Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    Student tried to poison teacher

    How old are these little monsters anyway? Are we talking elementary, middle or high
  2. Chaya

    HUGE mistake in clinical....

    I agree. How is it possible you were sent to do a potentially hazardous (to your pt) procedure with NO preparation as to how this SHOULD have been done safely?! In delegating this task to you, your...
  3. Chaya

    Would you do it all over again?

    Yes, I would. I would trust my gut this time around , do it younger, and take advantage of the variety of opportunities to do critical care, travel nursing, etc. School would have been harder as I was...
  4. Yike!- I can just imagine the "incident report" for that
  5. Chaya

    Wasted Years

    OK, so you can never change the things that you did in the past and that can be a very bitter pill. But you CAN determine for the most part the direction you want your life to go in and how you choose...
  6. Chaya

    Time saving tips for nurses when off work

    Lists, lists and more lists. I'm always having something that I will need to do later occur to me out of the blue so that goes on a generic "running" list. An item for this list gets crossed off as it...
  7. Chaya

    Do you give your 10 AM meds at 8 AM?

    Depends on the meds. In general I would aim to give both at 9 AM if they are given daily or BID. If one is Q4 hr or Q6 I would adhere to that time more strictly and keep the times spread out if...
  8. When possible I will leave the extra supplies just outside a pt's room so they are close at hand if needed without being brought into the pt room. For smaller supplies such as dressing materials I...
  9. Chaya

    Too Smart for Rehab Nursing

    I spent the first years of my career in a free-standing sub-acute rehab hospital. We got virtually everything I later saw in med/surg. Only real difference is now having an OR, Cath lab, CT,MRI etc on...
  10. Who hasn't? (What WAS I thinking?!!!) I just hang tight 'till it passes, as I know it
  11. Chaya

    There's a Mousetrap In My Med Cart

    OK. So. What I keep coming back to is; when TPTB who come up with the number for the time limit in which you need to complete a med pass, how come the other half of the equation never crosses their...
  12. Chaya

    Strange experience yesterday, feedback please...

    What you demonstrated was critical thinking. Numerous options, all with drawbacks, no single clear choice. You considered all the options, then put the patient's welfare first. If the nurse...
  13. Chaya

    Code blue nurse's/ rapid response team

    Directed GI assessment: bowel sounds, palpation, presence of N/V, distention/ firmness, fecal
  14. Never started IV's or placed an NG
  15. Chaya

    unhappy and don't know what to do next

    I'd try to find out how often day positions come up in CC at your hospital. If you switch now, sounds like you'll be happier in your job plus you'll be all settled in before the next big change in...
  16. Chaya

    Your Nurse has not been born yet

    Wow. It's an eye-opener when viewed from that
  17. It is inappropriate for one instructor to make the sweeping generalization that a student is not nursing material and especially in any setting where this can be observed or overheard by fellow...
  18. On our floor the CNA's are responsible for taking vital signs q 4H, bathing and bed changes, measuring and recording Input/ Output (including Foleys, colostomy bags and sometimes surgical drains),...
  19. Chaya

    Evenings vs Days on Med-Surg floors?

    Our ratio is about the same (1:4-5) but the 7P-7A nite people may get an admission bringing them to 6 pts. I don't think there is less work on eves; just the workflow is a little different. The med...
  20. I let just that line of thinking keep me out of this career for the first half of my life. I finally got into nursing thinking I might like it and might be pretty good at it, and it feels right to me....
  21. Chaya

    a first Foley insertion story

    Loved
  22. Chaya

    vancomycin and peripheral iv's

    PICC/ Central line is the preferred route; peripheral is accepted if necessary. Administration via midline is not an acceptable route. Will try to find the source for you; these recommendations came...
  23. Chaya

    Giving Report

    I reserve a section of my "brain" sheet to jot notes for report as I go along throughout the day. I start filling it in as I take report at the beginning if the shift. Does the pt have a PICC? A...
  24. Chaya

    Job Satisfaction

    I mostly enjoy it b/c I never know what the day will bring, only that it will challenge me physically, intellectually and emotionally. (And simetimes I feel a bit apprehensive going in the door-for...
  25. Chaya

    Is this odd to you too?

    I remember seeing a couple of articles over the last year or so concerning ways to make the funeral industry "greener". I don't remember too many of the details but it seems such practices as...