litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. In Need of Advice...

    I would call the school since most usually have classes and ask the instructors to look over your records and maybe give you based on those. It could be a combo reference based on records. there has...
  2. lunch time insubordination

    hmmm my 2 cents.....do the bathrooms not have call lites? sorry I don't have time to just wait for someone to finish the bathroom IF they are with it and not confused. The cna could have taken that pt...
  3. When to dilute IV push meds ???

    I would think 10cc of whatever
  4. The things you never forget...

    The daughter of a pt that died before her family went to pick her up at the airport and brought her all the way to hospital for me to tell her he had died. it had been at the exact same time her plane...
  5. Missed orders!

    We do 12 hr chart checks and that helps tons. I have had to pass blood transfusions on to the next shift unfortunately because we got a transfer that had an order at 730 am to tranfuse 2 units. They...
  6. Smoking at Work.

    I think she is probably going out there because you allow her to. You have specific break times or you need to make them. Just because she smokes doesn't mean she doesn't need a break before you. I...
  7. Monitoring vs. We had a pt with 214/82 bp and a new nurse who didn't do anything about it. Focusing on task instead of the whole picture. Not asking for help when they obviously need it. Keeping thier...
  8. low medium and high performers

    Ok I am just curious what you guys know about what is classified by your hospital as high medium and low performers? My hospital is involved in the press ganey stuff and part of the transition is...
  9. Med Seeking Patients

    I can honestly say sometimes I do get judgemental about these types of pts but what I do when I know someone is timing there pain meds is to just write on their board or tell them when it is next due...
  10. low medium and high performers

    well let me clarify some stuff. Our current manager gave us what the old manager had classified us as. That is why I asked what do you have to do to be a high. I charge all the freaking time cause...
  11. An answer to them calling everyday!

    I don't know that there is an answer unless you can specifically say do not call me. It may be policy that they have to at least call. Let it go to voice
  12. Hanging up on me!

    :bow:that is a good one....have to remember
  13. Lack of leadership in management

    My manager said that all there basic stuff of running the floor is basically falling to the charge nurses. It is so true. Rounding on staff and employees and now instead of the unit rep doing call...
  14. An answer to them calling everyday!

    yep caller id. My hospital for med surg started a bonus in the busy season. You work so many shifts extra a quarter and you get a $ bonus. Up to a 1000.00 for working 8 extra in 3 months for 84 hour...
  15. Trimming the cast with a knife

    absolutely do not use a knife. one slip and a whole nother
  16. "A BP of 70/30 is normal"

    hmmm I have them low after dialysis but not quite that low. I am suprised he gave fluids though. Our nephrologist wouldn't have.....they even want them on dialysis for blood
  17. Staffing based on # of pts, not amount of care!

    with your charge nurse helping that really doesn't seem like bad staffing. We have 20 beds right now due to remodel and we get 1 charge 4 nurses and 2 pca's. five pts a piece. some can be busy though...
  18. I wash my hands of the whole thing!

    hmmm I have told my pts if I don't get a response in say 5 or 10 minutes at the most to call again. and again and if they have to call a third time to call the operator and ask for the house...
  19. How Dare You Say That To My Patient!!!

    Sorry I have been told that when management is not available you as charge(or your charge nurse)has the authority to send an employee home. I would not stand for that. Immediate
  20. low medium and high performers

    thanks for the link. it showed me what they are looking at and makes alot of
  21. How much is your pay?

    north texas 26.35 hr, 11% shift dif week evening 3-7 and 15% weekends so from 3-7 weekends I pull 26 %. 10 yrs exp. we also have up to 2000. charge bonus quarterly. about 63000.00
  22. Nurse with bipolar disorder or adhd?

    I have ADHD and the only way it affects my job is in organization. It is so hard to try and keep everything I have to know and do and actually get it done. As for the bipolar I know in texas on the...
  23. Final Warnings

    I need some input on this. My facility issues final warnings all the time and it used to be that it was for a specific issue and if that issue happened again then it suspension but now apparently the...
  24. picc lines

    Yes you would push it like a normal continuous infusion thru a port in the line not a port on the
  25. picc lines

    I have a question to see what other places are doing. My lvn's have criteria to meet to give ivp's and the problem is giving pushes to a pt that has fluid infusing to a picc line. Anyone have...