ckc6977

ckc6977

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All Content by ckc6977

  1. Precepting an incoming 4th semester RN student

    ckc6977 replied to KulRN's topic in First Year After Licensure

    There should be formal meetings to determine the student's goals/objectives, what the expectations are, what the student is allowed to do (with & without your supervision), etc. The offer should...

  2. Being a preceptor means you can sit all day???

    ckc6977 replied to newnurseheadache's topic in General Nursing

    When I precept, I always "make" the orientee watch me the 1st clinical day. (with assessment, asking questions, educating pts, give meds, etc etc etc) On subsequent days, I am attached to their hip. I...

  3. Meds you hate to give....

    ckc6977 replied to UM Review RN's topic in General Nursing

    I concur! We have the same process and it's such a pain, especially if you only have to give 1 unit of

  4. whistle blowing????

    ckc6977 replied to flightnurse2b's topic in General Nursing

    HIPPA HIPPA HIPPA. This is the scenario you see as an orientation example that is so over the top that the "crowd" laughs thinking what idiot would do this?? I'm not about tattle telling but this is...

  5. meal trays + MRSA, C. Dif, or VRE

    ckc6977 replied to psalm51's topic in General Nursing

    We have disposable trays, tableware for all pts that are anything but standard/universal precautions. We just began the procedure where dietary brings the meal tray cart on our floor to those that are...

  6. nsg note

    ckc6977 replied to fatdaddy's topic in General Nursing

    At our hospital we have computerized charting. We have to perform a shift assessment by mostly "clicking boxes" etc. on every body system. We also have to write a "generic" nursing note at the...

  7. didcharge nsg note

    ckc6977 replied to fatdaddy's topic in General Nursing

    My d/c note looks something like this. D/C instructions as follows. Advised pt of no added salt diet c examples of foods to eat/avoid. Explained to pt he may begin driving in 4 days. Discussed and...

  8. I made med error, what now?

    ckc6977 replied to thomask's topic in General Nursing

    I'm sorry this horrible incident occurred to you. BUT we are human. It's happened to EVERY nurse at some point in her career! Learn from it. Realize that you DID NOT kill anyone (even though that...

  9. I made med error, what now?

    ckc6977 replied to thomask's topic in General Nursing

    I'm sorry this horrible incident occurred to you. BUT we are human. It's happened to EVERY nurse at some point in her career! Learn from it. Realize that you DID NOT kill anyone (even though that...

  10. Meds you hate to give....

    ckc6977 replied to UM Review RN's topic in General Nursing

    IV Digoxin, Metoprolol = I hate the fuss off putting up to the bedside monitor. IV Adenosine = it always scares me when the flat line for those few seconds Narcan = I hate watch the shake; it looks...

  11. Tuition reimbursement !?

    ckc6977 replied to Jogirl's topic in General Nursing

    I hope my reply was clear. I was a nursing school student and our parent hospital agreed to pay me back. My school tuition was ~20,000. The hospital will pay me ~21,000 over a 3 year contract that I...

  12. First RN Job Offer=Telemetry=Wisdom Please

    ckc6977 replied to nurseJ88's topic in Cardiac

    Good Luck - and great choice on choosing tele as your 1st RN job!!!

  13. DKA and fluid resuscitation

    ckc6977 replied to GingerSue's topic in Diabetes, Endocrine Nursing

    I concur with the other previous posts. At our facility we begin the pt on NS (usually c K+ supplements added also of course c the insulin gtt). Once the BG levels are = 250, we'll switch the IVF to...

  14. Troponin and CABG

    ckc6977 replied to Tele_Nurse4u's topic in Cardiac

    I agree c the previous poster. Pts should not have + troponis s/p CABG. I've have several pts s/p CABG who have re-infarted. Was there anyone else you could have gone to for further eval of your

  15. Tuition reimbursement !?

    ckc6977 replied to Jogirl's topic in General Nursing

    My Nursing School actually advertised the tuition reimbursement as an agreement to work for 1 of 3 local area hospitals over a 3-year span. My tuition was $4,875 x4 = 19,500. The alliance between my...

  16. BSN - easier job search for new grads?

    ckc6977 replied to bubbly's topic in Diploma, ADN, BSN

    Just to clarify: my generalizations about diploma, ADN, and BSN programs were all based on my experience here (in the RTP area of NC). After re-reading my post, I only prefaced "in my area" once and...

  17. BSN - easier job search for new grads?

    ckc6977 replied to bubbly's topic in Diploma, ADN, BSN

    Personally, I think it depends on the area in which you live. In my area, my DIPLOMA based program is well-known and would probably beat out a ADN or BSN new grad easily. Also, Diploma and ADN...

  18. How were you oriented to your floor?

    ckc6977 replied to hollyberry678's topic in General Nursing

    When I was oriented: Preceptor and I had 2 pts x1 week, then 3, then 4-5. The first week: basic manuering around the floor (clean/soiled hold, where to find "x", how to use MAC system and computer...

  19. Graduating and Pregnant

    ckc6977 replied to Maria22's topic in General Nursing

    I can appreciate the situation you are in. My situation (briefly): took NCLEX in January, started working in February, baby born in September of same year. I CHOSE to tell my potential NM that I was...

  20. Rapid Response Team and Families

    ckc6977 replied to Grumpy's Girl's topic in General Nursing

    We've had a RRT also for +/- 1 year. We do not involve the pt or family member in our process. Some of the criteria that meet a RR is: sustained O2 sats What type of RR's do you respond

  21. titrating cardizem

    ckc6977 replied to ark-two's topic in Cardiac

    We start, titrate and d/c our Cardizem gtts as well. The MD's typically place computerized orders to tell us when to titrate. For example: titrate to HR 110, SBP >/= 100. We usually titrate the gtt...

  22. After cardiac cath

    ckc6977 replied to lever5's topic in CCU, Coronary, Cardiac

    We just switched back to angioseal. It no intervention, pt is on BR for ~2H (max). No sandbags or ice. If increased risk of bleeding then we may increase BR or place a "Femstop" on

  23. new grad in tele

    ckc6977 replied to Leahr's topic in CCU, Coronary, Cardiac

    IMO, tele is a good place to start. You have a little critical care and a little surgical c CABG pts and a little medical (unfortunately). Suggestions: remain engaged in learning. Become proficient in...

  24. Step Down Unit/Telemetry Cardiac Drips

    ckc6977 replied to tanner1334's topic in CCU, Coronary, Cardiac

    On our floor we are able to titrate: NTG, Insulin, Dopamine, Cardizem, Amiodarone gtts. Also, do you care about Integrillin, ReoPro, Heparin gtts? (If so, we do those

  25. Lovenox IV

    ckc6977 replied to Celia M's topic in CCU, Coronary, Cardiac

    Our hospital only uses Lovenox via SC. I find it very interesting it may be given as an IV bolus and will inquire about this c our