SunnyAndrsn

SunnyAndrsn

LTC/Rehab, Med Surg, Home Care

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All Content by SunnyAndrsn

  1. My Preceptor Hates Me (need advice)

    SunnyAndrsn replied to 09NewGrad's topic in General Nursing

    I'm not sure what it is, but there seems to be a trend. I just started a new job on NOCs in a TCU, and I've been a TCU nurse for almost two years. The medical director of this facility is the...

  2. The Monster: Med/Surg

    SunnyAndrsn replied to caffeineRx's topic in General Nursing

    I agree that the lecture is not that bad, it's the applied knowledge and critical thinking that is challenging. You need to learn *HOW* to think differently. It's fun, but it's

  3. Help! Need advice for my sick husband! his temp is 105!

    SunnyAndrsn replied to nrice28's topic in General Nursing

    Sounds like you need to call your MD

  4. I gave my notice--now I'm on the RADAR

    SunnyAndrsn posted a topic in General Nursing

    I just gave my notice at my curent job--a LTC/TCU. We have 48 LTC beds and 24 TCU. I work all three wings, but mainly the TCU. The last time I worked was Tuesday. I had put my notice in writing and...

  5. I gave my notice--now I'm on the RADAR

    SunnyAndrsn replied to SunnyAndrsn's topic in General Nursing

    What else should I have done? I reported that a new med was ordered, and I ordered it. I also put it on the MAR. What the heck else could I have done? Stayed until it arrived and put it on

  6. Ostomy care question

    SunnyAndrsn replied to AmericanChai's topic in General Nursing

    Agreed. My husband uses an insulin pump, the site is changed q3 days, and even for that we use Skin Prep. We use skin prep on boggy heels/red heels to help provide a small layer of protection. We...

  7. Measuring blood pressure

    SunnyAndrsn replied to Moogie's topic in General Nursing

    I have had to take it on the lower arm of morbidly obese pts. Our largest cuff would not fit on the upper arm, and the pt. knew this. I had also gotten it in report to use the lower arm. If you use...

  8. Colleges spitting out new nurse without any training?

    SunnyAndrsn replied to fulzgold's topic in General Nursing

    Not all of us were able to attempt IVs, but this was what we did too... Lots of hands on care...we were doing blood sugars, foleys, and insulin our first semester. I did a number of TB skin tests my...

  9. Colleges spitting out new nurse without any training?

    SunnyAndrsn replied to fulzgold's topic in General Nursing

    Well, this was more of my experience, during the last two years. LPN 2007, RN

  10. Pre-pulling Medicatons

    SunnyAndrsn replied to skittlebear's topic in General Nursing

    and when do you have time to grab the meds in this situation? i'd rather hand the keys to a coworker and ask them to give a particular pt. meds if they were time critical. or if i have a cna who is...

  11. Pre-pulling Medicatons

    SunnyAndrsn replied to skittlebear's topic in General Nursing

    i have a coworker who is particularly sloppy. she just doesn't get that she has other co-workers who work that wing! pretty much at the start of her shift, she doesn't want to get "caught" without...

  12. Pre-pulling Medicatons

    SunnyAndrsn replied to skittlebear's topic in General Nursing

    Well, for one thing, it's against state regulations. This is something that you would get tagged on during state survey. Second, it really doesn't save that much time. I do not pre-pull any meds,...

  13. the new person on the block !!!!!! HELP

    SunnyAndrsn replied to coffee4metech's topic in General Nursing

    Doesn't sound like much a dream job... It might be the best hospital around from a non-health care provider's POV, but does that matter if it's going to be an environment that's difficult to work in?...

  14. Had first experience of withdrawing pt care, emotionally drained, need some advice!

    SunnyAndrsn replied to shoegalRN's topic in General Nursing

    What a horrible night. I think you did everything possible to debrief, it's simply going to take some time. Add into that your own memories/triggers of your father's loss...well, it's no wonder this...

  15. Education vs Experience

    SunnyAndrsn replied to Airforce1's topic in General Nursing

    I guess I have mixed feelings on this. While I understand the point you're trying to make, having been a nurse for the past two years now (wow, time flies...I joined Allnurses as a student) the...

  16. Mumps Titer Question

    SunnyAndrsn replied to cheska_rn's topic in General Nursing

    I know I had to have titers as well, but they just sent it straight to the school. I honestly don't know what the values are, or if it just said positive. I also have the issue of my childhood MD...

  17. Is long term care that bad? and Long Term Care To Psych

    SunnyAndrsn replied to DA,RN's topic in Geriatric, LTC

    I do think there is a perception that LTC nursing is scraping the bottom of the barrel. Why? Because it's the lowest paying specialty that I'm aware of, and in general, it's not "exciting". The...

  18. Is Tramadol part of your Narc count?

    SunnyAndrsn replied to Alibaba's topic in General Nursing

    no, it's not. No issues with refills, does not require pre-authorization for

  19. Is this common? Would you take this position?

    SunnyAndrsn replied to RNgrrl09's topic in General Nursing

    I never had an offer letter, just we want to offer you the job, can you come in and sign the paper work...starting wage is.... HR had me sign paperwork that included direct deposit information,...

  20. How many of you are on prescription drugs for anxiety, depression, mental health?

    SunnyAndrsn replied to caffeineRx's topic in General Nursing

    I have had three major depressive episodes that I can identify in my adult life. Prior to that, I struggled with compulsive eating/compulsive exercise. I gained a lot of weight in college in my late...

  21. Charting for another nurse

    SunnyAndrsn replied to mominsd's topic in General Nursing

    Shame on that director! Who is above her that you can report her to? Yes, this is playing with fire and you should

  22. PT/INR

    SunnyAndrsn replied to chellelynn25's topic in General Nursing

    I don't see where you missed anything. You assessed pt. after getting the critcal PT/INR, and as you've said--the pt's history tells you he's a walking time bomb. With cirrhosis, there is so much...

  23. Routine Tylenol #3 and PRN administration

    SunnyAndrsn replied to nurse_clown's topic in General Nursing

    OP also stated that other nurses had administered two tabs at a time, which may indicate why the pt. was asking for the PRN on top of the scheduled

  24. Routine Tylenol #3 and PRN administration

    SunnyAndrsn replied to nurse_clown's topic in General Nursing

    yes, of

  25. Routine Tylenol #3 and PRN administration

    SunnyAndrsn replied to nurse_clown's topic in General Nursing

    I checked my drug book, and the max dose is limited by the tylenol--4000mg per day, and 360mg of codeine. Tylenol #3 has 30mg of codeine per tab, and 325mg of tylenol per tab. According to the med...