RN1989

RN1989

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All Content by RN1989

  1. Groin Prep for a Cardiac Cath

    RN1989 replied to heartfixx2's topic in General Nursing

    Aseptic technique is the same for an IV site, a groin site, or a "real" operative site. A cath site is considered an operative site. Fanning or blowing is not cool no matter what. You may be able to...

  2. LPNs Supervising RNs

    RN1989 replied to aloha551's topic in Geriatric, LTC

    Aloha, Things have not changed since you left nursing. The RN continues to be responsible for the care. Many LTC facilities place LPNs in leadership positions to save money. As an RN going into a...

  3. LPNs Supervising RNs

    RN1989 replied to aloha551's topic in Geriatric, LTC

    Staffing decisions are made to guarantee that appropriate staffing patterns exist to ensure patient safety and quality patient care. Changes in clinical practice, patient needs, and financial...

  4. profore question

    RN1989 replied to sphinx's topic in Wound, Ostomy, Continence

    As long as you have been having these issues, it may be time to consider more palliative treatment as a more cost-effective measure for someone that is unlikely to achieve the level of decrease in...

  5. Groin Prep for a Cardiac Cath

    RN1989 replied to heartfixx2's topic in General Nursing

    No. Changing to a faster dry formulation has helped to address this issue in several facilities that I have worked

  6. The Slipshot Nurse

    RN1989 replied to Tait's topic in General Nursing

    This is not your responsiblity. Your manager should be speaking privately with this nurse and coming up with an action plan to address the issues. It is the manager's responsibility to ensure that...

  7. termination

    RN1989 replied to susan5864's topic in General Nursing

    I am wondering about you saying that you went to work to see another employee. Are you saying that you went to work to visit someone but weren't actually scheduled to work? If this is so, this is...

  8. Why the Customer Service emphasis?

    RN1989 replied to SoundofMusic's topic in General Nursing

    Shelly, having been on that side myself, I totally understand. I however cannot "not" be a nurse and keep quiet about it. I don't bust out and tell the staff but they usually figure it out. I also...

  9. Why the Customer Service emphasis?

    RN1989 replied to SoundofMusic's topic in General Nursing

    People ARE much more demanding and even rude about it. They are also frequently wrong about the entire situation that they are being ugly about. They get their info from TV and have no idea the...

  10. Nursing students and nudity

    RN1989 replied to halenlainecole's topic in LPN, LVN Corner

    We wore our swimsuits for bathing. No breast or genital bathing but everything else was fair game. And then our classmates had to change the sheets with us in the bed until they got it

  11. Why the Customer Service emphasis?

    RN1989 replied to SoundofMusic's topic in General Nursing

    All of us desire if not expect excellent customer service whenever we interact with others. The problem is that the admin of all the facilities have mis-identified the root cause of the lack (or...

  12. How to ask to go from full time to part time/contingent...

    RN1989 replied to RN1981's topic in General Nursing

    Do not be surprised if this does not go over well. When people start wanting to have one foot in the door and one foot out, they generally start being complainers and refusing to come to mandatory...

  13. Out of State marketing

    RN1989 replied to bairRN's topic in Legal

    If they aren't utilizing LNCs, then this is the perfect place for you to really sell your services. Selling your services to ANY attorney is not that easy. You have a market that is wide open...

  14. No scrubs allowed in psych?

    RN1989 replied to Jedi of Zen's topic in Psychiatric

    Some patients have irrational fears of medical people or people in authority and can react inappropriately or even violently. A person wearing a "uniform" even scrubs could be seen as a threat to...

  15. Conscious Sedation Certification

    RN1989 replied to suzy253's topic in General Nursing

    Me neither. Every facility has always had their own module, test, and check off's so that you did it "their

  16. iv dilaudid

    RN1989 replied to cupcake25's topic in General Nursing

    Do you not have policies set up so that the staff can start their own IV's if you are not available? I've only worked in one facility that thought that an IV team was worth the money but we did have...

  17. loneliness and isolation - that agency nurse

    RN1989 replied to aussiemags's topic in Agency Nurses

    I never let that get to me. Frankly, a hospital is lucky to get me and if I hadn't been sent there, they would have had 12 pts each. I cultivate relationships outside of work so I don't have to feel...

  18. Flooding in Iowa

    RN1989 replied to NeosynephRN's topic in General Nursing

    Definitely thinking about you guys and praying for

  19. Scope of RN license

    RN1989 replied to starbin's topic in Dialysis, Renal, Urology

    The doctor has probably given her protocol orders to give you over the phone to prevent himself from being interrupted so frequently.(not just by you but by everyone since HD patienst are notoriously...

  20. Taking admission orders over the phone.

    RN1989 replied to YippiNurse's topic in Emergency

    Admit orders should be faxed. Too much liability and room for error calling in a page or two of admit

  21. Any advice on how to handle........

    RN1989 replied to LadyJRN1's topic in General Nursing

    If anybody had a hard and fast rule on how to handle this, you wouldn't find this behavior ocurring on such a wide

  22. Tylenol an NSAID?

    RN1989 replied to chenoaspirit's topic in General Nursing

    This pt needs aggressive incentive spirometer use. This will increase his o2 levels, decrease the atalectasis, and decrease the fever. Tylenol in the case would simply have been a comfort

  23. What else is out there?

    RN1989 replied to indiawhitaker's topic in General Nursing

    Go see a guidance

  24. consulting while traveling

    RN1989 replied to SheaOBRN's topic in Legal

    Changing ANY of your contact information is not good business. Even if it is just a fax number. Without a solid contact info that rarely changes, you could be seen as "fly-by-night" and not worth...

  25. $4 prescriptions

    RN1989 replied to woody62's topic in General Nursing

    They do this to recoup their losses. This is why there is a growing trend for people to use multiple pharmacies. They put in their "insurance" meds at one pharmacy and anything that is on a cheap list...