Sewbusy~RN

Sewbusy~RN

Orthopedics

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All Content by Sewbusy~RN

  1. I feel for you. A while back I had a drug seeker who was angry I diluted and pushed slowly. I made an agreement with her that I would wake her for pain meds through the night. She was getting 2 mg dilaudid IV q 4h. I woke her twice and asked her if...
  2. Medical Charting in Family Practice.

    I don't think there's anything wrong with what you charted. The important thing is to be objective and honest and just state what happened, when it happened and how it happened. It is what will be used in court so it better be as factual and accura...
  3. And the results are in....

    Ouch. Where do you live? I hope its somewhere that pays nurses well!
  4. Ever Think Nursing Might Not Be Enough?

    I agree with what everyone else is saying. Work for a while. Let your "student brain" go and get on with the process of actually learning what it is to be a nurse, which is not taught in school. Let go of all that theory BS and forget about nursin...
  5. Foley Catheter Removal for SCIP Core Measure

    We also put stickers in charts, bright orange labels on the foley bags and on the front of the Kardex. In addition, foley removal is now a nursing judgement where I work, but we don't touch them without an order if it is a neuro or GU patient, and a...
  6. Feeling Flustered

    That's a ridiculous shift schedule, unless they are paying you a ginormous shift differential for working nights AND weekends! It is standard to work every other weekend, maybe less if you've got seniority/work part time or if the hospital has a wee...
  7. Getting blood on your hands

    Well I usually put gloves on immediately when I walk into a patients room, but accidents do happen. I've has urine splash back from a catheter when I was clamping it in to the bag and pushed too hard (gross), I've had a patient projectile vomit on m...
  8. first code

    I have seen a couple and helped out in one. I actually really enjoyed it, that probably sounds callous but I liked how the doc just stood there calmly with her hands in her pockets and told everyone "let's push this, and do that..." and we had plent...
  9. Tips for a good shift!

    1. Keep in mind that nursing is a 24 hour job and you can't and don't have to do everything. 2. At the start of the shift, sit down and write yourself a skeleton schedule; include when you expect to pass pain meds, do dressing changes, pull cathete...
  10. "unlearning" med surg habits?

    I've been trying to get a NICU or Post partum job (transfer) for a few months now, and reading posts on here for inspiration :) I've been a med surg nurse for three years and while I like my job, all I've ever really wanted to do is work with babies ...
  11. We give them six hours too, then bladder scan and call the doc for orders for straight cath or foley.
  12. "unlearning" med surg habits?

    We "scrub the hub" on my unit, and it is taught on all m/s units in the hospital I work at. We also use those Curos to cap off all ports on all central lines.
  13. Full Circle, My First Year of Nursing

    I know this is old but I just found it and it made me cry. Thanks for so perfectly articulating the roller coaster of the first year as an RN, and for reinforcing my reasons for applying to transfer to the NICU.
  14. "unlearning" med surg habits?

    Thanks! Great idea, I'll look up neonatal CEUs tonight!
  15. nurse to patient ratio orthopaedic floor?

    California- 4:1 all shifts, but occasionally take a fifth if were short. At night we have 1 tech and 0-3 aides, depending on the unit census. Days usually has 1-3 CNAs (by census again), a secretary and a tech, plus volunteers are available for rest...
  16. Pregnant New Grad Starting Ortho--Advice?

    I worked through my entire last pregnancy on an ortho unit and it worked out fine. Some shifts were better than others. You have to be willing to ask for help and realize that some people will resent you for it but you have to accept that it's thei...
  17. Has anyone here gotten into nursing school with a 'B' in Anatomy?

    I got a B in Anatomy and I went to nursing school. It depends on where you apply, but in general, I think they look at prerequisite GPA, cumulative GPA, and also how well rounded you are more than individual class grades. Volunteer work, military e...
  18. Is nursing depressing? Would you leave because of that?

    I love my job. I feel like I make great money. I make enough to support my family. Some nights are way harder than others, and yes sometimes I drive home in tears. But at the end of the day, this is a calling and its what I was meant for. Nursin...
  19. white scrubs

    Don't forget, when you wear white, always wear underwear that matches your skin color. Do not, I reapeat, DO NOT wear white lace panties under white scrubs.
  20. Are nurses behind in their knowledge?

    Thats ridiculous. I look up meds if I don't know them BEFORE I give them but I couldn't care less about the stupid eye exam. I want to know what its used for (does it make sense for this patient), normal dosage levels, side effects to watch for, and ...
  21. Job you would NEVER do in nursing....

    Well never say never but.....I really can't stand the OR or ICU. But I like change a lot so who knows.
  22. Why

    word.
  23. Why are doctors so easily manipulated by drug addicts?

    We have a lot of chronic pain patients, and they are often on very high doses of pain meds. This was the highest I've seen. He was totally lucid and waking up to push the button, but I did park myself very close to his room when I was charting, and...
  24. Midnight Shift And The Rest Of The World

    Drives me crazy too. Especially when people say "its just for an hour" and they don't realize its the middle of the night to us. arg. I usually try to get the 0800 appointments when I can, or schedule for my days off because I'm such a wreck if I ...
  25. Job Interview

    Definitely call. Even if you didn't get it at least you'd have an answer and maybe you can get some feedback on what to do differently next time if need be.