GrumpyRN63

GrumpyRN63 ADN, RN

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

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All Content by GrumpyRN63

  1. Morphine gtts- end of life

    I don't understand this scenario, he was at home(it seems)?, still getting bloods drawn,? at end of life and 911 was called? was he not a DNR at home to
  2. How many visits?

    I do home hospice/palliative weekend baylor 10 hr shift, see avg of 6 pts, drive 25 miles,but that varies since only 2 of us cover the territory on the weekend, we also share the on-call 'beeper' so...
  3. Childcare for 12 hour overnight shifts

    When I used overnoc babysitters on PM's, I paid them the straight rate @ 10.00/hr for the noc, I figure even tho they can sleep, they are responsible for my kids/house not burning down, and peace of...
  4. Shouldnt I negotiate to be paid more?

    Seems like a lateral move, same
  5. Rotating Shifts??

    Not true where I am, we had quite a few new grads get days off the bat, most work AM/days w/ a rare 'off shift' to an evening, no one on my unit rotates weeks days/nites etc, the "rotate" may be 2 or...
  6. Vacation Time

    We have the same set up, the REALITY is quite different. You usually get 1-2 weeks off as vacation PTO, you will never get 7 weeks off, even without ever using a sick day. You may get a PTO day here...
  7. Nurses Past Their Prime

    hopeful2009, thank you for that most wonderful post
  8. Gatorade in the Elderly

    I think its a good idea, really most of them could use a little extra fluid and elect repletion, are on diuretics, eat poorly, drink little, are losing their electr 2/2 diuretics, and its low in carbs...
  9. Vitamin K administration legal/ethical nightmare!

    [quote=IndigoCarmine;2864614 I support parents right to refusal, too, but they aren't allowed to refuse the K in NYS. That's the problem. So my question is what is the backlash to the parents ?? They...
  10. Versions and C Sections

    My advice is to have her lie on her back w/ her ass propped up with a few pillows and a bag of frozen peas on her belly , 20 min tid, soooo uncomfortable, but hey--worked for me twice--good
  11. Versions and C Sections

    :bowingpur Good Man and Good Luck :cheers: on your new baby
  12. Versions and C Sections

    I personally would never have a version, scares the crap out of me, I had one transverse and one breech both turned on their own @ 38 wks, I have seen women who have undergone multiple C/S's, 5,6 and...
  13. How long are your visits in the home?

    Roughly 1 hr for a f/u visit, 1.5-2.5 hrs for an admission, charting not included, computer charting I do partial in home on return visit and at least 1.5 hrs on an admission, some crisis visits can...
  14. Nurses Past Their Prime

    I don't think age has anything to do with it, there are nurses who are 25 yrs old and are "past their prime" at least where their committment and compassion are concerned, many are burnt right off the...
  15. How long is a spiked IV bag good?

    wow ,i've never seen this in practice, before the days of individually packaged 10cc syringes, we used closed /sterile 10 cc ns vials and drew up into a syringe as needed. that being said, i would...
  16. Treatment for Infiltrated IV's

    You can get a nice temp spike of 101 or higher from a phlebitic IV, usually self-limiting w/ heat, tylenol, but really depending on the site, the solution/osmolality, drugs received, vesicants,...
  17. Treatment for Infiltrated IV's

    I like to give one ice/cold pack immediately, especially if plebitic(for pain/edema), and then change over to warm
  18. A day in the life of this nurse...LONG

    i love it!!! oh my god, yes we have more in common than you will ever know, sorry about your ****** day, but thank you so much for sharing !!! you started my day off, not at your expense per say,...
  19. Too Busy to.....

    :yelclap:
  20. Nursing Burnout...

    I found changing jobs to work. I have worked in the same dept for most of my 20 yrs, finally burnt out last fall, I still stayed at the same dept, love my pts, work and other staff, but couldn't stand...
  21. The psych patient on a tele unit

    Let her sign out or walk out, whatever, If she truly is in his custodial care that would be in the chart, have him sign, or let them walk. No one is forced to stay, OTOH, if she is legally incompetent...
  22. return from maternity leave-help!

    It's like riding a bike, you'll be nervous when you get there, after 2 hours it will feel like you never left, trust me, been there, done that, you'll be just
  23. Strange things found on (or in) a pt.

    OMFG , was it at least a 'baby'
  24. Do you work 36 or 40 hours a week?

    two 10 hr shifts/baylor, full benefits, 20 days off a month
  25. Talking about your day.. Or not..

    I've never cared to discuss my day or noc after work, if my husband or other family asks how it was, it's usually,' good, busy,sucked' pretty general, I only care to talk shop w/other nurses, I mean,...