Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. Telementry on med/surg floor

    I think we have 8 tele beds on my unit as does the other med surg units in my hospital. We are tele certified after a hospital ekg/rhythm class and the majority of us are ACLS certified (which really...
  2. What would you do?

    Did you sign an offer letter and for what type of position? Sorry she wasted your time and yanked your chain. I've learned the hard way that unless it's in writing I don't take anyone for their word...
  3. I work 3 12's in a hospital where my unit has been overstaffed and we have low census. I have one per diem position at the other major hospital system and another at a LTAC hospital. I enjoy my per...
  4. If I had a dollar every time I heard....

    When can I eat? For the love of god you just had half your guts cut out 12 hrs ago and you're worried about food? When can I get this NG tube out? Well let's see you just put out 800ml in the last...
  5. Do you consider yourself a "highly sensitive person" ?

    Sounds a lot like me! To the OP, don't discourage yourself before you even begin! I scored high on this test too, but I feel that being highly sensitive to patients and their environment is...
  6. Faulted by aides who want help with incontinence care

    I believe it is a team effort BUT at certain times of the shift the nurse and aides have different duties to complete before hand off to the next shift. Delegating to difficult lazy aides can be very...
  7. How often do pain meds cause vomitting?

    What does your supervisor think? Shouldn't you be getting extra support since you're a new grad? I would run it by him/her also to keep them informed and they might also have some advice too. I...
  8. CLEP hard class?

    I did a clep for sociology and English lit and they were both pretty simple. I thought they'd be a lot tougher and studied way more than I needed to. Much better than sitting in a boring
  9. Excelsior Students- how did you pay for it?

    I took out a personal loan, enough for everything like books, airfare, hotel, etc. I have paid it off
  10. Isolation precautions-nurse server question

    it's not very cost effective, we don't put too many supplies in there, but I see a lot of waste
  11. Isolation precautions-nurse server question

    We have to tape our in-room cabinets shut with an iso sticker so nothing is contaminated inside them. For iso pts our volunteers stock those empty flush bins with supplies for iso
  12. Pet peeve

    So I had to float to a resp/tele floor last night and another nurse was trying to be helpful by drawing an am lab from a central line on one of my pts. Without gloves. It was perfect timing as I had...
  13. Pet peeve

    I do remember working as a cna on an alzheimers unit with 3 gloves total for a shift and 3 suppositories due. Oh and they all were incontinent. I don't know why some people are getting so defensive...
  14. what states can a ca LVN work?

    your best bet would be to check with the
  15. How to give report?

    We use SBARR, the last R for readback on the rare occasion we take an order from a physician. We also use in bedside shift report, trying to keep it to the brief and to the
  16. How being a CNA effected your nursing career?

    Being a cna can help you immensely if you take the iniative to observe and learn from the nurses you will work with. Remember to stay within your scope of practice though, there are nurses who will...
  17. When an MD returned my page from his car on a Friday night he had his stereo cranked up. So I politely said, 'I'm sorry but I'm having a hard time hearing you over your stereo (hint, hint)' he...
  18. Is it ok for the nurse to recommend OTC drugs to a patient?

    I would have your client refer to their physician. You can always encourage increasing water and fiber intake
  19. is working in the hospital really easier than LTC???

    Grandmas and grandpas are in the hospital too and generally much sicker (obviously) than in ltc. You can also have a 20 yr old walkie talkie that thinks they're dying just from a lap appy. I've worked...
  20. For all of those on Medicaid

    You know what? I usually do check what type of insurance my pt has. Why? Because usually my patients have some type of cancer and they may be in need of extra resources and support after
  21. Fed up with Stupid Parents

    What really gets me hot is when sometimes these parents on state/government insurance programs could afford insurance for their children if they didn't spend their $$ on...
  22. Shortening report on an ICU step-down unit

    I'm not on a step down unit but we have don't have a general report. Our assignments are made by the previous charge and they do try to keep continuity of care and make sure the post ops are spread...
  23. A new grad must also keep in mind that many pay offers are non negotiable. If it's a union job then you'll be shown the door if the pay isn't considered 'enough' Oh and p.s. To LaynaER- new grad BSN's...
  24. My Job Search

    What
  25. Our clinical ladder is something you have to apply for. You cannot get past the 3rd step without a BSN. After you create your portfolio full of exemplars, committee contributions, and other bs it goes...