Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    When will people learn NOT to say the "Q" word...

    Chaya replied to OnlybyHisgraceRN's topic in Patient, Colleague Relations

    Oh, yeah-I even feel a little nervous THINKING that word...my husband is so accustomed to this that his parting comment when I leave for work is "Hope it's the "Q"
  2. Chaya

    Being Naked Where I Work: A Nurse With Cancer

    Chaya replied to Ruby Vee's topic in Patient, Colleague Relations

    1) No one can make you" take off" your dignity. 2)Tomorrow is the Avon Walk weekend for Boston- I will keep you in my thoughts. All the best-we know you are a fighter!
  3. Chaya

    Keeping A Written Record Of The Patients You've Had: Good Or Bad?

    Chaya replied to All4NursingRN's topic in HIPAA Challenges

    Def a gray area. In school we had a journal of the patients we cared for which we turned in weekly to the instructor. Pts were identified only by initials, age and gender, ie: E.F., 79 year old...
  4. Chaya

    Madame, your ignorance is astounding

    Chaya replied to PeepnBiscuitsRN's topic in General Nursing

    Exactly. While you clean them you are assessing mental status, pain, skin, movement and GI function. Grab a set of vitals, check pulses and listen to heart and lungs and you've got a pretty thorough...
  5. Chaya

    Fired for a medication error

    Chaya replied to stiches's topic in Nursing Career

    Exactly.A few years back hospitals began to take a less punative approach to med errors and to encourage voluntary disclosure in order to discover where and how in the process errors occur and educate...
  6. Chaya

    What motivates you to go to work every day?

    Chaya replied to NurseLoveJoy88's topic in General Nursing

    Interesting. I wouldn't even let myself THINK that. (Picture the Peanuts character with the little cloud over his head that follws him wherever he goes...). Likewise, I wouldn't even let anyone...
  7. Chaya

    Phasing out alarms?!?

    Chaya replied to al586's topic in Geriatric, LTC

    Mixed feelings on this one. To my thinking, safety concerns beats dignity every time except in very extenuating circumstances. I do realize that frequently the audible alarm means "pt on floor"....
  8. Chaya

    What motivates you to go to work every day?

    Chaya replied to NurseLoveJoy88's topic in General Nursing

    yeah, that; it's hard or impossible to turn off feeling like a nurse , on an almost cellular level. this being said; -my motivation is, i need the health insurance. (i do like to eat and sleep under...
  9. Chaya

    Visitor Etiquette

    Chaya replied to MegEDRN's topic in Patient, Colleague Relations

    I would have been reluctant to, say, sign out a narcotic or something on that level but I don't see how fetching a supplycould be
  10. Chaya

    Admissions during change of shift

    Chaya replied to brokenroads27's topic in General Nursing

    Shift change for us is generally 7:00 with 30 min overlap. Official policy is if the admission arrives after 6:30, the off-going nurse has to get them settled and make sure they are basically stable,...
  11. Chaya

    Will I ever feel confident?

    Chaya replied to Scared GN's topic in General Nursing

    And confidence is a process. I remember after a few months encountering a situations and just having the realization that I knew what to do and that it would work. Good
  12. Chaya

    Any hiring bias towards new male nurse 50 years old?

    Chaya replied to djdietz's topic in General Nursing

    I'm not in wisconsin so I don't know if it"s different out there; in MA you would have serious bias both as a new grad and as over 50. I'm not a guy but as far as I can tell being male has not...
  13. Chaya

    Blood on my hands

    Chaya replied to M.Nurse's topic in General Nursing

    Sounds like you've got the stuff to do the job and she was lucky you were there. As for being given info regarding her condition following the accident as other posters have stated, confidentiality...
  14. Chaya

    Deathbed visions

    Chaya replied to SCRN1's topic in General Nursing

    It may well be a very good sign-for the dying
  15. Chaya

    Do you do venipunctures as a nurse?

    Chaya replied to CassB's topic in General Nursing

    FWIW, I work med/surg at a major metro hosp. We have an IV team. Although the RN's start their own IV's in ER and critical care units, on the floors we are not supposed to unless given specific...
  16. Chaya

    What do you do if you are assigned a patient you know outside of work?

    Chaya replied to cogath's topic in General Nursing

    When this happened to me I asked the Charge and ANM if our facility had any policy regarding this and we did not. They said it was up to me. I asked that my charge RN explain the situation to the...
  17. Chaya

    Nursing Diagnosis...the sacred cow that needs to go.

    Chaya replied to Idaho4me's topic in General Nursing

    More like the sacred
  18. Chaya

    What do I do about nurses who think my job is worthless?

    Chaya replied to onlyj's topic in Patient, Colleague Relations

    Our sitters are all CNA's who do the pt's vital signs, ambulate them, take them to the bathroom and often do at least dome of their personal care. I am always relieved if there is a sitter available...
  19. Chaya

    Morphine dose in vial?

    Chaya posted a topic in General Nursing

    So at both of the places I have worked (Med-Surg settings) the most common dose prescribed for IV morphine is 2 mg. However, it is dispensed in 5 mg vials. This means we need to do a witnessed waste...
  20. Chaya

    I'm glad I listened to my instinct.

    Chaya replied to payang0722's topic in General Nursing

    Comes with experience. I don't think there's anything mystical about it, you are just picking up on s/s that are too subtle to put your finger on at the time, but it alerts you to be extra watchful...
  21. Chaya

    Pathway to (UGH) Excellence?

    Chaya replied to LeeniesMomRN's topic in General Nursing

    Well I'm no sweet young thing and I feel like I've seen the same stale stuff trotted out every few years. Been there, done that. A lot. The hype/ insincere part is what makes it fall flat with me now...
  22. Chaya

    Morphine dose in vial?

    Chaya replied to Chaya's topic in General Nursing

    Thank you all for the feedback. I couldn't believe that no-one makes a 2 mg dose if there is as high a demand for it as I thought there was. According to our pharmacy (and the one at my last job also)...
  23. Chaya

    Pathway to (UGH) Excellence?

    Chaya replied to LeeniesMomRN's topic in General Nursing

    It's all well and good on paper; it would be fine if TPTB would put their money where their mouth was. There's a lot to recommend a more mindful approach to what we're doing but the right approach...
  24. Chaya

    So do you really...

    Chaya replied to LouisVRN's topic in General Nursing

    The paperwork we have to fill out kind of sets the basic framework for me. We have to fill out a flowsheet Q shift that includes a general head-to-toe assessment, skin and vital signs. You at least...
  25. Chaya

    Fired and mad! Need to vent.

    Chaya replied to LUV ALZ's topic in LPN, LVN Corner

    Who was it that fired you? Sounded like the Owner/ Admin was backing you