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Nurse patient ratio
I work on a 23 bed Medical-Oncology floor, our ratios are 6-7 to 1. Most generally the max we have is 6. I agree with the fact that it is "just a number" You could have 4 patients that feel like you have 10. Generally 6 is doable depending on acuity and average experience of staff.
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2yr. Assoc. nurse or BSN nurse? Which is better?
I agree with cannoli........down the road if you want to do management or have career advancement pick the BSN and then you wont have to do it later. I also agree that some BSNs stink and some ADs are exceptional. Good luck.
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DMD Suppositories
I just recently learned of the ABHR suppositories. I work inpt hospice and had never heard of these but my Grandmother recently passed away from liver cancer and she was in hospice at home for about a week before she passed and these suppositories helped her.
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Question on neutropenic precautions
Really you need more info. What is the definition of neutropenia. At our facility it is when the absolute granulocyte count is less than 500. To figure that you need a differential on the CBC. With the information you have supplied I see no reason she couldnt walk in the hall assisted with a mask on. I wouldnt let her shower with an epidural cath. If she has the strength to walk she should. Of course setting limits to where she may walk.
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Board Certification for Med/Surg
I have been Med-Surg certified for almost 10 years now. My current certificate expires in Nov 2004. I, like a few have mentioned, have studies relatively little prior to the test, if any at all. Like said above, you know more than you think. You do it everyday. You are presented with situations and most are multiple choice as to your next best course of action. Its not all multiple choice though. Good luck to everyone.
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What is it about Med-Surg?
Pro med surg here, worked it for the last 15yrs, love it, crap and all. Work it long enough...and you can handle just about anything a pt/doc/manager/secretary/family can dish out.
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I decided to start my career on a Medical-Surgical unit. Looking for advice
Congrats, you made a good choice, I agree with RN-PA she said it well. I have worked Med-Surg 15 years. You can go anywhere and deal with anything with a good med-surg base. You learn alot as Disabled nurse says. Keep your med-surg text and nursing assessment text if you have it for excellent references after you begin your job. Good luck.
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Bonus Pay
we get 50% for anything overtime
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Night Shift Nurse...I Can't Sleep at Night anymore..
I do it out of neccessity, I have 2 young children, work only weekends, so Mondays I sleep a short while so I am not a total crank when they get home from school, and then go to bed and sleep at night and am turned around by Tuesday. So it is worth it to me. Depends on your situation:)
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Night Shift Nurse...I Can't Sleep at Night anymore..
On the day of your first night off, try sleeping only alittle while. I sleep about 4 hours, granted I am quite the zombie until bedtime. But instead of sleeping all day long then trying to turn it around, make yourself either stay up all day or only sleep a few hours then maybe you can get it turned around. Good luck
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What does med/sug. nursing entail?
Started there, stayed there 15 yrs. Love it. Ditto all the above posts
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Double entendres
Oh my gawd! What a hoot! Thanks for the laughs.
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Faking It
:chuckle :rotfl: what a sight that must have been!!!
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Faking It
Had a guy over the weekend, known addict to ms contin. Drug stopped upon admission. Friday nite he started holding the side rail of the bed and jerking it sporadically back and forth. Was able at the time also to hold arm still for b/p and to take a glass of water from me when I medicated him for his "withdrawal from ms contin" which was the reason he was having this "muscle spasm" he called it. Not quite a seizure but same m.o.