Up2nogood RN

Up2nogood RN RN

pulm/cardiology pcu, surgical onc

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All Content by Up2nogood RN

  1. Hospitalists?

    Up2nogood RN replied to YankeeHater's topic in General Nursing

    I've worked in a smaller community hospital where they've had one hospitialist at night and there was usually enough to keep him/her busy with ED admits to the floor (they write orders), pts going...

  2. Bedside reporting

    Up2nogood RN replied to becca001's topic in General Nursing

    We share sensitive info outside the room. I've never encountered a difficult visitor on my unit at report time. We ask the pt and usually it's okay to talk or the visitor will take that time to go get...

  3. How to bring up hospice discussion?

    Up2nogood RN replied to Little_Mouse's topic in General Nursing

    Thankfully our surgeons are not against palliative care and hospice. A lot of the time it will be them to order the referral. But it is not up to me to decide one's quality of life. If we have a...

  4. missing narcs

    Up2nogood RN replied to Medsport's topic in General Nursing

    All narcs should be counted at every change of shift to prevent this from happening. Be

  5. VENT- vacation requests

    Up2nogood RN replied to ProBeeRN's topic in General Nursing

    First come first served. If more than one nurse asks for the same time it goes mainly on who asked first. We have an awesome shift manager who tries to meet all our needs though during hot vacation...

  6. missing narcs

    Up2nogood RN replied to Medsport's topic in General Nursing

    If it wasn't you and you didn't divert anything I would quit stressing on it you're getting caught up too much in facility BS. Maybe it's time for the nurses in your facility to start counting narcs...

  7. Medication Error..total sadface : (

    Up2nogood RN replied to NightNurse876's topic in General Nursing

    Her preceptor brought her the Ativan, maybe if she took it out herself than she would have noticed the dosage. It sounds like she was rushed and feeling pressured. Not a good combination to administer...

  8. Night Shift!!! How do YOU stay awake?

    Up2nogood RN replied to khampl's topic in General Nursing

    I think so, the other major change was not going down to the cafeteria or eating fast food at all. The French fries sure do smell good but gave me such a gut ache afterwards yuck. I think it all comes...

  9. Could this have been a blood transfusion reaction?

    Up2nogood RN replied to 09NewGrad's topic in General Nursing

    Doesn't sound like a transfusion reaction, no SOB? You won't always see SOB and sometimes with a mild temp the doc will continue transfusion until more obvious sx are seen and/or give benadryl and...

  10. Questions about a recent offer (med/surg)

    Up2nogood RN replied to TheCommuter's topic in General Nursing

    It's tempting to get into acute care but that's a sizable decrease in pay plus you'll have an hour drive (round trip) each day you work with a crappy orientation. Sounds like they just need some hot...

  11. Medication Error..total sadface : (

    Up2nogood RN replied to NightNurse876's topic in General Nursing

    Just curious OP, I'm not familiar with Omnicell but is it the same as Pyxis and will only open a drawer when there is an order and pharmacy controls what drawer (meds w diff strengths) open? To have...

  12. Jehovah's Witness nurses in the critical care unit?

    Up2nogood RN replied to asdf88's topic in Critical Care

    Do I work at the only hospital that doesn't put blood on pumps? I wonder if a JW nurse can titrate blood? Thank you Hoozdo for responding some ppl have acted like I'm blowing smoke up their rears when...

  13. Medication Error..total sadface : (

    Up2nogood RN replied to NightNurse876's topic in General Nursing

    It sucks to make an error the 1st time! It's too bad pharmacy didn't order it to be dispensed in 0.5 mg than that wouldn't have happened! I've learned to always take the unopened med to the bedside...

  14. Jehovah's Witness nurses in the critical care unit?

    Up2nogood RN replied to asdf88's topic in Critical Care

    I work nights and never seen anywhere close to 15 people at a code. I would assume that's totally possible at a teaching hospital. Just the other night there was a rapid response and our unit census...

  15. Do I have what it takes? Am I cut out for nursing?

    Up2nogood RN replied to Kenrb27's topic in General Nursing

    You will certainly learn much more before you're expected to be responsible for a human life. Not all things you learn in pre-reqs will be used but a lot of the knowledge is used to be built upon by...

  16. JCAHO requirement? hourly rounds and written report at change of shift?

    Up2nogood RN replied to blackberry's topic in General Nursing

    We use hourly rounding and bedside report for reasons other than JCAHO, press ganey and Magnet have changed our practices more than JCAHO. I have to write a short written report for the charge...

  17. CPNE 2 quick questions

    Up2nogood RN replied to vredsox's topic in Online Distance Learning

    I graduated in 2008 and inquire about your free advising phone calls about the cpne. Make the weekly 30 min appt ahead of time and write down all your questions during the week that have come up or...

  18. What is the least amount you would work for as a RN?

    Up2nogood RN replied to K.Jamison, RN's topic in General Nursing

    Yikes I made $12 per hour back in 1998 as a CNA! I realize the cost of living is a major factor in each area but I wouldn't take less than $30/hr in the region I live in

  19. dealing with confused patients

    Up2nogood RN replied to sprintin08's topic in Geriatric, LTC

    I've made the mistake before of misjudging my pts confusion (a sweet, tiny lol), instead of dialing the police, I dialed our security office (giving them a heads up 1st) and gave her the phone. When...

  20. Magnet - Turnoff For Anyone Else?

    Up2nogood RN replied to PMFB-RN's topic in General Nursing

    Same story here. I worked per diem at our competitors (non magnet) and the work load and conditions were terrible. Everything that the magnet committee has put in place before re-certification stays...

  21. How does BON handle + marijuana screens from nurses in states that have legalized it?

    Up2nogood RN replied to Neveranurseagain's topic in General Nursing

    Medical marijuana is legal in my state but still prohibited by the BON and does not apply to

  22. Jehovah's Witness nurses in the critical care unit?

    Up2nogood RN replied to asdf88's topic in Critical Care

    That should you wrote in your 1st line is the reason I wrote what I

  23. Jehovah's Witness nurses in the critical care unit?

    Up2nogood RN replied to asdf88's topic in Critical Care

    It's a wonderful thought and practice to "do unto others as you would want done to you" theory. I try to behave that way, I would not jump on my co-worker for not believing in starting blood. I would...

  24. Jehovah's Witness nurses in the critical care unit?

    Up2nogood RN replied to asdf88's topic in Critical Care

    Think long and hard about this. Things can go bad, fast. There may be multiple codes on your current unit. I've seen it happen and there never are enough staff to manage them. I'm sure you can see...

  25. Jehovah's Witness nurses in the critical care unit?

    Up2nogood RN replied to asdf88's topic in Critical Care

    For nurses we do a lot for pts that sometimes we do not personally approve of. Prolonging life for a painful pt, drug addicted pts who come in seeking more, parents who don't believe in proper...