jnrsmommy

jnrsmommy

LTC/Rehab,Med/Surg, OB/GYN, Ortho, Neuro

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All Content by jnrsmommy

  1. Why do patients..??

    My favorites are the ones that have either slept all night and tell the doc the next day "I couldn't sleep at all last night" or the ones that you've been in the room upteen million times and tell the...
  2. What is the longest long day anyone works???

    Hurricane Rita. Clocked in 1700 Fri evening (already in OT at this point), and did not clock out again until 9 days later when I got to "officially" leave the hospital and return home. They paid us OT...
  3. "Cancel Remove" function on PYXIS Machine

    While one usually thinks of diverting drugs pertains to narcs only, diverting is diverting. If it's not on the pt profile/order, and you're pulling meds to give to a pt, you're practicing...
  4. Do you think we are over regulated?

    I wouldn't mind the paperwork if I had the staffing that went along with properly taking care of my
  5. Any night shifters split the difference?

    I work 10p-6a, 4 on 2 off. After i work my last night, I stay awake all day, become a zombie around 6pm, then go to bed when my kids do at 830pm. I sleep well all night and get up on a normal person...
  6. I never want to hear those words from you again

    I don't believe truer words have ever been
  7. Common LTC no-no's (part vent, part question)

    You guys can still have a narc e-box? Ours was taken away earlier this year "d/t the new FDA
  8. Common LTC no-no's (part vent, part question)

    While a little off topic, I've seen "previous shift not reordering med in time" posted a few times. What ever happens to the pharmacy when you've ordered it, got the confirmation faxes and talked to...
  9. Poll: Do you donate blood?

    I too can't donate d/t living in Germany when I was a kid. However, I did call the national organ registry b/c I was curious about being an organ donor. I was told it did not bar one from donating,...
  10. crossing out MD orders??

    I guess I'm a little confused, are you saying the cross out the actual order, or just on the recap sheet? I know that when I do the recap orders, if the order has been discontinued, I normally...
  11. How to Document

    Make sure to check facility policy regarding use of heat. I've worked in places that we have to have an order for any kind of heat
  12. what do you think of this pain med schedule?

    Not knowing this pt's history, I would say that this order could be ok. That being said, I've learned, if your gut is questioning it, follow-up/clarify
  13. Quirky Habits?

    I am such a procrastinator in my personal life. Will have to tell more about that
  14. LTC- resident in clear distress

    I had a situation similar to this one night. Long story short, pt fell and sustained a compound fx. We called the ambulance first, then called the NP on call. Pt had been gone for over an hour when...
  15. Painful intercourse.

    Per the Terms of Service, that is asking for medical advice, and we can't give you any answers. I do hope that you do find a doctor that can help you. Good luck to
  16. Keeping Glucometers Clean

    Our facility just started using the wipes btwn each pt as well (if I remember correctly, it's from the same company as the machines). Anyhoo, it's to be used btwn pts w/ waiting 2min after wiping...
  17. How do you wear your hair for work?

    My hair is just past my knees, thick and curly, I wear it in a bun while at work. Used to wear a ponytail, but bending over a very involved chest wound doing 45min wound care and pony tail falling in...
  18. New to LTC and charge?

    I am a night shift rehab charge nurse. I can have up to 34 pts at a time. It can be overwhelming, especially the paperwork (I just love medicare charting). My pt population can include: CVA, hips,...
  19. Ow Ow Ow Ow
  20. I'm so not a teacher!

    Also, make a list of all the duties that you perform during your shift, no matter how small the task. I was very bad about just doing some of the smaller tasks w/o really explaining what I'm doing. I...
  21. My patient made my night

    I wasn't having the best of nights last night. The work and pt load itself was fine, but had found out at the beginning of the shift that one of my co-workers was placed in the SICU yesterday and...
  22. question about narcotic dispensing

    What pharmacy do you guys use? Most of the ones I'm familiar with, you can send the narcotic back, but you have to notify them that you have a narcotic pick-up and there is a form that needs to be...
  23. Have you seen one of these?

    Also check the uniform stores. Several where I live carry
  24. Night shifters - are you noctural all the time?

    I've been working night shift for the last 10 years, first couple on 12hrs, rest 8hr. On my days off, where I worked the night before, I will either stay up all day and pass out about 8-9pm, or I take...
  25. Had a urologist that I used to work with, he was very adamant about not pre-testing the balloons. Said that they don't fully collapse back, further increasing the risk for injury/trauma when...