PJMommy

PJMommy

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All Content by PJMommy

  1. New grad question about med/surg and cardiac floor

    PJMommy replied to mrdoc2005's topic in General Nursing

    I agree with begalli. Go directly into cardiac if that's what you want to do. I went directly into critical care and also have no intention of working med/surg ever. People are different -- some love...

  2. Family visitation in ICU

    PJMommy replied to bfjworr's topic in General Nursing

    I love this idea. My mind is already whirling on how it could be implemented in our unit. The first, big question that comes to my mind is how do you coordinate the doc's schedules. I foresee that...

  3. Family visitation in ICU

    PJMommy replied to bfjworr's topic in MICU, SICU

    I love this idea. My mind is already whirling on how it could be implemented in our unit. The first, big question that comes to my mind is how do you coordinate the doc's schedules. I foresee that...

  4. Family visitation in ICU

    PJMommy replied to bfjworr's topic in MICU, SICU

    I've often wondered how a visitation contract would work - is anyone doing this? We've done this with a couple of pts and have pretty good results. We just talk to the primary decision-maker -...

  5. Family visitation in ICU

    PJMommy replied to bfjworr's topic in MICU, SICU

    I've often wondered how a visitation contract would work - is anyone doing this? We've done this with a couple of pts and have pretty good results. We just talk to the primary decision-maker -...

  6. Family visitation in ICU

    PJMommy replied to bfjworr's topic in General Nursing

    I've often wondered how a visitation contract would work - is anyone doing this? We've done this with a couple of pts and have pretty good results. We just talk to the primary decision-maker -...

  7. I don't like charting.

    PJMommy replied to lisamc1RN's topic in General Nursing

    I remember charting my first days on a unit when I started working there.... It was computer charting and took me at least an hour to chart an assessment on one person. You get used to it and becomes...

  8. When do you call off work?

    PJMommy replied to UM Review RN's topic in General Nursing

    Hang in there and take care of yourself! I agree that it's not the ones who call in legit -- it's the ones who seem to be sick every other weekend that they are scheduled to work. We are supposed to...

  9. Family visitation in ICU

    PJMommy replied to bfjworr's topic in MICU, SICU

    Ah...I still remember a 8 hour "slow code" pt who came as a post-op trauma. I didn't sit or pee for those 8 hours and never once left the room. Desperately trying to maintain a pressure with every...

  10. Family visitation in ICU

    PJMommy replied to bfjworr's topic in General Nursing

    Ah...I still remember a 8 hour "slow code" pt who came as a post-op trauma. I didn't sit or pee for those 8 hours and never once left the room. Desperately trying to maintain a pressure with every...

  11. Family visitation in ICU

    PJMommy replied to bfjworr's topic in General Nursing

    I agree. I also find it interesting that this is so often supported by the daytime administration folks who are much less concerned than I am (at 2 AM) about some gang banger coming to finish the

  12. Family visitation in ICU

    PJMommy replied to bfjworr's topic in MICU, SICU

    I agree. I also find it interesting that this is so often supported by the daytime administration folks who are much less concerned than I am (at 2 AM) about some gang banger coming to finish the

  13. New Grad Being Eaten Alive

    PJMommy replied to Phenomenon's topic in General Nursing

    Hey you can come work with me also... I'm in critical care - lots of neuro pts - and the staff is stellar. However, I'm at a teaching hospital so the culture is to always learn, always teach -- you...

  14. 7p-7a nurses: do you spend enough time w/ your family?

    PJMommy replied to HappyNurse2005's topic in General Nursing

    yuck! i can't imagine trying to sleep with mcd's sitting in my belly! :imbar i usually do some combo of protein bar or yogurt or fruit before work. between midnight and 1 am, i'll have a "dinner"...

  15. can anyone tell me what the regs are for admitting some one to a psych unit?

    PJMommy replied to Malt123's topic in Psychiatric

    You must have more psych wards there.... We are lucky to find a mental health bed for the legitimately mentally ill pts we see in our med/surg critical care

  16. 7p-7a nurses: do you spend enough time w/ your family?

    PJMommy replied to HappyNurse2005's topic in General Nursing

    We self-schedule and, for the most part, it works out pretty well. There are always going to be problems getting the schedule balanced out but it's a team effort in order to preserve our...

  17. Omaha schools

    PJMommy replied to Jolie's topic in General Nursing

    Hi Jolie, I work in Omaha and have school-aged children. Where will you be working? I'd be happy to help re: school districts and info on local employment. Is your husband military? If so, I can...

  18. 7p-7a nurses: do you spend enough time w/ your family?

    PJMommy replied to HappyNurse2005's topic in General Nursing

    I personally love the night shift. Hubby and I have four children ranging from toddler to middle school -- and my schedule is just about exactly as you explained your theoretical schedule. I work all...

  19. Consent for intubation?

    PJMommy posted a topic in General Nursing

    Ugh...I'm just so frustrated. Here's the scenario and I need opinions: 70-something y/o pt who is septic. Extubated 2 days prior. Lungs sound like crap...and he can't/won't cough or deep breath....

  20. Consent for intubation?

    PJMommy replied to PJMommy's topic in General Nursing

    Thanks for the responses. I'm a year on the job and always learning -- but this hoopla over contacting the pt's family really caught me off guard. Thanks

  21. A message to new grads: NEVER....

    PJMommy replied to UM Review RN's topic in General Nursing

    NEVER forget to check what IV bag you are hanging and triple check the rate NEVER "just follow orders" -- use your head NEVER tell a family "there is a chance he'll pull through this" if there really...

  22. patient privacy, arghh!!!!

    PJMommy replied to renee2004's topic in General Nursing

    Here's the thing with HIPAA.... We are constantly told that we will be "investigated" or otherwise reprimanded for so-called "violations" of HIPAA law BUT.... HIPAA is a Federal Government ACT....

  23. Most dreaded Dr.'s orders

    PJMommy replied to BBFRN's topic in General Nursing

    ok, help me out here, why would this be ordered?????????gross me out!!!! but seriously, why? les drainage from the duodenum is very alkaline so if it is drained and disposed, the pt becomes acidotic....

  24. Most dreaded Dr.'s orders

    PJMommy replied to BBFRN's topic in General Nursing

    I can handle most things...even the worst code brown. But just say "Mucomyst" and the thought of that horrible, rotten-egg smell makes me start dry heaving. When I have to administer it, I truly try...

  25. I hate those nursing staffers!

    PJMommy replied to PHTLS's topic in General Nursing

    Hmmmm....yes, I agree with above posters about checking with NM to see if this is par for the course. I didn't float by policy for 3 months after I finished orientation as a new grad. Everyone floats...