saphyre

I know the placenta is supposed to be checked after delivery to ensure that it is whole. Is it typically obvious if it is not complete? Is there a protocol in place for question of retained placenta?

No, pt's Creat was fine. HH low, PT INR sky high. Pt on Coumadin for Afib at home. Huge belly. There were many things going on with the pt, I was just worried that I did not put the order in properly for the Abd CT scan as the last I heard he was going down for a repeat later that same day.

Pt has no allergies. Md writes an order for Abd CT with PO contrast to R/O obstruction. Would you have both contrasts used in the test? Would it be a problem if IV contrast was not used? Thanks.

I work third shift Med Surg. We can have up to eight. Even if I'm doing charge, I still have 7-8 per night. Fun fun fun.

I love doing 12 hour shifts. I do three in a row and then have the rest of the week to relax. Perfect situation for our family. It just takes some getting used to.

I work 36 and get paid for 40. I was grandfathered into the position and they don't offer it anymore. It's a tough position to find these days.

I do understand both sides of the situation. My biggest issue is that our facility cancels staff. They scrape by with bare minimum coverage and over load us. When I call for extra help, all I hear is "If we had someone to send, we would have already". There seems to be no planning for emergencies or high acuity. While I understand that the ED may be trying to clear pts out, management also needs to understand that they are creating very unsafe situations by going over grid on a floor that is crazy busy to begin with.

Does your facility have a staffing grid? Do they ever disregard it? How do you handle it? Supervisor KNOWS the floor is busy. KNOWS we are short staffed and just keeps pushing admissions. I've filled out unsafe staffing reports and it doesn't seem to make a difference. DON has been notified, no changes made. We were two admissions over grid last night and I left feeling like a rag doll after such a miserable shift. :crying2::crying2::crying2:

Management is aware of it on some level. I know certain situations have been brought to their attention (involving other employees) and not much has been done about it. Maybe written warnings and such. While I personally have not been involved in any blow ups; I can sense a ton of tension and attitude from certain individuals. It's obvious who is a part of the drama club and who isn't and I don't to be involved at all.

Does anyone work with people who have terrible attitudes? Work with staff who are confrontational? My place of employment is getting so toxic that I dread going into work and have started to forward my resume to other establishments. In the meantime, any words of advise on how to deal with these people without adding to the drama?

Our hospital never takes acuity into consideration. I could be doing charge with EIGHT patients to care for, one other nurse (with seven patients of her own to care for) and one CNA. On a recent hectic night when I called management for help, the Nursing Sup said "Well, if I had another nurse to send you, I would have already done so"...! It's pathetic that most complaints from the patients are in relation to slow response to call lights.... I wonder why....

I know at least two people who have ADHD and are wonderful nurses. One worked on a heavy Med-surg floor. I had no idea he had ADHD until it came up in a conversation moths later. He has since gone on to be an ICU nurse. Another nurse I know started off in a nursing home. She figured that having consistency with patients would be a great benefit. The last I heard, she's been there for at least two years and loves her job.

I had a man in his 30's ask "How much would I have to pay you for a sponge bath?"......Very disgusting.:icon_roll:icon_roll:icon_roll He was A+O x3; ambulatory; showered that morning.

Hello, Has anyone ever experienced a vanco infiltration in a peripheral line? If so, how soon did you catch it and how did you treat it? Were there any long lasting problems afterwards? Thanks for any info provided! Saphyre

I am an RN on a crazy busy med surg floor. I usually have 7 or 8 patients and rotate doing charge. I have one other nurse on the floor and one CNA. Staffing has been horrible. Acuity has been high. There are nights where I feel like I'm running around putting out fires non-stop. I work my butt off and leave feeling defeated. I got into med surg right out of nursing school for the experience. Have been there for two long years and am looking for the right opportunity to get out of it.