RN1989

RN1989

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All Content by RN1989

  1. sedation policies vs practice where you are

    RN1989 replied to mosin46's topic in Patient Safety Issues

    You say that you have policies written but no one is following them? Does anyone have a clue that this is big lawsuit material? Obviously you need to implement the policies immediately before someone...

  2. No nurses on floor during report

    RN1989 replied to bethin's topic in Patient Safety Issues

    Report should never take this long. Obviously someone is either talking too long or giving redundant info that can be found on a kardex. You can read the kardex while you are taking report. Report...

  3. Child Maltreatment Questions

    RN1989 replied to ghaleon128's topic in General Nursing

    1. should i report emotional abuse and/or parental neglect as well as physical abuse? yes 2. where should i report it? (i.e how extreme does it have to get before i report it?) if you can see that...

  4. Narcotic Theft

    RN1989 replied to smartass_nurse's topic in Patient Safety Issues

    You need to contact the BON regarding the nurses involved and the state regulatory agency regarding the entire situation. You have an ethical obligation as these people could harm patients due to...

  5. Unit care models, team nursing, input please!

    RN1989 replied to LEA1's topic in Patient Safety Issues

    I do not care for team nursing. When you are passing meds, you need to have assessed that pt. That pt may need a dose of prn lasix but if you have not checked lung sounds or leg edema, you may be...

  6. I need an honest opinion:am I wrong here?

    RN1989 replied to NurseLatteDNP's topic in General Nursing

    The charge nurse should always have a lighter load than other staff. It is prefereable that the charge does not take patients at all due to her patients have a high risk of not being seen for long...

  7. Did I screw up?

    RN1989 replied to jordankreationz's topic in Agency Nurses

    If they really like you, chances are they will not have a problem. I've had this same situation come up on numerous occasions. They usually waited to call me back until after the shift started and...

  8. agency question

    RN1989 replied to nursejllrn's topic in Agency Nurses

    Have only been to a couple of places where they actually gave you orientation on the computer stuff. Depends on the facility and usually how good their overall education program is and also if they...

  9. Diluting IV push

    RN1989 replied to RN2B07's topic in General Nursing

    Do it the way that the hospital policy says. If no policy on it - do it the way your instructor and/or preceptor says. After you are on your own - you learn what best practice is and incorporate it...

  10. Arrrgghhh...Team leaders...managers...schedules....

    RN1989 replied to vamedic4's topic in General Nursing

    Where is this planet that things are done the right way? I want to go if you find

  11. nurse pt ratio

    RN1989 replied to NurseNature's topic in General Nursing

    There is no hard and fast number. It all depends on the acuity of the patient, what kind of ancillary help you have, as well as your own capabilities. Granted - the fewer patient you have is better....

  12. What was I thinking?????

    RN1989 replied to NurseCard's topic in General Nursing

    How are your psych employers going to feel if you return to them full time only to leave them again fairly soon? They may decide that this is cause for a "no rehire" due to being undependable, which...

  13. Do you work w/ a bully?

    RN1989 replied to Vroom's topic in Ob/Gyn

    Welcome back to the club of hospital nursing! If it were me, I'd look at it this way - "I am an NP. I have a ton of education and knowledge that they do not have. So who cares what they think. If...

  14. For those that are looking, this might be interestin

    RN1989 replied to Alibaba's topic in General Nursing

    Ft Duncan has high turnover rate. Have known several nurses to be lured by this and wished they'd never seen the ad once they go there. This place has been offering high salaries/bonuses for more than...

  15. Just started my first nursing Job in a Community Health Center!

    RN1989 replied to pirituba's topic in First Year After Licensure

    When all to other new grads are having so many issues with non-existent orientation and preceptors who don't care or are just plain lousy, I think you lucked out. You have an old school nurse who...

  16. I'm going from Med/Surg to Nursing Home

    RN1989 replied to tonypeggy's topic in First Year After Licensure

    I'm not your preceptor so I can't tailor this super specific. But to me, it sounds like you are a victim of the system. My guess is that when you graduated, you and your fellow students, were not...

  17. Miserable. Is this how it is everywhere?

    RN1989 replied to gearheadfly's topic in First Year After Licensure

    Unfortunately the education budget is usually the first to get slashed when things get tight. The managers are often left to come up with orientation for their own staff. Some managers are educators...

  18. Can you sit for the NCLEX if you're an illegal immigrant?

    RN1989 replied to preciousbaby621's topic in International Nursing

    How does this person think they are going to work? Has she heard of taxes and needing a SS number? Which makes me wonder how she got into school in the first place. She should take her degree and go...

  19. Gifts FOR Patients

    RN1989 replied to EmilyUSFRN's topic in General Nursing

    With these people unable to understand English, plus the fact that this young man is your patient, you walk a fine line between being caring and being an authority figure. This family could easily...

  20. Rapid Response Team for Families

    RN1989 replied to NursingAgainstdaOdds's topic in General Nursing

    I'm sorry but this is a crock. This is just another knee-jerk, stop-gap measure to put a bandaid on a problem instead of identifying the root cause and fixing the problems. What problems? The...

  21. Am I taking too much time before I see pts? HELP!

    RN1989 replied to mrod's topic in Cardiac

    It would wonderful to be able to see ALL the patients labs every shift but it isn't always practical. That is why in time you will learn which ones are the most pertinent to your pt and what...

  22. Charge Nurse already

    RN1989 replied to MelBel's topic in First Year After Licensure

    This is becoming more and more common. It is also dangerous. Start documenting thing that occur each shift, staffing, nurses present, problems, questions, etc. You will need that documentation to...

  23. I HATE my job....what now?

    RN1989 replied to heartlover07's topic in First Year After Licensure

    You have just described at least 90% of nursing units in this country. This is not new and is not only happening to you. You are new. It is going to be harder on you because you don't have years of...

  24. Am I a safe nurse? (LONG)

    RN1989 replied to sleepyjane's topic in First Year After Licensure

    There are things I see wrong from all sides of your story so I'm not going to get into that. I will say - CYA. Chart, chart, chart. So many people put charting low on the priority list, especially...

  25. Help....not sure how to be a nurse.

    RN1989 replied to BetterMeRN's topic in First Year After Licensure

    Everyone feels like that when they get out of nursing school. Are you keeping up with emerging trends by reading nursing magazines until you start your position as a nurse? Make sure that you are...