nursbee04

nursbee04

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All Content by nursbee04

  1. "On your unit, what are your duties as CHARGE NURSE?"

    *GASP* (choking to death on disbelief)
  2. advantages of BSN vs. ADN

    Wow, my unit has no BSNs, that must be why our patients are dropping like flies! That article is SO biased! There are so many things they did not factor into the study, and look at where the...
  3. "On your unit, what are your duties as CHARGE NURSE?"

    how does being in charge impact your shift?? it makes my shift harder. as charge nurse i take a full load of patients. do you feel an extra burden of responsibility? most definitely. some units i...
  4. Forcing nurses to work as aides

    So the nurses are not responsible for knowing transfer techniques or how to use the lifts or other assistive equipment in the facility? I guess because you work LTC and have so many pt's you don't do...
  5. Respiratory assessment question

    try this site breath sounds This isn't the one I was thinking of but it is the first one I found. Click on the different sounds and there is an audio example. Here is something I did as a new grad....
  6. Respiratory assessment question

    Rales sound like little pops to me, rhonchi sounds coorifice and junky (I can't think of something besides junky) . One of my nsg instructors used to say rhonchi sounds kind of like blowing through a...
  7. things I didn't learn in nursing school

    That sometimes you will call a doc with a critical change and he will ignore everything you tell him and decide to do nothing. You can't save every patient. You can't catch everything or fix...
  8. new nurse vent

    Starcandy - I am new nurse too (graduated in May), and I was placed as charge nurse (on nights with a full pt load plus charge) after a month on the floor, so I know how you feel. I cried every...
  9. Change of shift report

    We have a worksheet. It is divided into columns (set up on MS Excel). We do taped report. We also have Kardexes. It is set up like this: Room #, Name, Age, Doc, Code Status, Dx, diet, I/O, V/S...
  10. Oh my... Wanna hear about my night last night? I was the only RN plus three LPN's. We got five admissions. I had a pt I had to call and get a bolus for b/c his BP was bottoming after IVF @ 150 all...
  11. When physician's act up/out

    If I am on the phone and the physician starts screaming and cussing, I very calmly say "I don't have to listen to your verbal harassment. When you feel like you can speak to me in a calm voice, you...
  12. And Now.....What Do You LIKE to Do At Work?

    Love to suction. Nothing like that satisfaction of hearing that airway get cleared. I love it when my patients look at me and say things like "thanks for being so good to me.". Usually it happens...
  13. What do you HATE to do at work?

    I hate getting am FSBS. We have a LOT of diabetics on our floor, and its not unusual for me to have 6-7 FSBS to get before I leave in the am. And our BGM is SO SLOW... It is just so time consuming,...
  14. I always redbag, its the way I was taught in nsg school. Was it the facility or your nsg school that taught you not to redbag all dsg changes? I don't think you are wrong to find that
  15. What is the Role of an RN?

    It depends on where you work. I work third shift on medsurg, and I typically have 6 patients total care, plus I am usually charge nurse at least three nights a week with a full patient load, no...
  16. Our LPN's with 3+ years of experience had to take an IVP course and go thru an orientation and be checked off on each med they push, and there are still a number of meds they can't push, and phenergan...
  17. Our LPN's with 3+ years of experience had to take an IVP course and go thru an orientation and be checked off on each med they push, and there are still a number of meds they can't push, and phenergan...
  18. How to handle cussing nurses?

    Is the crash cart not checked by every shift? Is it not the responsibility of every shift to keep carts restocked? If they are "sitting on their butts" as much as you say, then they don't have...
  19. Just took NCLEX

    Don't get caught up in how many questions you had. I had 75 and I passed. Do something to occupy yourself, keep busy until you get your results. I don't know of a single person that I work...
  20. Just took NCLEX

    Don't get caught up in how many questions you had. I had 75 and I passed. Do something to occupy yourself, keep busy until you get your results. I don't know of a single person that I work...
  21. How does your unit handle new graduates?

    when i started on my unit, i got eight weeks with a preceptor as a extern. i started as soon as i graduated as a gn, then for the last half of my externship i had my rn. i have been an rn since june...
  22. Med-Surg Topic of the Week - Psych Patients

    I totally agree. "I don't want her/him being snowed" is a comment we get a lot. I don't consider sleeping through the night being
  23. Handling new interns

    I am a new nurse and I have the exact same problem when I call for pain meds. If I know I am calling a new doc, say, for a patient with chronic pain who doesn't have PRN's ordered (this happens a...
  24. Med-Surg Topic of the Week - Psych Patients

    Most of our psych patients are elderly confused/combative/wanderers in with MSC's d/t sepsis or UTI. I assess for pain, toileting needs, I give PRN's, I call for orders if they don't have anything,...
  25. Unsafe Nursing

    OMG! I nearly choked when I read that.........It is sad but