charge class and now I will be in charge on Wed. Baptism by fire, I guess. I questioned my CNC about it and she said "Oh the rest of us will be here to use as a resource" - So it is me flying solo? I was told 2 months ago that there i...
  12. Pyxis in Never wrong?

    So, at the hospital I work at they have pyxis for all meds. They do not do a narcotic count every day. To make a long story short there was a discrepensie.There are 2 missing pills and it is pointing back to me. I told pyxis man that when I got them ...
  13. There is this doctor at my hospital that is anti-foley. A person will only have it two to three days. That would be okay if it were a person who could actually get out of bed to the BR or ask to go to the bathroom. But, he will even dc it on a person...
  14. I made med error, what now?

    That is so annoying. I hate that. It just goes to show that you need to start checking up on the docs and ask them why the pt is getting the med. It sounds like the doc/pharmacist put the order in for the wrong pt. Plus the chart is not always reliab...
  15. Called Off for Low Census!!!

    correction 38 weeks about 9 months - no not on maternity leave yet. working up to the last minute, we do not get paid maternity leave.
  16. Do I need a Bachelors in Nursing?

    A lot of hospitals will pay a certain amount toward your continuing education. Some hospitals that are connected to a University usually will pay all. But you have to work a certain amount of hours, have been there for at least a yr, and at least car...
  17. Do I need a Bachelors in Nursing?

    I already have a BS. I don't have a BSN but an ADN. My thought was I would get a ADN, get a job at a hospital, then when and if I wanted my BSN the hospital I was working at would pay for it - not me. ---4 yr schools are a lot more expensive than com...
  18. Pt with implantable radiation, chemo pt ( unless you get someone else to administer the chemo ( I am not sure if it is excreted in urine or bowel) , don't administer anti-rejection drugs and don't administer avodart, stay away from pt with airborne o...
  19. Opinions please

    Is the surgical unit more of a short stay unit? It sounds like it might be. If that is the case then the pt will stay a short time and will be discharged before the weekend. Is the unit closed down on Saturday, Sunday, Monday or holidays? If the pt h...
  20. So my pt is to be transfered to a on site rehab facility. I notice that her foot is twitching. I ask other nurses that have had this pt if she had been doing this. They say yes, she has spasms and the attending has been in the room when this has happ...
  21. ya, i documented that service was notified via text message of left foot twitching and also that the pt had a history of foot spasms
  22. Good form, proper procedure for reporting

    I would talk to your supervisor . Tell her what you have heard and say that it is really concerning to you. Encourage the nurses that have seen it to go to the super also. I would also tell them that if the situation is not resolved that they need to...
  23. Really stupid med error

    ------By the way - I told my preceptor that I did not feel comfortable giving it IV and that I was just going to wait for the po.------
  24. concept map for left-side hemorrhagic stroke

    This is just a basic outline. Not sure how much detail you need. Signs and symptoms - Tests - Diagnosis- Treatment -Rehabilitation Signs and symptoms for a hemmorhagic stroke - worst headache of the pt life usually, possibly having dizzyness an...
  25. Really stupid med error

    When I was on orientation, I had to give lasix po. Unfortunately, the med was not up from the pharmacy. So, my preceptor told me to give it iv instead and just check off that it was given po. She said that it was not a big deal.---- Basically what I...