shiccy

shiccy

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All Content by shiccy

  1. PTO - how much do you get at your hospital?

    We get 6 hours every 2 weeks and it increases with time. We also have a cap on how many hours of PTO we can have, but we are also able to cash it out at 40 hours at a time twice a year if we aren't...
  2. Lowest BP?

    I'd be freaking out at this point haha I've seen asymptomatic 63/34 --> Chronic pain patient after she finally got pain relieved enough to
  3. In many states it is illegal to discriminate for a preexisting medical condition unless it will completely interfere with your job expectations. I've never heard of an employer pulling an offer off...
  4. We no longer triage

    That sounds horrible! What happens in a case of all rooms being filled & a chest pain comes
  5. Do doctors really yell at you, and get away with it?

    All but two MD's and a few residents every MD is at least cordial on the phone (I work nights) when you call them for patient issues. It's actually really funny this topic came up because I just had...
  6. Letter of Recommendation, signed or not?

    If they have enough time to do a letter of recommendation they will usually be very willing to sign
  7. Bilateral Lower extremity Cellulits?

    The usual thing I see is elevation of extremities and ensuring the extrems are very well moisturized. I have also seen TED hose and/or Jobst stockings (another kind of compression stockings we
  8. Sick now, more than ever,,,,

    Usually r/t stress. I got sick the first year from September to December non-stop, and again from Feb - Sept the one year. I now get the usual illnesses here and
  9. Using wise nursing judgment with narcotic administration

    I actually just did a VERY interesting CEU on pain management in the chronic pain patient. If you want to PM me w/ your e-mail I'll send you guys the PDF. It's from a site called Advance Nursing and...
  10. Ok to write a dx when taking order from physician?

    I know that in our facility if an order for a diagnostic test is not written in a certain way then it will not be billed through insurance. If it's documented that the patient is admitted for BLE...
  11. RN ethical dilemma

    It's just like smoking or anything else that you have in your career. You know that your ed is PROBABLY not going to change their minds. When I go in to a person that smokes or is an alcoholic, I...
  12. Wrist Fracture question

    put it on some pillows to bring it to head level. keeps bad spirits away from the swelling. also decreases possible vascular / neuro issues from said
  13. Alternatively you can search on google. There will *always* be labs you have NO idea what they're for. Google to the rescue! Just type the lab into google and zoom! PS- You have to type in...
  14. Most employers aren't juveniles about their staff moving to new jobs. There's always something that would be a better fit, you know? I, personally, would never put "don't contact" just if *I* were...
  15. Wrist Fracture question

    Please remember folks that when you are doing things in nursing the ABC model is *not* always the definite go-to - the NCLEX review I took taught me that one. As far as what I'd do first, it'd...
  16. was i wrong?

    absolutely NOT wrong to question that. Stuff gets missed ALL the time b/c this question isn't asked enough sometimes! The thing *I* would do differently, however, is to make absolutely sure you don't...
  17. was i wrong?

    In that sort of situation I will call once or twice and if they're OK with it I'll flat out saying, "Obviously you're aware of this, do you want call parameters?" This alleviates them being snarky,...
  18. Do you write up med errors?

    There is another route that is call "ivpb" and it only takes a phone call. Totally incident report worthy. What we tell ppl is we aren't writing the person up but the incident (ours ARE called...
  19. Am I wrong to feel this way?

    yikes she didn't say he was passing! He's family,
  20. Am I wrong to feel this way?

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  21. Those that prefer to work with men

    I personally would like to see where you found that men gossip more than women. I don't really see that myself... Now being more crude? I'll take that. It's comes with the territory (and by territory...
  22. Venoscope II, Veinlight EMS/LED, transilluminators

    No no these ports are something completely different than a PICC or CVC or TLC. These access ports are also called IMPLANTED ports. This is a site that describes them further for you....
  23. Lost it at Work

    I agree with the above. It's not your fault that your place is short staffed. If this is a chronic problem, then they need to hire outside help (be it an agency nurse, per diem help, etc). We had a...
  24. Stethoscope - best for the buck

    http://www.allheart.com/2200-16.html?__utma=1.2059120729.1270816669.1270816669.1270816669.1&__utmb=1.1.10.1270816669&__utmc=1&__utmx=-&__utmz=1.1270816669.1.1.utmgclid%3dCP_eiu_Q-aACFcn...
  25. atrovent?