They are all 8 hour shifts and most of the ones offered to me were for afternoon/evening hours. The schedules require you to work every other weekend. They also have some split shifts where you would work half your time in the AM and the other half...
IsisC has good advice...although I wouldn't bother with a head to toe assessment and just do a focused assessment on whatever problem the patient is having. Part of calling the MD is anticipating the outcome of the call. Before calling you should ...
JRD2002 replied to MyUserName,RN's topic in Medications
I am guessing there is no rationale for that order and that the resident misunderstood the directions of his supervisor. Usually when no one can come up with a reason for doing something (nurses, MDs, pharmacists) it is usually because it is wrong.
I am also curious as to how they did it. I assume that since it is a mental health facility that more precautions are taken than most facilities to prevent suicides. I suppose it is a "if there is a will, there is a way" type situations. Sorry you ...
I just finished watching a Frontline documentary called "The Suicide Tourist" which followed a man that was diagnosed with ALS and was seeking assisted suicide in Switzerland. I found it very interesting and learned quite a bit. I was under the imp...
I am aware that this is a very controversial topic but am really just interested in learning more about the subject. I can make up my own mind about the morality of assisted suicide so everyone try to leave your opinions at the door. In the words o...
Can't tell you how many times I have gone into a patients room when they were sleeping and needed to wake them up only to realize I can't remember their name. Usually I try to peek at their name band. At least 50% of the time this scenario ends up ...
JRD2002 replied to firstyearstudent's topic in General Nursing
It is most facilities P&P to change a Foley every 30 days. You gotta get over that fear about talking to jerky doctors especially when it is a safety issue with a patient. Chances are that if a urologist did come and place the Foley he would s...
I hope we never go to bedside reporting but I have been hearing that the main advantage for doing it is to involve the patient more in their care. There was another thread on this recently and they had some good points about some of the challenges ...
JRD2002 replied to firstyearstudent's topic in General Nursing
I would probably have gone ahead and replaced the Foley without talking with the urologist. Just because they had to consult one for Foley placement the last time does not mean that the patient will need a urologist every time it needs to be changed...
It sounds to me that even if you did advocate for your patient more that the hospital administration and the MD would have still discontinued the order. You did the right thing by investigating the medication more to help you make a more informed de...
JRD2002 replied to chacmool's topic in Medications
If it is ordered as an IVP and you give it in a 50mL bag of NS and administer as an IVPB then that is a med error. Is it one that will cause harm...no...but an error none the less. Also agree with not leaving a narc hanging unattended with a patien...
JRD2002 replied to HiThisIsStatLabCLICK's topic in General Nursing
Leaving a tube laying around will not cause hemolysis. I worked for 5+ years in a lab before becoming an RN. It was common practice to draw an extra clot tube. These extra tubes would sit in a rack by my computer and would get used if additional t...
This is my thinking on this subject...say that you gave an IM injection and upon aspiration you had a little blood return. I would think that the chances of the entire dose of medication entering the vein would be very slim if nonexistent since the ...
Thanks for the info! Guess I will go fill out the application...hopefully they don't require a face to face interview in San Antonio...that would be an 8 hr drive for me
I received a mailer from Angel Staffing looking for nurses to administer the H1N1 vaccine. Does anyone have any experience with this company? They are paying considerably more than the other companies I have looked at. Any information would be gre...
If you have been studying like they recommend then watch a movie, go to bed, eat breakfast, take a deep breath and take your exam. If you haven't been studying like they tell you to...best of luck!
My hospital has hired the Studer group for the past 2+ years and instituted rounding probably about 8 months ago. There are negative and positive aspects of the Studer group in my eyes. They are really big on explaing the plan of care and any testi...
I work med/surg and I just love it when a laxative like mag citrate or lactulose is given in ER and during transfer the desired effect is achieved at the worst possible time...