JRD2002

JRD2002

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All Content by JRD2002

  1. What would ja do?

    You are on a night shift. You have a renal/diabetic patient that is going for surgery tomorrow. A surgeon has seen the patient and evaluated the need for surgery. In this case it is a ulcer on the...
  2. Poll: Hand Washing

    At our facility we have gel sanitizer canisters outside of every patients room. We have signs on the doors that say gel in/gel out and have people doing spot checks that watch employees entering and...
  3. What would ja do?

    I discussed it with the charge nurse and she agreed. Our nursing supervisor was coming in at 0600 and we notified her then. My charge notified the oncoming charge. Since the order was for 0700 I...
  4. Just keep practicing. I find it helps if you work out a system and try to follow it step by step and don't skip around on the body. BTW assessments in practice are usually much more specific...
  5. I would try to stick it out, but then again I am usually so hard-headed that I will stay in bad situations way to long just to try to prove to myself that I can do it. Was the $5,000 a sign on bonus...
  6. I would say two completely different kinds of stress but both are stressful. In my nursing school we constantly had multiple class assignments due and I saw numerous students break down in the middle...
  7. dayturnal and nocturnal!

    Yeah I could never make it on days. I am way to much of a night person. Not to mention that I never even had one daytime clinical in nursing school, so I wouldn't even know where to begin when...
  8. Tricks for putting down NG tubes?

    The drink and the ice were my two suggestions...since you already did that there probably wasn't much more you could do. Every once in a while you just get a difficult patient and it takes a couple...
  9. BSN vs MSN

    I am assuming that you are talking about USD's Master's entry program in nursing. I would not recommend this unless your previous job was in some type of health care setting. I think that it is way...
  10. staffing at night

    Totally understand the 5 o'clock rush. Fortunately we do face-to-face report so I don't have to take time to tape a report. Is there anyway that you could tape report earlier in the night like at...
  11. No you are doomed and you will never get better. Quit now why you still can. Just kidding! Congrats on finishing your fist day. Some words of advice. Things will be tough for a while until you...
  12. That seems a bit much to me. How long are they giving you before you will charge? I think that it would be much better for you to get some experience first before taking on so many responsibilities....
  13. PICC line flushing question

    I am curious to know why you aren't allowed to draw from PICC's for labs when dealing with peds. Maybe it is because of all of the blood that you have to waste before you actually collect a lab...
  14. Nurses malpractice insurance

    I have been with this hospital for 5+ years so I have built up my trust with them. However, that is a good point about the lawsuit being filed after I stop working
  15. Nurses malpractice insurance

    I don't carry any and depending on what facility you work at you might not need any. The hospital I work at pays for all legal fees for its nurses and will stand by them even if it is only the nurse...
  16. PICC line flushing question

    I usually don't aspirate blood unless I am drawing labs. I think most lines are clot because someone has drawn blood from the PICC and not adequately flushed afterwards. I would not aspirate blood...
  17. Is a No Call No show abandonment?

    No call/no shows are not counted as abandonment because the person never assumed care. However it is highly unprofessional and grounds for termination in almost every facility I have worked at. Now...
  18. What's In Your Pocket?

    I keep 5 pens (all identical only 1 works), 2 packs of post it notes, stethoscope, otoscope, scissors, scalpal, wrist watch, wrist restraints, abdominal binder, 1 adult diaper (never know when your...
  19. Help!! New Nurse in Distress..

    The only thing I would worry about starting in ICU is that you won't learn as many effective ways to manage time with multiple patients. ICU is a great experience but when you go to the ER and have...
  20. multiple dosing times

    I would say give the scheduled dose and if pain does not subside give the prn breakthrough dose. Then the scheduled dose again. At this point if the pain is being controlled then only go with the...
  21. Intake calculation

    I think pudding is considered liquid based on the fact that it is mainly comprised of liquid. I guess it just depends what room you put it in. A non-ac room in the Texas summer and it might turn...
  22. What shift to work for a new grad??

    I have always done nights so I really don't have anything to compare it to. I never even had a day time clinical through nursing school. My gut response though is to tell you to do what you think...
  23. "Big Money"

    We make a decent living doing a meaningful job. I wouldn't say that I make big money but I am able to live comfortably on what I make. Sooner or later almost everyone comes to realize that there are...
  24. Intake calculation

    It is considered a fluid. For example, when someone is on a full liquid diet they can have ice cream, yogurt, and pudding. It is true that anything that can be poured at room temperature is...
  25. Just ask if the orientation schedule is supposed to be different from your work schedule and say that you noticed that you are scheduled for every Saturday when you thought that it would be every...