ckc6977

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 just have been the 1st step. Their main purpose in ...

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 watch them start iv's, give meds, chart, perform ...

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

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 noteworthy! There is a hotline where "the powers at...

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 contact, airborne, droplet precautions and it is ...

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 beginning of our shift. This is something typical I would...

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 reviewed medications. Rx given for Metoprolol, Colac...

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 could have been the case as you pointed out). Think a...

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 could have been the case as you pointed out). Think a...

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 like they are convulsing sometimes. Kayexolate, enem...

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 have agreed to work for them in exchange for them p...

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

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 D5NS, D51/2NS.

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 pt?

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 school and the hospital agreed to pay me $7,500 ove...

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 I can see how my post can be misleading to other r...

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 programs have more clinical hour-credits because they are...

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 system, etc. The 2-9 weeks were about fine tuning ski...

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 pregnant. I felt comfortable with him, I wanted to ...

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 to?

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 by 5mg/hr (5ml/hr). Our maximum rate for Cardizem...

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 pt.

We use troponin t (even though troponin i is a better determinant), ck, total ckmb, and myoglobin. The only time I've seen an elevated troponin level is c renal patients.

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 reading tele strips and intepreting dysrhythmias,...

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 too).