Chaya ASN, RN

Rehab, Med Surg, Home Care

Member
  • Content

    932
  • Visitors

    12,653
  • Followers

    0
  • Likes

    25

All Content by Chaya

  1. Chaya

    common to have a med nurse?

    It would make me very uncomfortable to have anyone else administer all my meds for me (I'm not talking about giving a pain med while I'm at lunch). Communication would have to be so extensive it would...
  2. Chaya

    When will hospitals "go green"?

    This has bothered me a lot too. Unfortunately, with MRSA, C Diff etc rampant I can't see how we can avoid single-use disposables in almost all area of patient care. And it isn't like we're all that...
  3. Chaya

    i'm a RN

    I give them a "time out"! No, really, we have sheets of paper made up to read "Communication notes" across the top that we leave for the docs/ case manager. I give them a sheet, ask them to write down...
  4. Chaya

    Am I the only one?

    Yeah, sounds like my day yesterday. I had worked (3) 12 hour shifts in 4 days. The weekend is usually busy but a little slower than the weekdays. Not this weekend- my last day on was 12 hours of...
  5. Actually a serious loophole here is that if you suffer a catastrophic illness or accident causing you to lose that paycheck and your medical insurance along with it, you will fall between the cracks...
  6. Chaya

    Back to basics

    I would definately recheck manually plus on the other arm if OK to do so, and help pt back into bed. Also if pt asymptomatic would encourage PO fluid intake and retake pressure again in 15-20
  7. I also came into nursing after my experience on the other side of the call light, because of the knowledge, expertise and compassion of the nurses my Mom had during her last illness. In turn, I have...
  8. Chaya

    "The Turn"

    Wow. Had this happen to me while working with another nurse with CC experience. She helped me turn/ reposition my dying pt; he was gone about half an hour later. She said she was thinking "Hmm. I...
  9. Anyone else noticed in the last few years that the expiration dates on foods and meds sold now are considerably shorter than stuff sold a few years back? (Like a few months as opposed to a couple of...
  10. X-Mas bonus? My hospital sent me A LETTER SOLICITING A DONATION!!!:icon_roll (Actually they gave us a pretty useful fleece jacket for Nursing
  11. Chaya

    Patients ordering their own meals

    I'm not that fond of it. We have a pretty fast pt turnover and it's hard for staff to keep track of who orders themself and who needs help, who has already ordered and who needs to be prompted before...
  12. Chaya

    Open Wound Assessment documentation

    -Size of wound -Drainage on old dressing: amount/ color (ie;bloody, sero-sang, purulent)/ odor -appearance of wound bed -tunneling (may need to "sound" it with a sterile swab) -appearance of...
  13. Chaya

    Is Joint Commission more hindrance than help?

    Yep, primo example of where JCHAO goes wrong. Does anyone else find it COUNTERPRODUCTIVE to make the Code Cart less accessible in an emergency??
  14. So sorry for your loss. I hope you will find the peace you
  15. If she is assessing pts in that setting, she should know that it's a given that she will be exposed to all sorts of risks all every day. It's up to her to decide the level of potential risk she is...
  16. Chaya

    Single patient use BP cuffs

    "Nurse on a stick" Never heard that before, but I love it! (You can bet I'm hijacking that term first chance I get!). I'm troubled by use of a common cuff also, same for the common finger probe on the...
  17. I have become more spiritual, in a fashion. I have learned that even giving state of the art medical and nursing care, bringing about healing is never totally guaranteed. There's too much we don't...
  18. This may be totally out of the blue but in my experience , I've had several patients present like that when they came in. I've found if you take a smoker and hospitalize them, they will be generally...
  19. Yep. You might be just sick enough to go into nursing! (Said with
  20. Can't see any rationale for leaving it in and doing so might potentially increase the risk of infection or fibrin being forcefully flushed through by an unsuspecting nurse-out they come where I'm...
  21. Chaya

    inside the mind of a nurse.....

  22. Chaya

    your first....

    It's been years but I still remember-I felt like a total imposter! Like-OMG- people are going to think I'm a NURSE or something...Oh yeah-that's the IDEA! (Apparently that's not an uncommon reaction...
  23. Chaya

    new orders at end of shift

    I will look at the order to see how critical the order is. If this is an order for labs to be done the next AM I leave that for the oncoming RN/ UC to take off but if the Rx is Stat I will at least...
  24. Chaya

    Pulling Meds for Multiple Patients

    I would think the reasoning against pulling meds for multiple pts from the pyxis would be that the pyxis records the time each pt's meds are pulled and it is assumed that the patient then receives...
  25. Chaya

    When being nice comes back to you

    Thank you all for sharing your experiences (sniff, sniff). When my daughter was little and asking if Santa was real I used to tell her that Santa was the spirit of the holiday- the giving spirit. Good...