litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. Best way to prepare for 5 pts at start of 12h day?

    What i used to do was document my assessment in the room with the pt. Here goes. get assignment and report check mar and review charts to see whats due any 730 meds or insulins go ahead and take care...
  2. Working for 2 hospitals: How to do it?

    im in 2 dept at the same hosp prn and i am also prn at a long term care facility. its getting dicey as all the schedules seem to come out at the same time and i don't want to spread my self to thin...
  3. Having Problem with Manager

    Yeah check on policy but if they truly want to block you they can always make up something small to counsel on you so then you can't transfer. You might just have to quit and come back. find out for...
  4. What type of degree does your nurse manager have

    Hmmm Sounds like you have enough exp to try for management in that dept. And yes its true you don't need exp in that dept to manage. We had a med surg director who had no med surg exp just l and d...
  5. Just go to the baylor website and fill out the info and a recruiter will call
  6. Getting tired of working 12 hour shifts......

    when i was doing 12 hour shifts they were nice except working the three day weekend. My facility had 84 hour pay periods and they would only let certain people drop to 72. lol thats why im not there...
  7. Blowing IV's - what am I doing wrong?

    Use a 18 or a 20. I know it is daughnting to use a bigger needle but i think the smaller needles have some give to them when trying to get them in. may just be my imagination but i always do better...
  8. IV Dilaudid problem patients!!!!!!!!!!!

    Im sure some of these addicts have pain. If everyone treated all the pts who had a drug hx like this it would be a shame to see where the world goes. Hell today some people see marijuana on the chart...
  9. You did the right thing. If she has a problem with it she can take it up with
  10. what are urgent care clinics?

    yeah same as above but don't forget you don't see a doctor you see a pa or np and after i took my daughter there for pink eye as we couldn't get her into the doctor the bill was freaking 500.00. and i...
  11. Need some extra money

    wy not.if its at a different place go for
  12. 2 Job offers but not sure which one to take

    I would definately ask the boss what the long term plans are for that position. You could come across the same problems with the other job, and at least having some seniority could help when it comes...
  13. Working with inexperienced CNAs

    Sorry for my comment then. She should know that then. If she is not doing what she needs to be doing by getting report from the nurse. i would first talk to her, then talk to the manager if nothing...
  14. Working with inexperienced CNAs

    Well I don't want to make you mad or anything but why did you not find her prior to 10pm if you guys started at 3. You wouldn't let a knew nurse you were orienting go that long without some guidence....
  15. Help with patient teaching

    Find your local diabetic education resource. Maybe the local hospital. I did an inservice on oral hypoglycmics and pt education related to that for my job using a magazine article from rn magazine. my...
  16. Work full time AND go to nursing school?

    I once had a manager/director tell me they would hire a C graduate than an A graduate. YES its possible to work full time and go to school full time. I did it. and a full time mom. Yes your superbusy...
  17. 2 Job offers but not sure which one to take

    umm well I don't know about either one but you have to look at where you want to be and what you can handle. Some quesitons to ask yourself since you didn't say if you had a spouse or kids. 1. What...
  18. I currently work in a private alz./dem certified facility. We have 60 beds and 4 suites that consist of 15 rooms each. Each suite has a dining area and a living area and each room has a bathroom and...
  19. Anxious about new agency assignment

    Well I have done tpc on 6 pts in med surg. You eventually get a routine down and its doable. Team work is most important thing. Take 10 minutes in the beginning and make a chart of what needs to be...
  20. Licensing Dilemma

    I would think if you applied for a license after you already had a hawaii license then it would be good. Thats what my mom did with her texas
  21. Now that i am no longer at this place :smokin: I can speak freely. One very busy afternoon I had a pt whose had been lethargic all day and that was the condition we recieved in report that morning....
  22. encouraging team work

    I am a charge nurse on a busy 28 bed med surg floor and we are extremely short of staff on one block more than the other. Normal staff for my block is one charge 6 lic and no techs. My question for...
  23. "What would you do" continued....

    I agree. Daily meds are just that, daily meds....can be given any time of the
  24. "What would you do" continued....

    ummm usually dialysis pts come back with lower bp's so i would check it first then give
  25. Central venous catheter placement in the ED

    If the policy is that PICC's are not emergent how can they argue. IF they need iv access quickly and its emergent then they need to get a peripherel to work until a picc can be placed or the doc can...