GrumpyRN63

GrumpyRN63 ADN, RN

Gyn Onc, OB, L&D, HH/Hospice/Palliative

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All Content by GrumpyRN63

  1. Do you take any stimulants?

    From what I've seen on tv Crystal Meth can keep you up for days if you like, plus the added bonus of weight loss;, on the downside it appears your teeth fall out of your head and you will pick your...
  2. Does hospice home care require OASIS charting?

    OASIS charting is NOT required by Medicare for HOSPICE pts, thank God
  3. Moving to Norwalk CT

    Good thing to live near Yale- I don't know if you mean the hospital or the University- better the former, if she lives around the campus there are lots of cool places to hang out, new martini,piano...
  4. Moving to Norwalk CT

    I think your starting salary should be in the 28-31/hr range, I think most of the surgical units are fine, I would stay away from the medical floors, 5-5, 5-7, 9 wp (med onc), lots of staffing...
  5. Opinions on this job offer?

    I do weekend baylor 10 hr sat/sundays, benies are rated as full time and thus cheaper (baylor benefit) salary is 36/hr non-negotiable , less than I make in the hospital but the weekend gig works for...
  6. New to Hospice starting Monday

    I did 2 weeks organization/computer orientation and then 2-3 part days to shadow visits and a few admissions, because I was hired on weekend baylor the only mandatory part was the 2 wks full time and...
  7. Side rails x 4 and falls

    We aren't allowed ( inpatient hospital) can use upper two, X4 considered a restraint and the pt can harm themselves more if they are up and they climb over
  8. Breastfeeding and painkillers "will it hurt my baby?"

    I agree with CEG , I would question tho Fentanyl and when/where that would be appropriate. The only exception I see pertains to pts who are greastfeeding and then need General Anesthesia for a...
  9. Background Check and Credit check???

    I was hired for HH agency last Jan, had to sign for a criminal background check and credit check, I agree its none of anyone's business, maybe if you give me the job, I can pay the
  10. Do you always have an RN waste narcotics with you?

    My experience is just like racing-mom4, we never witness, just grab someone if they are near while its being pulled out(altho we never actually witness the waste), if not sometimes get someone to sign...
  11. am i missing out?

    OK,let me understand this, You love your job, your pts, your coworkers, are exactly where you wanted to be, are doing lots of skill-based hands on MEANINGFUL CARE, are you missing out??. You BETCHA...
  12. heparin drip mistake! what would you do?

    That is the most insane thing I have ever heard. NS would not ruin the pt's vein, and did not cause the pt to need a central line. I always run heparin alone, but it IS compatible with NS....
  13. Task orented vs. the big picture?

    Getting them to sleep is a priority (not just for you!!) pt's main complaint to days is that they couldn't sleep d/t interuptions from the nurses, noise etc. Sleep is very important to the pts...
  14. Orientation with the Devil

    You started orientation this week and are already questioning is you chose the right profession, RELAX!!! Different people orient differently. Yes ,I agree asking you if you were comfortable with BP's...
  15. IVs

    See if you can start a couple on some willing coworkers with good veins. I always let the newbies stick me. I have great veins and will talk them thru it as they go, plus you'll get that " first time"...
  16. Mistake... What to do differently

    I believe it is up to the Ultrasound dept to follow the stat order.You did your part. If your facility doesn't have a tech at noc, the resident (if you have them) or MD should be the one to call to...
  17. I think you were correct, I only use a non-rebreather when the pt crashes and tanks their 02 sats and its the only way to get them oxygenated. Your pt was sating fine, no need to go crazy, I may have...
  18. My advice was based on the info you provided regarding your strong undergraduate science background,and disdain at insur co's and paperwork. You could probably go thru a PA course quicker than getting...
  19. Intramuscular injections- drawing back

    There is a long thread out there on this subject. Apparently a lot of CI's in nsg school say it is no longer necessary. I disagree, I was taught to always aspirate back, I always will, only takes a...
  20. xpinchx, ever consider going for a PA ?? May be a good road as you can still do a lot of 'doctory' stuff while still making a good living without working 80 hrs a week, the on-call is nil in my...
  21. Ibuprofen & Percocet together?

    Yep, either 400 mg q 4hrs, 600mg q6 hrs or 8oo mg q 8
  22. Ibuprofen & Percocet together?

    I always enc pts to take the motrin ATC esp for the first 4-5 days, and additionally percocet prn- same time is ok. I explain the motrin will help, but as an anti-inflammatory it will also help decr...
  23. Need heparin flush for PICC if...?

    That's how we do it. It gets heparin if not in use period. If intermittently in use, meds, atbx's, etc, we just use saline
  24. What to wear to a job interview

    I always go with a suit , I have a plum colored, below the knee skirt suit and nice shoes but not stilettos. When I have interviewed, the first thing they would comment on was the suit. You can go...
  25. need encouragement

    You need to cut yourself some slack, don't sweat the small stuff. You are human and are going to miss things, I think part of that thought process comes from perfectionistic thinking drilled into us...