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Piki's Latest Activity

  1. Piki

    Pyxis - The Ultimate Fomite

    try wetting your finger tip with a drop of water first, almost always works.
  2. Piki

    Contact Isolation

    At any given time we have at least several people in contact isolation on our floor at the hospital. When we do accu-checks, we use the plastic bag that holds the gown as a cover for the accu-check, and then when we are done, we wipe down the meter with antiseptic wipes. As far as inhalers, those would be kept in the patient's room, and their medications are kept in the med room instead of in their locked cabinet in the room. I'm not sure the protocol with a locked med cart, but I'm sure that you could ask someone for help at your SNF. Surely there has to be a routine protocol set in place.
  3. We get enough ISUs and mandatory classes at work to cover the CEU requirements in our state (which is 30 hours to renew every other year)
  4. Piki

    What kind of holiday bonus do you get?

    Nothing! You're lucky to get a bonus!
  5. 1. How long have you been a nurse? 3 years 2. What motivated you to choose nursing as a profession? After being disillusioned in the corporate world in a high paying career, and then being a SAHM to my children, I wanted a job that would offer me part time, flexibility, and a chance to really make a difference in someone's day 3. What branch of nursing did you choose? Med-surg, with emphasis on caring for post surgical patients 4. What is the most rewarding aspect of your job? Really making a difference in someone's day or life, by being compassionate, meeting their needs, and having patients tell me how grateful they were to have me as their nurse 5. What is the least rewarding? Dealing with obnoxious families. And for some reason, it is almost always the adult daughters that are the worst. It's moreso the patient's families that seem to have unrealistic expectations. They don't understand how hospitals function or what the nurses actually do.
  6. Piki

    Took Care of a Patient with MRSA Today

    I cannot count the number of times we've had patients on the floor (we also routinely swab nares for MRSA upon admission/discharge) that have ended up having MRSA, or C-Diff after being on the floor for a few days. After everyone from staff and visitors have been in/out of that room. I honestly don't worry about it. As long as you are using common sense and precautions such as gloves when needed (such as you mentioned, while emptying a foley) there's no big worry. We had a patient on the floor that had been there for weeks that ended up finally contracting MRSA in her urine and then was put into precautions. What kills me more is the visitors that come in and out of the rooms and don't glove/gown up OR even worse, come out to the nursing station in their gowns and glove and lean all over the counter. We are always reinforcing/educating the visitors. I often tell patients that end up testing + for MRSA that they could have just as likely contracted it at Wal-Mart from a shopping cart. It's all around.
  7. Piki

    Health Care Bill

    Re: the "letter" from Dr Stephen Frazer, here it is on snopes.com http://www.snopes.com/politics/soapbox/frazer.asp
  8. Piki

    Largest med pass

    wow, that's an early time of day to be passing so many meds. Here our daily meds are typically ordered at 0900 and 2100. Usually more a.m. meds. Certain meds are given @ 0730, such as protonix, coreg, insulins. Even with our big daily med pass @ 9 a.m. it is sometimes hard to get all your pt's meds passed on time (by 10 a.m.). The hospital where I did many student clinicals, the daily med pass was 8 a.m. I don't know how anyone could possibly get report, check vitals, and assess all their patients and give the meds by 8 a.m. That's just nuts! Another hospital I did clinicals at, their daily med pass was 10 a.m. which was more realistic.
  9. Piki

    You know you're Old School when...

    I'm not old school (been an RN only 3 years) but we still do 3 glass cycles on our post TURPs or prostate surgery patients. I've also used granulex spray, so it can't be totally old school. It's the stuff that's sticky, brown and smells sweet. Comes in an aerosol can.
  10. Piki

    IV piggyback

    Protocol at our hospital is that larger bags of IV antibiotics (say 250 cc or higher) can be run as primaries as long as you flush before and after with saline. Smaller bags we will run with a small bag of saline as a flush. Since our floor is post-surgical, we get many patients that get multiple antibiotics or IV protonix daily ... most will still have primary fluids running, but some will not after a day or two. I cannot imagine running each separate antibiotic bag through primary tubing and changing that out each time out of the pump (besides the cost of primary tubing vs the secondary tubing). Protocol has that we change out a NS flush bag q 24 hours, and all tubing q 72 hours.
  11. Why would you want to buy and bring in your own medical equipment? Glucometers every place I've seen have special hospital docking units to download blood sugars into the computer. Every patient here uses the B/P cuff in their room, as mentioned above, using it from patient to patient increases the risk of cross contamination. The only thing I bring in is my stethoscope and scissors, but really, we can use the scissors that come in the sterile packages for suture removal. And several nurses just use the cheap stethoscopes at work that are provided for patients in isolation. I honestly can see no benefit in spending your money on equipment that should be provided by your hospital, and also runs the risk of being damaged or stolen at work.
  12. Piki

    Med/ Surg Patient to Nurse Ratio

    I cannot imagine having 9-12 patients on a med-surg floor! Yikes. I work surgical/tele med-surg, typically on days we get max 5:1 patients, sometimes only 4 (but you know you will get the first admission). Eves it is sometimes 5:1 or 6:1, and nights it is never more than 7:1. We often turnover half the floor in a single day (22 beds), we get a lot of admissions and discharges. Typically there is one aide to 11 patients. Once in a while there is only one aide(one aide only after 7 p.m. thru 7 a.m.).
  13. Ditto except I work on a surgical floor and definitely prefer surgical patients over medical! We do get medical patients as well and of course many surgical patients come with many medical co-morbidities as well. I like post op nursing so much I started picking up prn time in our Outpatient Surgery unit. I'm also thinking about becoming certified in Med-Surg.
  14. Piki

    Wow that was stupid!!

    At our hospital, Respiratory is responsible for putting patients on their Cpap/BiPap and checking to make sure the equipment is working. Glad you called respiratory and no harm was done.
  15. Just to add to the chorus.... No, no, no! You are not too old. I went back to school for my 2nd career in my late 30's and graduated nursing school @ age 41. 34 is young! I thought for sure I'd be one of the oldest in my class - not even close! I'd say I was about average age. There was a group of kids right out of high school, but the majority of our class was over the age of 30. There were a ton of students in their 40's and yep, even 2 50 year olds. It is never too late.
  16. Piki

    How many miles/minutes do you drive to work?

    I'm about 22/23 miles away (depending on which sidestreets I take) - mostly interstate driving though, takes me around 25-30 minutes (depending on stop lights on the sidestreets)