Rapheal

Rapheal

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All Content by Rapheal

  1. Vital Signs and Medication

    Rapheal replied to bulletproofbarb's topic in Medical-Surgical

    I do vitals first. If vitals have been done 2 hours before a BP (such as a new, stable admit), I will give the BP med if the value is WNL. As for a doctor who does not want a BP med held for a low...

  2. How Do You Manage To Clock Out On Time?

    Rapheal replied to live4today's topic in General Nursing

    Somedays I seriously wish I was sjoe. If we ALL demanded our breaks and lunches, if we ALL demanded safe ratios, we would get additional help and staffing. We need to somehow unite for our well...

  3. Chinese Proverbs

    Rapheal replied to FranEMTnurse's topic in Nursing Humor

    :chuckle :chuckle :chuckle

  4. Team Nursing Vs. Primary Nsg

    Rapheal replied to NurseGr39's topic in Medical-Surgical

    I will give you my opinion as an RN. If you want this to work and do not want to have alot or errors you will need to supply an adaquate amount of aides and have the floor well stocked with supplies....

  5. Have you ever felt that you have too much work to do for just one nurse

    Rapheal replied to debbie17368's topic in Medical-Surgical

    Please find another job. That ratio is just

  6. skipping class, a hard habit to break

    Rapheal replied to PlanetCaroline's topic in General Students

    Never skipped class. The nursing instructors would hold it against you. The benefit was when applying for nursing positions I was able to say "I had perfect attendance in school so as you can see...

  7. NCLEX "easy" question??

    Rapheal replied to glow_worm's topic in General Nursing

    Yikes!!!!!!!! NCLEX is a monster. All my fellow classmates thought they failed (me included). I had no idea what some of those questions meant. But we all passed. Let us know how you did. I am...

  8. Have you ever given report to the next shift...

    Rapheal replied to askater11's topic in General Nursing

    That type of nurse makes you feel like they think you did nothing all shift. Here is what this nite shift nurse likes on report. Lung sounds Bowel sounds NPO status or dysphagia status IV site(not...

  9. banana bag

    Rapheal replied to EricTAMUCC-BSN's topic in MICU, SICU

    Just hung one for the first time tonight. Loved the song. Follow up with the librium and lactulose

  10. Nurses, do you routinely do beds and baths?

    Rapheal posted a topic in General Nursing

    Do you routinely do beds and baths along with your patient assignment or does your hospital institution provide an aid to deliver this type of care? I am an RN and at my new place of employment, I am...

  11. What is your best tips for new grads starting on med-surg

    Rapheal replied to peaceful2100's topic in Medical-Surgical

    Get report, check charts for new orders, a quick look see at any patient who may not be stable. Administer meds. While administering meds, check IV's foleys, ect. I recommend you get your meds in...

  12. incident reporting

    Rapheal replied to tigger2sassy's topic in General Nursing

    In my state the incident report is protected information that is not admissable in court. If we charted any reference to an IR in nurses notes we would be looking for another job. The rational for...

  13. Nurse is a nurse is a nurse

    Rapheal replied to Dayray's topic in General Nursing

    We have a CNA who tries to pass herself off as a nurse. She has psych issues and has been "talked to" by the nursing supervisor on more than one occasion. She is constantly convincing patients that...

  14. Feeling threatened by your patients

    Rapheal replied to rachel h's topic in General Nursing

    You are young and relatively new. If you seem unsure of yourself some people will see you as an easy target to vent their frustrations on. Loved the earlier example of "the look." I will try that...

  15. Who transcribes med orders?

    Rapheal replied to AHarri66's topic in General Nursing

    The RN who is taking care of the patient the meds are ordered for. Must calculate times. The we fax the order to pharmacy, then we call pharmacy when it has not come up. Then we call pharmacey...

  16. Heavy patients

    Rapheal replied to CVnurse08's topic in General Nursing

    I'm small too. You will be trained in how to protect your back as the other posters have advised. As physical therapy for tips as well. Always get help when needed. I had a 450 pound patient who...

  17. "Force Feed"

    Rapheal replied to ceecel.dee's topic in Patient Safety Issues

    We have a patient who has been in and out of the hospital for months and her condition is deteriorating. She has many psych issues. She had surgery for a partial small bowel obstruction and...

  18. Discharging pts. from hospital...

    Rapheal replied to plumrn's topic in General Nursing

    Wow, we must work at the same place. How about when you get the order for dc, the scripts, and the one thing missing is the doctor's discharge papers and he/she has left the building? Sometimes you...

  19. Discharging pts. from hospital...

    Rapheal replied to plumrn's topic in General Nursing

    Wow, we must work at the same place. How about when you get the order for dc, the scripts, and the one thing missing is the doctor's discharge papers and he/she has left the building? Sometimes you...

  20. A gentle approach to dementia...

    Rapheal replied to nursemouse's topic in General Nursing

    I greet them with a big smile everytime I am in the room. I also try to redirect them if I can. I will question them about something they were talking about before such as "So you lived in Memphis...

  21. A gentle approach to dementia...

    Rapheal replied to nursemouse's topic in General Nursing

    I greet them with a big smile everytime I am in the room. I also try to redirect them if I can. I will question them about something they were talking about before such as "So you lived in Memphis...

  22. "Thats not my patient"

    Rapheal replied to nurse2002's topic in General Nursing

    Sigh, this reminds me of the family of a patient (pt #1)who has been in for over 2 weeks. After responding appropriately, politely, helpfully and getting the patient's nurse when I am not her nurse,...

  23. Nurses, do you routinely do beds and baths?

    Rapheal replied to Rapheal's topic in General Nursing

    So it looks like about slightly more than half of us do routine bed and baths. Thanks so much for the info everybody. This BB is a great resource to see how other institutions( and of course staff)...

  24. Do all surgeons think that they are Gods?

    Rapheal replied to angiebaby's topic in General Nursing

    We have a couple like that where I work at. I just move and get out of the way when they want to review a chart. Seems a shame to me to have that type of attitude. Many really nice people do not...

  25. IV Push Lopressor on a Med-Surg Unit??

    Rapheal replied to LuvMedSurgNsg's topic in Medical-Surgical

    We do it with patient on a