rnmi2004

rnmi2004

private duty/home health, med/surg

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All Content by rnmi2004

  1. pacify or orientate? Alzheimers...

    rnmi2004 replied to Lfransis's topic in Geriatric, LTC

    This thread is talking about people who have progressive deterioration due to physical changes in the brain. These people are not going to become "more functionally independent" no matter what...

  2. Med/Surg forever????

    rnmi2004 replied to Beary-nice's topic in Medical-Surgical

    If you've found yourself a niche where you like the job, the co-workers, and *gasp* even the doctors, stay put! Med-surg is an area where you could spend several lifetimes in it, even get certified,...

  3. Every IV in the AC?

    rnmi2004 replied to General E. Speaking, RN's topic in Medical-Surgical

    AC isn't the best spot for long-term use, but try to see it from their point of view. ER is usually a very busy place. Starting in the AC is usually the quickest, surest spot to go; also, certain CTs...

  4. peg feed question?

    rnmi2004 replied to dayshiftnurse's topic in Medical-Surgical

    Does your facility have a standing order/flowsheet type of thing for people on tube feedings? That would tell you what to do if the pt isn't tolerating feedings. The one at my hospital is specific...

  5. Where to Place Telemetry Leads?

    rnmi2004 replied to Navarre's topic in Medical-Surgical

    I second meownsmile's post. The tele boxes will tell you where to put the

  6. I've got a question -Taking BP before giving anti-hypertensives

    rnmi2004 replied to greatshakes's topic in General Nursing

    I don't give anti-hypertensives if I don't have a very recent BP (either my own or a trusted aides.) Our rooms all have manual BPs so I will usually use those. I am all about patient safety....

  7. how many break(s) in your 12 hrs. shift?

    rnmi2004 replied to Sammi15's topic in General Nursing

    I work 12-hr night shift & usually only take my 30 minute lunch. If I can't even squeeze that in I can and will clock out "no lunch" so I get paid for it. We are also supposed to get two...

  8. Jcaho Medication Reconciliation

    rnmi2004 replied to SEOBowhntr's topic in Patient Medications

    We've been doing the med recon process the last few months, and it is driving us crazy. It falls on the nurses to "make it happen." O.K., sure, but last I checked we can't order meds & we can't...

  9. Dealing with Uncaring Professors

    rnmi2004 replied to NiceNurse2b19's topic in General Nursing

    I studied the heck out of "ABC" all through nursing school, including thousands of prep questions, only to get to the NCLEX-RN and get tons of questions on "XYZ." I still passed, though, because part...

  10. is this correct? input please:)

    rnmi2004 replied to sweetieann's topic in General Nursing

    I agree with what the other posters said. Also, MD orders for IV abx (the ones I've seen, anyhow) do not include the rate. The bags come up with a rate on them from pharmacy but it is not an MD...

  11. Deadly Epidural

    rnmi2004 replied to WorkofHeart8's topic in Ob/Gyn

    How awful for this new father to have to go through this and then the hospital is trying to completely deny any responsibility for this woman's

  12. VRE and MRSA screening

    rnmi2004 replied to ragingmomster's topic in Ob/Gyn

    So is infection control stating that patients in all inpt areas are subjected to VRE & MRSA testing, and until results come back negative contact precautions are in place? Sounds expensive to

  13. I didn't get all this education to wipe behinds!

    rnmi2004 replied to SeekingNur's topic in General Nursing

    I will gladly perform ADL/personal hygiene tasks for the pt who needs it if I have time. Unfortunately, I often don't have time for these tasks because of the pt load and charting, charting,...

  14. If you own Danskos did you...

    rnmi2004 replied to RNinRubySlippers's topic in General Nursing

    Sized up & love

  15. Had someone tell me today....

    rnmi2004 replied to Roy Fokker's topic in General Nursing

    Thank you for sharing the good stuff. There are people out there who get what we

  16. Please be nice to medical students

    rnmi2004 replied to cantor2537's topic in General Nursing

    My floor--er, the floor at the hospital that I work at--has a great deal of teamwork. I think one of the ways we reflect that is that the aides say "my nurse," the nurse says "my aide," we introduce...

  17. comments about patient's w/ IV's?

    rnmi2004 replied to johnson0424's topic in Medical-Surgical

    I'd rather be stuck before an emergency situation occurs. The fact that this dialysis pt is on telemetry implies to me that he is at a greater risk of a cardiac event occuring than your average...

  18. Waiving OT during orientation?? HELP

    rnmi2004 replied to Fairlythere's topic in Medical-Surgical

    If you're working OT hours, you should be paid overtime. I don't see a hospital wanting to pay an orientee overtime, though. I wasn't even allowed to work holidays, even if my preceptor was...

  19. wedding rings at work

    rnmi2004 replied to tofutti's topic in General Nursing

    I'm another one that has the plain gold band as a work wedding

  20. NPO and meds

    rnmi2004 replied to RN2B07's topic in Medical-Surgical

    Have you checked your hospital's manual? I was pleasantly surprised to see that in the pages & pages of my facility's P&P manual they have a section to address this. I've been spreading the...

  21. Figuring out how to contact the physician

    rnmi2004 posted a topic in General Nursing

    I work nights on a med-surg floor, and one of the most frustrating aspects of it is when I have to contact a physician. We have several different physician groups & specialties we deal with, and...

  22. ultram

    rnmi2004 replied to Ms.RN's topic in General Nursing

    On a (very rare) slow shift a little while ago, another nurse & I were doing some research trying to figure out if Ultram is an opioid or not. On our floor, it isn't locked in the pyxis, just...

  23. The very, very old and sick who are full code

    rnmi2004 replied to firstyearstudent's topic in General Nursing

    Put it in writing people! We are required to ask every new admit or transfer about advanced directives. I can't even begin to tell you how many people say "Well, my kids know what to do if that ever...

  24. The line between med error and crime?

    rnmi2004 replied to Lisa CCU RN's topic in General Nursing

    ITA with previous posts that talked about intent. If a true med error is committed, it seems that a case could be made that it becomes a crime depending on how the nurse (or any other facility staff)...

  25. Figuring out how to contact the physician

    rnmi2004 replied to rnmi2004's topic in General Nursing

    Thanks! A few months ago, I read in a newsletter that a plan was being formulated to make it easier for staff to figure out how to contact the physician & how...that was months ago & I...