Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Talk about teachable moments. I think I would address a letter to all the clinical staff there and request that it be posted in the break room or shared w. all. I would just state that I had heard the...
  2. Chaya

    Dad just doesn't understand...

    Speaking from experience w. MY family the ONLY time I get to see that look of dawning realization on their faces is after they've had extended personal experience either with their own hospitalization...
  3. Chaya

    Do you do venipunctures as a nurse?

    I was a direct-entry master and I do feel that basic skills were neglected. We were force-fed nursing theory and other pure academic "stuff" but no hands-on phlebotomy, IV starts, or how to place a...
  4. Chaya

    Deathbed visions

    I would guess they are perceiving the painting as some kind of a portal to another
  5. Two comments; First, there are a fair number of times when the nurse's evaluation/ assessment does involve bodily fluids. You might not have to clean up the vomit each time but you may well have to...
  6. Chaya

    Do you bag your bodies naked?

    Deceased is cleaned and a pad placed beneath buttocks. Ankles are secured together , wrists crossed and secured together in front. The body is wrapped in a disposable shroud, then placed in the body...
  7. Chaya

    Did anyone hate nursing school?

    Can't help you with most of the B* you are having to put up with in school-but patient contact time is your opportunity to start thinking like a nurse without any of the scary responsibility. The most...
  8. Chaya

    I got fed up!

    Better to cut loose from a truly horrendous, no-win situation than to lose your license forever. Although I think I would have immediately checked in with my malpractice ins co. to see if there was...
  9. Yes; would have done it earlier and not as a second
  10. Going thru the ED was fundamentally the wrong approach unless he called the surgeon or on-call coverage and was specifically told to report to the ED- in which case the family should make it known on...
  11. Being all things to all people. First and foremost we are the front line and overall coordinater of care for our patients. Yes, I know- the MD orders it- but we see that it gets done. ALL of it from...
  12. Chaya

    Telementry on med/surg floor

    Our Med/ Surg Tele floor has the capacity to monitor all beds although in general not all patients need monitoring at any one time. RN's are responsible fot printing a strip every 12 hr, interpreting...
  13. Chaya

    I failed my nclex-pn on june 19

    Sorry, don't have any concrete suggestions, just wanted to say hang in there. Two of the best floor nurses I ever knew failed their NCLEX the first time thru. Thank goodness they both picked...
  14. I don't take "trading" lightly. Our charges are pretty good about ensuring that the acuity of everyone's assignment is about the same and that the most difficult pts are rotated so that everyone gets...
  15. Chaya

    Comfort Food After a L o n g Shift

    Gotta crunch on something. Peanuts, usually with hummus, crackers and cheese. Then I don't want to go to bed on a full stomach so I end up on allnurses and fall asleep in front of the
  16. Chaya

    Family and PT reactions to male nurses

    In my experience it goes both ways. I've had LOL's that didn't want a male doing anything of a personal nature with them. I also recently had a gentleman who was s/p prostate surgery who wasn't going...
  17. If they are just sounding off I smile and nod...if they are questioning why I need to follow hospital policy, f'rinstance, what it comes down to is that since I am the one on duty assigned to their...
  18. Chaya

    looking for morale booster--kudos program

    My experience has been similar to massrn116. How about if the recognition write-ups were anonymous (even if the identity of the person was more or less known) and you posted them on a...
  19. Chaya

    how to you deal with this?

    Major frustration-ya do wonder what she was thinking you were going to do. (Umm...sorry, my magic wand is in the shop?). You could almost argue her incompetent to make medical decisions for
  20. Just what you did, assuming you were not timid about stressing the importance of it. Just out of curiosity, do you know what did happen on the next shift? Did the pt end up voiding or consenting to be...
  21. Chaya

    Are You A Type "a" Nurse Or Type "b"

    Interesting take on the situation. As for family dissatisfaction, as an eve shift RN I do find that it is usually between 1600 and 2000 that families are actually in visiting, each expecting you to...
  22. Chaya

    Safe patient hand-off

    Med-Surg/ Tele floor here; we also get change of shift transfers (like arriving at 1845) waaay too often for it to be a coincidence. We are lucky enough on weekdays to have an eve Unit Coordinator to...
  23. An instructor can be as tough and strict as they want as long as their interactions with students are conducted with respect. They shoud NOT be mutually
  24. Chaya

    Do CNA's do ANYTHING other than bedpan work?

    Nosy RN jumping in here. At first,about all you will be able to do is try to keep up with the personal care stuff. However, as this becomes more automatic to you, you will be able to be more observant...
  25. I guess it was random whether you were asked about a good hand-off or a bad one. I was asked about a handoff as the off-going nurse when I thought I did a good job (handing off). For me, the best...