Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    Vent: Recognition from employer

    Chaya replied to tokmom's topic in General Nursing

    Yeah, we have the same program with the cards and all. There is a bulletin board with these things tacked all over it; the people whose names get up there are the ones who are the most perky and...
  2. Chaya

    You know you're Old School when...

    Chaya replied to snoopy29's topic in General Nursing

    We still transfuse blood without a pump unless the pt has a central line. Our old EKG electrodes were fastened to the chest by suction cups that you filled with conductive goop (it was a nice touch if...
  3. Chaya

    Would you take a bullet for your colleague?

    Chaya replied to Katie5's topic in General Nursing

    If a minor mistake I would just rectify it without assigning blame. If major I would approach the person responsible and allow them to take action. "Taking the bullet"as such is actual falsification...
  4. Chaya

    Bedside shift reporting, Do your facilities do it?

    Chaya replied to mappers's topic in General Nursing

    This would be totally inappropriate except where all rooms are private and no family are present. We do report at the nurse's station, then do a quick walk-around into the rooms, introducing the...
  5. Chaya

    Not allowed to SIT during 12 hour shift and MORE

    Chaya replied to katieusa's topic in Medical-Surgical

    Can see your frustration here; this kind of stuff could only work if the patients' time is similarly regulated: Rooms 203-212; toileting only between 9 and 9:30; no longer than 6 minutes in the...
  6. Chaya

    "...Nurses are Doctors SKIVVIES"

    Chaya replied to studentdan's topic in General Nursing

    Well yeah... we do COVER THEIR
  7. Chaya

    Scheduled to work called out due to snow--can I be fired?

    Chaya replied to Wsmith16's topic in General Nursing

    So, what would happen if your car broke down, or you had a wreck on the way in. The point being, you couldn't physicall (safely) get
  8. Chaya

    "Think" about what you say!!!

    Chaya replied to NightOwl0624's topic in General Nursing

    Nah. That's when I tell them "Sometimes nursing is more of an ART than a
  9. Chaya

    NON HEALING stage IV pressure ulcer HELP????

    Chaya replied to NC29mom's topic in Wound, Ostomy, Continence

    I'm not a wound specialist but have seen many, many wounds of all varieties. I would definiately look into a wound vac dressing; I have seen them work miracles with wounds that had had no progression...
  10. Chaya

    "Borrowing" one patient's med for another.

    Chaya replied to Katie5's topic in General Nursing

    This brought a smile to my face. Where I work now it's pretty hard to do and not generally necessary; if we get a new order we need right away we can often enter an "override" order in the med Pyxis...
  11. Chaya

    Nightly chart checks - last 24 hours only or go through ALL orders?

    Chaya replied to Iggy123's topic in General Nursing

    Each shift has to do a shift check of all orders for the 8-12 hours they were there.This means that when the 24 hour check is done, each order has already been checked. Night shift then is re-checking...
  12. Chaya

    I feel like I am working at Walmart...The customer is always right!

    Chaya replied to nlhnurse1982's topic in General Nursing

    Good communication requires that the nurse have enough TIME to allow for a little more involved conversation if the situation warrents. This is what TPTB can't get thru their heads (or budgets, more...
  13. Chaya

    Am I crazy because I love med surg???

    Chaya replied to Born2BWild's topic in General Nursing

    I also love Med/Surg ( it DOES help to be a little crazy). I love it because of the wholistic nature of the field; COPD plus anxiety (sure she's anxious-she can't breathe); undertreated diabetes...
  14. Chaya

    Grr! "Customer Service" Nursing Gone Crazy!

    Chaya replied to KaseyBSN's topic in General Nursing

    Trouble is, if you don't help these "customers" out they walk into the linen room and come out with half the blankets left on the cart that need to supply the whole floor for the rest on the night. Or...
  15. Chaya

    Too Uptight?

    Chaya replied to Vito Andolini's topic in General Nursing

    I would give a med sealed in a blister pack that I scan myself before dispensing. If already opened or already scanned-forget
  16. Chaya

    Where do you wear your stethoscope

    Chaya replied to Sarahjean43's topic in General Nursing

    My neck feel "nek-kid" without my
  17. Chaya

    Measuring blood pressure

    Chaya replied to Moogie's topic in General Nursing

    Have seen some of the home machines used on the forearm. Also, we will not infrequently see a situation where neither arm is ideal for BP,ie; CVA with one-sided weakness and PICC in other arm, or IV...
  18. Chaya

    Do you use Kardexes on your unit?

    Chaya replied to Nacki's topic in General Nursing

    We are moving toward a fully electronic record but still using Kardexes. We have to have 2 signature when taking off an order so there are 2 oppertunities to make sure orders (labs, tx, tests) get...
  19. Chaya

    Vomit is not my friend

    Chaya replied to autumnfaerie's topic in Medical Assistant, CNA/MA

    Oops. Just saw that phlegm is on your list too. Trade for C-Diff poop or a GIB? Good luck...Hang in
  20. Chaya

    Vomit is not my friend

    Chaya replied to autumnfaerie's topic in Medical Assistant, CNA/MA

    There have actually been a few threads about this. Seems almost everyone has a least favorite body fluid, with phlegm and vomit being the lead contenders near as I can tell. (I am with you in the...
  21. Chaya

    Things You'd Like To Tell Visitors . . . . and get away with it

    Chaya replied to Ruby Vee's topic in General Nursing

    Umm...yes, there IS a doctor in the house...but being 8:00 on a weekend night, it is a resident covering his/her department for the whole hospital. We won't hesitate to call the doc for your family...
  22. Chaya

    hawthorne--opinion?

    Chaya replied to 1lollipop's topic in New York Nursing

    In general I thought the show was a huge step in the right direction. JPS is depicted as doing things nurses actually do, and encountering many of the kinds of daily dilemmas we wrestle with. (Like...
  23. Chaya

    hawthorne--opinion?

    Chaya replied to 1lollipop's topic in New York Nursing

    Um...wasn't she shaving the guy? Although don't know why they were prepping for groin access if the problem was with cerebral
  24. Chaya

    I want to know what nurses think about socialized medicine.

    Chaya replied to ratchet41's topic in Activism, Healthcare

    I would like to know where the "cracks" or weaknesses are that people "fall through" in other systems. Like in the US it is not uncommon unless you have a very good financial/ family support system...
  25. Chaya

    For What It's Worth

    Chaya replied to tishirajan's topic in General Nursing

    Thanks! Every so often we need a reminder of why we get up and go to work every day-and every so often a patient/ family member actually NOTICES what it is that we