Chaya ASN, RN

Rehab, Med Surg, Home Care

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All Content by Chaya

  1. Chaya

    "What would you do" continued....

    We would clarify the order with the Doc since the daily orders specify
  2. Chaya

    Back Rubs

    I have rarely had the time. One time however I was able togive one to an elderly lady with chronic pain issues who was reluctant to take pain med unless it was almost urged on her. That backrub had...
  3. We try to do the "CYA"-type stuff plus a quick check to see if anything is urgent, like getting a heparin drip going. Typically I'll do a quick head-to-toe assessment, grab a set of vitals and run a...
  4. I was able to observe/ help with post-mortem care one time before I had to be responsible for doing it myself. I also had the opportunity to be with a more experienced RN when a pt first passed so was...
  5. Chaya

    ? For those that use Alaris pumps

    Our policy is we never give blood by pump unless the pt has a central line. Then we adjust it to how long the MD says we have to give it over, with the first 15 minutes at a slower rate to watch for...
  6. Chaya

    Poo on a shoe

    Sounds like Dr. Seuss for nurses: "Poo On A Shoe"
  7. Chaya

    Just wondering

    Just by the way, one of our housekeepers at the place I used to work saved a patient's life by informing me in a timely fashion that this lady, whose room she had been cleaning during her stay,...
  8. Chaya

    Code Status Error - An Ethical Dilemma

    There is nothing you can do to change what happened to this gentleman in the past. However, I believe incidents like these are the moments we should ALWAYS carry with us, in our hearts. Remember it...
  9. Chaya

    Why can't my wife find a job?

    FWIT, when I was hired at the hospital where I currently work I found I had to be extremely persistent if not downright aggressive in initiating follow-ups. I never got a call-back to see where I was...
  10. Chaya

    Is Being Loyal Worth It?

    Make no mistake, it sucks for patients as
  11. Chaya

    Hospital Parking

    Our main staff lot for day shift is about a mile away. There's a shuttle that runs constantly in the AM but less frequently in the evening so it's kind of a pain after a 12 hour shift. It's in a...
  12. Chaya

    Buying old editions of books?

    I did that a time or two. The problem I had was that they might assign a reading or questions to answer by page number and the page numbers in my book did not directly correspond to what was assigned...
  13. Same here; for written notes we enter a correction as "late entry". I also add a small reference in the margin of the original note that says "see late entry" with the date and time of the addenda...
  14. Chaya

    Bad weather and getting to the hospital

    And oh yeah- if you gotta go, make sure you DON'T gotta go. Seriously. As in PEE first, before you get stuck in the car for an unspecified amount of time with no place to pull over.(just a l'il...
  15. Chaya

    This Current Recession!!!

    I predict the trend toward higher acuity will get even worse as more workers lose jobs that provide medical insurance, and others put off routine care until a condition becomes emergent. We will be...
  16. Chaya

    What changes do you think will happen ?

    Just watches an episode of Trapper John which I think ran in the 80's?...a staff member came up to the two docs and told one he was needed to change a dressing and the other that he was needed to put...
  17. I voted "yes" but I would make damn sure I was a frequent presence. I would get to know the nurses and aides, and help my family member myself whenever it wouldn't interfere with the staff. And I...
  18. Chaya

    Common Nursing Themes

    Add to the list: -a large percentage of the nurses I know now talk to themselves. Never did before going intto nursing. -anxiety dreams (a form of the OCD?). Most of the nurses I've asked have had...
  19. Chaya

    AML Leukemia Final Stages

    Sorry you are going through this; I know how rough this must be for all of you. It's probably distressing for your Dad as he is probably aware that this is happening. With my Dad, sometimes I found...
  20. Chaya

    Bright personality required??

    :yeahthat:
  21. Chaya

    Bathroom Inservicing

    We are buried in multiple notices, reminders and all sorts of paperwork galore. I have to ask if TPTB really intend for us to be digesting their words of wisdom while sitting on the throne,but...
  22. Sounds like you should try to get less crazy hours before giving up on nursing altogether. Couldn't you at least cluster the night shifts you do so you do a few in a row and have some consistency?...
  23. Chaya

    Telling it how it is.

    I think of it as giving them a chance to refocus their priorities. They get caught up and overwhelmed with the minutia while we as experienced nurses can see the big picture. Sometimes what they need...
  24. Chaya

    Selling puppies out of a pts room

    Wow-just when I thought I'd heard
  25. Chaya

    your 2cents please

    You might consider acute rehab for the best of both worlds. Patients will stay on the unit long enough for you to get to know them somewhat. The pace will still be hectic, but not as disjointed as...