nursenatalie

nursenatalie ADN, RN

Surgical

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All Content by nursenatalie

  1. Help me manage 2nd stage, please. New Gr

    nursenatalie replied to SpudID's topic in Ob/Gyn

    Ok, I may not be the one to answer your questions as I am not a L&D nurse. I have, however, precepted many people. Your question "help me manage 2nd stage" seems to be only the tip of the...

  2. Anyone use meditech computer charting?

    nursenatalie posted a topic in General Nursing

    We are beginning the process of switching to the meditech charting system. I am on the committee to facilitate the turnover. We have only had one introductory meeting with a representative from the...

  3. Can you be stuck in OB/GYN if you choose to do it right our of school?

    nursenatalie replied to hurricaden's topic in Ob/Gyn

    No experience in changing fields personally but have worked with others who have done it. It is definately possible. Just remember when you change specialties (if you decide) to do your research....

  4. Greatest code brown stories!

    nursenatalie replied to sweetpea839's topic in General Nursing

    I work on a surgical floor and until recently when an impacted patient came to the ER they would send them to the medical floor, and if they had no beds, to us for disimpaction. Anyway, we have this...

  5. Do you think some people just "dont have what it takes"

    nursenatalie posted a topic in General Nursing

    I am in the process of orienting/precepting a nurse to our surgical floor. This nurse has been a nurse for 10 years, has a masters degree in nursing administration. The first day of orientation he...

  6. Almost fired today

    nursenatalie replied to NP2BE's topic in General Nursing

    ok, we have given you a list of shoulda woulda coulda's. Your reaction from now on will make a difference. Don't wait for the pulmonologist to find you, find him and explain what you are doing to...

  7. Almost fired today

    nursenatalie replied to NP2BE's topic in General Nursing

    After making a mistake like this your first priority should be to find ways to decrease the likelihood that you will make the same or similar mistakes again. If I write an order and transcribe it to...

  8. Uk, Tpa

    nursenatalie replied to EricTAMUCC-BSN's topic in MICU, SICU

    activase, or TPA. Just instill and leave for hour then try to aspirate...ya da ya

  9. Do you think some people just "dont have what it takes"

    nursenatalie replied to nursenatalie's topic in General Nursing

    I am sorry llg but on our floor new grads only get 8 weeks of orientation with preceptor, usually nurses with experience only get 4. (Not saying this is enough but the way it is) Three weeks ago I...

  10. Do you think some people just "dont have what it takes"

    nursenatalie replied to nursenatalie's topic in General Nursing

    Sorry you feel it was inappropriate, but I dont see that he has his eyes set on being a floor nurse and because of his behavior think he has goals of being the

  11. Do you think some people just "dont have what it takes"

    nursenatalie replied to nursenatalie's topic in General Nursing

  12. Do you think some people just "dont have what it takes"

    nursenatalie replied to nursenatalie's topic in General Nursing

    Ideally, a "head nurse" would be able to take an assignment on the floor they manage. Don't you

  13. Do you think some people just "dont have what it takes"

    nursenatalie replied to nursenatalie's topic in General Nursing

    I think it is vital in this case to see if he recognizes that he is having problems. You imply that he does not ... but how does he respond when confronted directly (but kindly) with a mistake such as...

  14. Do you think some people just "dont have what it takes"

    nursenatalie replied to nursenatalie's topic in General Nursing

    I definately think his preference is management, I have warned my nurse manager to look out as I think he has his eyes set on her job. I am continually amazed at his lack of progression. For instance,...

  15. Whats the longest you've had a pt be admitted for?

    nursenatalie replied to HappyNurse2005's topic in General Nursing

    We had a pt for 364 days after gastric bypass. Complications abound, he was back and forth between the surgical floor, telemetry, and

  16. Technique in recharging JP drains

    nursenatalie replied to AKAKatydid's topic in General Nursing

    We actually had a plastic surgeon who wrote in the order "squeeze JP flat!" after finding them squeezed from the bottom. We have a CNA that would squeeze from bottom and it does seem that they fill...

  17. Dual lumen PICC's

    nursenatalie replied to Shelb620's topic in General Nursing

    I have given blood and TPN through a double lumen PICC many times, no ill effects. If there are lipids running at the same time I could see maybe asking about suspending those

  18. help me establish my goals...

    nursenatalie replied to hunny_pye's topic in Medical-Surgical

    You wont be "alone" after your orientation. I work on a surgical floor and we use each other for a resource or second opinion often. Ask your preceptor for feedback all along. Dont be afraid to ask...

  19. Going from school nursing into hospital nursing??

    nursenatalie replied to WDW1971's topic in General Nursing

    I definately recommend a refresher course. It might be different depending on what area of acute care you go to. We had a nurse come to our surgical floor after being a school nurse and even after 6...

  20. IUD's pro's & Con's

    nursenatalie replied to pazza66's topic in Ob/Gyn

    I had an IUD inserted after my first child was born 6 years ago. Had it removed and got pregnant with my second after only 2 months. The insertion was crampy and uncomfortable but not painful. I would...

  21. Public Misconceptions

    nursenatalie replied to annmariern's topic in General Nursing

    I have had many patients ask me if I have gotten much sleep, or call me to the room and say, "I hope I didnt wake

  22. Dopplers on your crash cart?

    nursenatalie replied to Mary MSN RN's topic in MICU, SICU

    Why would a nurse who worked on a surgical floor not be proficient with a doppler? Do you think we wait for the doctor to come in to check doppler only pulses? We have a doppler on each med cart and...

  23. Lawsuit?

    nursenatalie replied to LearningRN's topic in Medical-Surgical

    In my opinion you didnt run it too fast, just faster than prescribed. This being the case the family should have never heard about it. I would have told the doctor, called the pharmacist and ask about...

  24. Epidural drips and Demerol sensitivity

    nursenatalie replied to darcieg's topic in Medical-Surgical

    Our anesthesia docs always order toradol first for breakthrough pain and if that doesnt help then IM demerol. IM doesnt hit them as hard and I have only given it once cause the toradol usually

  25. Present for nurse

    nursenatalie replied to lpnstudentin2010's topic in Medical-Surgical

    I agree, a note definately is the best gift. I appreciate the thank you but it does help to pass it on to administration, they definately get the letters complaining so it is nice to equal things out...