imanedrn

imanedrn

ED/trauma

Member
  • Content

    547
  • Visitors

    8,749
  • Followers

    0
  • Likes

    11

All Content by imanedrn

  1. Most Common IV Push Meds on Med-Surg

    I dilute all my IV meds in NS, whether it's required or not. If they're a mix (like protonix or solu-medrol), I always use as much NS as I can leave in the 10ml syringe. From a physiology standpoint,...
  2. Need your advice...

    It bugs me when my techs call to tell me that my pt's off tele when they've been taken for a procedure. I know it's not their fault (because the transporter should have told them), but it still bugs...
  3. How many patients?

    When I saw you only had 4, I thought, "I wish!" We also do our own IVs and admissions, so I was still wondering what the problem is! Your mix of pts, not enough CNAs, and supply issues explains the...
  4. How many patients?

    6:1 on days AND nights There are 4 med/surg/tele units, each with 3 pods that have 12 patients each, so 2 RNs to a pod. (We have a few LPNs who will share the pod with an RN and share pt loads...
  5. Why do you LOVE your job?

    I'm a new grad, so I have more complaints than compliments at this point. I think what would have helped me most was a preceptor who tailored her teaching style to my needs -- instead of doing what...
  6. Thank you's - memorable ones you've received?

    I usually work 2 on, 1 off, 1 on (can't handle 3 in a row). On my 2nd night, I tell my patients that I won't be back tomorrow, but I will in 2 days. "I hope you're not here then, but if you are, I...
  7. Admitting or Discharging a Patient

    Admissions are VERY time consuming. We have to do intake vitals (no biggie), assessment (like any physical assessment, just much more thorough), and history (which the ER usually does but doesn't...
  8. I may be new, but why is there so much blame in nursing? As long as the patient is safe, an incident report should be sufficient... right? The fact that you assumed the heparin was d/c'd doesn't make...
  9. Advice on switching units

    My understanding of med/surg is that people either do it for life or use it as a way to get acclimated to nursing, then move on. I believe most managers know this and are not shocked (or offended)...
  10. perscription pads

    We keeps the pads in drawers (not locked) at the nurse's station and also in the drawers of our med carts (locked). Haven't heard of any problems coming from this
  11. 10 Tips for Home Health Nursing

    Thanks for the tips! A lot of this seems like common sense, but it always helps to have a veteran bring it all to light. In a few weeks, I will be starting a part time home health job. The company...
  12. JCAHO....They're Here...

    I love how we're being told to do things ONLY because JCAHO is looming... We have these new dry erase boards in out pt rooms. We use them to write the date & names of nurses. My charge told me...
  13. Nursing Burnout

    I'm a new nurse. In January, we swapped roles: He got out of the Air Force (after 10 years) and went back to school; I got out of school after 9 years (and 2 degrees) and went back to work. So......
  14. Nursing school vs. Nursing

    I believe this makes for a good nurse -- not necessarily second-guessing yourself but always thinking what you could have done better. On the flip side, though, this definitely makes for SEVERE...
  15. Nursing school vs. Nursing

    Good call on the non-nursing degree. Anything non-science / healthcare related is like a walk in the park in comparison!!! My business degree (emphasis on management information systems, aka,...
  16. First Med error

    I had sooo many IV abx to hang yesterday and the day before, that I forgot to unclamp a few of them. The IV would beep, telling me the abx was done, and I couldn't understand why there was still...
  17. Hospitals SUCK at orientation!!

    I agree with you completely. As a new grad RN, though, with little choice, what are WE to do? Most programs are set up with all the textbook stuff and not nearly as much clinical experience in...
  18. are they supposed to know this by now?

    This is a REALLY good point! At my school, we rotated through many different hospitals in town -- along with students from several different nursing programs. You could tell the difference between...
  19. are they supposed to know this by now?

    I graduated from a BSN program at a university that isn't all that great... but we learned this skill in first semester in the LAB before even stepping foot in the hospital. In fact, we had to pass a...
  20. When Keeping up is Impossible.....

    While I was still precepting, I was scolded by the night charge in front of the nurse to whom I reported and within distance of patients hearing. Saying I'm new and didn't know / was never told I had...
  21. Scared Of Poop!!!!!!!!! Help!!!!!!!

    HAHA! I love this! I think we become immune to our own smell though...
  22. OMG! I hate hate hate when the doctor has JUST been in to talk to the patient about change in meds, plan of care, whatever... then the patient rings me a few minutes later (almost always just AFTER...
  23. I wanted to leave my job REAL bad, but I contracted to work with them for 1 year -- lest I owe them money. When I signed the contract, I -- of course -- didn't think twice and assumed I'd be...
  24. When the boss makes an error

    I LOVE the idea of doing your own 8 hr (or any time) chart check! I keep a personal record of the tasks I've completed, but I still have to repeat them back at report / the 12 hr chart check. I...
  25. First Med error

    I love this whole "we're all human" idea, but I have a night charge nurse who I swear is out to get me. I'm a new grad on days. Most of the hospital is new grad friendly, but this charge seems to...