Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. Neuro Floor Nightmare!

    Up2nogood RN replied to WindyhillBSN's topic in General Nursing

    I'm confused. Did you not know the pts K+ level and thus didnt know about the order or you knew the critical value but couldn't find the chart? If you knew the lab value than you could have paged the...

  2. Advice? Significant Other: "You make too much for what you do."

    Up2nogood RN replied to Coffeebeanie's topic in First Year After Licensure

    My dh began to respect our profession when I started telling him the gritty details and what I have to do. Now he doesn't want to hear any more because i grossed him out. Sometimes lay people forget...

  3. How to teach an experienced nurse

    Up2nogood RN replied to canesdukegirl's topic in General Nursing

    Oh she's been fired.... I was under the assumption she quit d/t new management. That changes things. I think she deserves one more chance and if she doesn't step up, find some way to get over her...

  4. How to teach an experienced nurse

    Up2nogood RN replied to canesdukegirl's topic in General Nursing

    I think it's more than nervousness. If she's experienced and has had more than a few weeks of orientation on this job she has a screw loose if she treats a frightened child like that. The thought that...

  5. Who is working tonight?

    Up2nogood RN replied to Poi Dog's topic in General Nursing

    I miss the Christmas cookies I will be working tonight 1900-0700! It should pay well with time and a half + wknd diff. I may as well go to work since I don't go out on New Years anyway. Woot Woot...

  6. Not paid overtime

    Up2nogood RN replied to raebabelvn's topic in General Nursing

    It sounds like you were hired for 10 hr shifts? Look back at your offer letter, I'm sure there is something stating how overtime is paid that you agreed to. Usually any shift besides 8 hrs there will...

  7. Wet-to-dry dressing question

    Up2nogood RN replied to CharmedJ7's topic in General Nursing

    Sorry I asumed you worked days, I think the suggestion of a moist dressing until the order can be changed is the best thing. Leave a big note on the front of the chart so the doc will see it when he...

  8. Wet-to-dry dressing question

    Up2nogood RN replied to CharmedJ7's topic in General Nursing

    Could you have called the surgeon, given him an update on what the wound looked like and asked if he wanted to change the type of dressing until the wound care team could see the pt (assuming the MD...

  9. Just started my first nursing job in LTC and it is killing me!!!

    Up2nogood RN replied to namazonian's topic in General Nursing

    It is never okay to be spoken to in a derogatory, prejudicial manner with racial slurs. That your ADON stood by and did nothing shows what a poor facility this is. I wouldn't even finish orientation...

  10. Standing orders (Please explain)

    Up2nogood RN replied to ScreamBoxDolly's topic in General Nursing

    In order to use 'standing orders' you must have this signed by the MD, either a paper in the chart or EMR. Don't assume that you can use any set of standing orders just because they exist somewhere...

  11. Frustrated beyond belief!

    Up2nogood RN replied to Vtachy1's topic in General Nursing

    It sounds like a very disorganized office. Are you sure you want to work for a company if they treat you like this? Surely there are other hospice companies that you could look into if this current...

  12. Advice for new grad getting ready to go solo!

    Up2nogood RN replied to iloveny68's topic in Medical-Surgical

    You'll get quicker at doing tasks and this will give you more time to constructively think about what and more importantly why. In the beginning it's easy to be focused mainly at the task at hand but...

  13. How do you keep awake on a slow night shift?

    Up2nogood RN replied to TylerDurdenRN's topic in General Nursing

    Sadly caffeine doesn't work for me anymore. Sometimes I drink it because I like the taste but otherwise I stick to vast quantities of water. For me it seems I have to keep moving unless there is...

  14. *Easy* things I just hate doing

    Up2nogood RN replied to SolaireSolstice's topic in General Nursing

    Oh I detest vitals. That was the only thing I did as a CNA that I didn't like. Oddly enough it was the largest chore that sucked up the biggest amount of my time. To take vitals for 25 pts in a 12 hr...

  15. how do we treat each other?

    Up2nogood RN replied to wiley6coyote's topic in General Nursing

    It is sad that so many people are disengaged, don't even think (or care) of others feelings or how their actions will affect others. I don't socialize with certain co-workers at work (or anyone...

  16. how long was your orientation if you were experienced in that field of nursing?

    Up2nogood RN replied to HappyNurse2005's topic in General Nursing

    Experience in med-surg with 8, 12 hr shifts of orientation in an LTAC. At another per diem position I received 6, 12 hr shifts for another med-surg position at a different

  17. How to deal with Negative Nancys?!

    Up2nogood RN replied to BrandNewbieNurse's topic in General Nursing

    I typically am pleasant to negative Nancies but try to avoid them like the plague. It's too easy to get sucked into their lonely world and it makes for a long night to hear constant whining. There are...

  18. Aides being "nurses"

    Up2nogood RN replied to raebabelvn's topic in General Nursing

    Yes, I was referring to speaking to physicians, I apologize for not being clear. While there are many instances in many states that a cna can have extra training and be delegated tasks that may not...

  19. Aides being "nurses"

    Up2nogood RN replied to raebabelvn's topic in General Nursing

    If you're that bothered by it I would definitely ask exactly what you just

  20. Aides being "nurses"

    Up2nogood RN replied to raebabelvn's topic in General Nursing

    Might not always be right but it's called

  21. Aides being "nurses"

    Up2nogood RN replied to raebabelvn's topic in General Nursing

    I agree, why dont you ask? There were occasions when I was an aide that a nurse would ask me to add volume to a bag of IVF to give her time to hang the next bag without it beeping for 5 minutes....

  22. Advice needed (sorry so long lol)

    Up2nogood RN replied to nicenurselpn's topic in General Nursing

    I would have to agree with the other posts. I also want to ask, does your daughter not have any friends or the FOB who can help her with a ride to the hospital if needed? She made an adult decision...

  23. Ominous physical symptoms

    Up2nogood RN replied to catlvr's topic in General Nursing

    Weeping legs is only an ominous symptom if it's not reported and treated correctly. I've seen many patients with 4+ edematous weeping legs that with treatment make a full recovery. I had a patient...

  24. pharm question

    Up2nogood RN replied to joy1's topic in General Nursing

    Policies vary and where I work we are not to hold a medication based on *nursing judgement* without notifying the MD. If a med has parameters than that's fine but we really can't just hold meds...

  25. pharm question

    Up2nogood RN replied to joy1's topic in General Nursing

    There should be parameters written for that specific patient, if not I would contact the MD before holding a med which is practicing medicine, something as nurses we are not licensed to do, unless...