PJMommy

PJMommy

Member
  • Content

    517
  • Visitors

    6,748
  • Followers

    0
  • Likes

    5

All Content by PJMommy

  1. Patient vent about waiting for DR. appt.

    Oh...how frustrating! With four kids, my family routinely sees the GP, the pediatrician, audiologists, ENTs, ob/gyn, dentists -- you name it. I simply don't return to see docs who make me wait and I...
  2. night shift tips

    I've worked nights for nearly a year now and also have four children - ranging from preschool to middle school. It took me about 6 weeks to get into a groove but I actually do what everyone says not...
  3. Re:Oral Care in Intubated Patients

    Strict oral care q 2 hours and prn with the Sage oral care products (I think it's a sodium bicarb mouthwash of some sort). Also, we've been taking part in a lactobacillus study. Lactobacillus down...
  4. Unit Shift Managers

    Our charge nurses do not take patients. However, they do all the running for us (blood from blood bank, trotting off to pharmacy). They are the extra set of hands, the extra body, the extra brain...
  5. Wet vs. dry

    How do docs and nurses decide if a pt is wet vs. dry? I understand basic values and clinical signs like CVP values or crackles in the lungs. But another nurse mentioned recently that a "dry" pt tends...
  6. Overtime money

    I try to work an extra 12 hr shift each week -- or two in a payperiod. And yes, it is financing my Christmas shopping this year and I paid for a vacation in August off of overtime. My regular pay is...
  7. Patient in Isolation...Varying Attitudes

    You've received good answers above and, as mentioned, it depends totally on the type of isolation. We have airborne, droplet, and contact precautions and sometimes a patient is isolated for more than...
  8. On-call

    Are you needing to call in people despite having people sign up for extra hours? Just curious as we rarely need to do this. We have the option of signing up for extra shifts and the perks for doing so...
  9. Lowest Blood pH

    pH of 6.8something. Suicide attempt by ingesting antifreeze. Surprisingly, the guy lived. I remember when the first gas came back and we heard the pH, one nurse said "is that even compatible with...
  10. Need advice: leakage for test questions

    Our instructors took questions directly out of NCLEX review books - exact wording and everything. It's not about knowing the answer, it's about knowing how to answer the question. We used the review...
  11. We make as much as maids

    Sheesh! And to think that I provide maid service for FREE to my family of four small children and hubby. I think I'll start giving my family an itemized bill. $20 an hour, you
  12. 4 12s a week?

    I struggled to find a good schedule when I first went to nights. Some people like the couple on, one off, then back on again. For me, I flip my schedule back to days when I'm not working (that happens...
  13. Opinions on IV Poles

    I am totally with janfrn! We need a double branched pole with a good strong, stable base. Get 6-10 pumps on one "tree" and take up less room instead of requiring 2 or 3 poles (plus another pole for...
  14. Does anyone use self scheduling???

    I love self-scheduling for the fact that I feel like I have some control over my own schedule. I tend to like to work several shifts in a row and then have a lot of days off. I can work around my...
  15. Absolutely, I would get an order for it. But, like you, I'm also an ICU nurse and know I can get the order later. You still can't change a dosage and not follow up by getting that MD order. Suppose...
  16. Here's another thought.... I believe you can report to the SBON anonymously. Let them know what's going on with this nurse and I'm sure they'll investigate. You cannot change meds or doses without a...
  17. My hubby and I are divided on the subject of having a sign on our front door which says something like "Day sleeper -- Do not knock or ring bell between the hours of 8 AM and 4 PM". I want the sign...
  18. Addressing doctors by their first names

    How silly! I agree...I'm a professional also so perhaps all the docs should address me professionally - i.e. Mrs. Smith? Or maybe I need a title? Wizardress PJ? I wonder....if I should get a Ph.D. in...
  19. NOC Patient bathing

    Amen. Everyone knows we are the "relief" workers who just look for ways to fill up hours until the busy day people come back. :) We surf the web and occasionally go tuck the covers in around a...
  20. Nursing diagnosis

    I don't agree with the "alteration in parenting" diagnosis. I have many deaf friends - all of whom are excellent parents. Would you use "alteration in parenting" for a Spanish-speaking parent?...
  21. Do all of your vented pt's get restrained?

    We don't physically restrain all vented pts. We use a lot of Propofol or Versed but restraints only get pulled out for the sedation weaning process and then only if they give an indication that they...
  22. Helping new RN getting into ICU?

    Have you sought a job in ICU now? I came to ICU as a new grad and, having floated to other units, am absolutely certain I made the right choice in stepping directly into critical care. You have to be...
  23. I agree that it is great that you care and take the time to ask. I also agree with JacelRN on "connecting the dots". In school, we spent hours upon hours designing care plans and creating nursing...
  24. Did you get any training on elder abuse?

    This was covered pretty extensively (complete with a video that made me cry) in nursing school. We also received training on recognizing signs and how to report when I started working (through nursing...
  25. Sign language knowledge and nursing

    What about a ear, nose, throat & hearing disorders research hospitals? I don't know where you are at but hospitals like Boston Childrens, John Tracy, or Boys Town come to mind. You could see if...