KBRN413

The RN's are obligated to obtain their own vital signs at my facility. I would rather do this for myself; I can get a conversation started and start my assessment at the same time. Sometimes, I do ask a CNA to do admission vitals for me and every time, the RR is 18. I go meet the patient and check for myself! Many on my floor are on PCA's, and there RR is 12-14! Scary, but they should know how to do the basics! Many however, are wonderful and do a really amazing job!

I always check before giving diuretics. We administered IV lasix at 0800 and 1600 here, I do routine vitals at those times anyways, but even before a one time order, I always check. Just to make sure!

Congrats!

That is just an example, not an actual order!

My facility now has strict orders that basicall read: percocet 2 tab q4hrs prn for pain 1-4 hydromorphone 0.5mg q4hrs prn for pain 5-7 hydromorphone 1mg q4hrs prn for pain 8-10. That way we are not prescribing a medication. It is there for us to use as a guide. I work on an post op abdominal surgical floor, so everyone is usually on a PCA with toradol. But after the PCA is discontinued, we have that scale to go by.

We do all of our charting online now. We have a section in our nursing shift assessments that states "nursing education". We talk about what we taught the patient and family, if they understood the teaching and if reinforcement of that education was necessary.

We get between 0-5% increase depending on our merit review. Last year we didn't get anything, but we did get a bonus at the end of the year.

Your floor should provide manual BP cuffs. We have them in every patient room! Ask your supervisor! :)

Ughhh! I completely agree! Our floor actually started this as a Unit Counsel Project, and now it is hospital wide. Yep, I round on my patient hourly, most of the time, more then that. I hate the fact that I have to stop and sign a piece of paper....c'mon! DOn't tell........Sometimes I initial it at the end of my shift, if the CNA hasn't done it. It's completely meaningless!! At least I can have a conversation with my patient while I do it. I believe our hospital throws them away too, so honestly.....what is the point? WASTE OF PAPER! GO GREEN PEOPLE! lol!! :D:D:D:D:D:D

I'm extremely greatful that my facility has online documentation. The only note we have to write is based on our care plan, and even that is online. Our shift assessment is classified as our nursing outcome summary. Definetly a lot easier! With this new law, I think all facilities have to go paperless before 2012. Am I wrong????

i'm a relatively new rn. i've been out of school for 3 years. i have been working on a med/surg/telemetry floor. i have learned an extensive amount in my 3 years there. i was also very fortunate to have a new graduate recidency program at my facility. i had a class once a week for a year and was refreshed on a lot of things and also learned a lot about my facility. i highly recommend a med/surg telemetry floor to gain experience! appy everywhere! you will be happy :)

do you have an sbar form?? at my facility we use an sbar form for report and throughout our day. it helps keep me organzied and allows me to give a very throuogh report. i also recommend that throughout your day, when things happen, write them down in the appropriate areas on the sbar form, that way you know exactly what has changed and what you did. much easier to give report and keep track of your day!

it is completely opposite where i work. the day shift 7a-7p medicates throughout the day. does all the treatments, handles mds, family members...etc..etc...etc. nights seem more quiet. i have done quite a few nights for overtime and what a difference! much less to do! not always slow at night, but the majority of the time, i spent just doing paperwork and rounding on my patients. maybe you should talk with your manager regarding the huge difference in obligations! nursing should be a 24hr/day job! things should be getting done when there is time. if they have time to take 1 1/2 hours breaks, then there is no reason why things can't get done during the day!:typing

You are a very rude person. I also agree with above that you are definetly looking into this for the wrong reasons. Nursing is a blessing. I love my job. Yes it is stressful, but I wouldn't want to do anything else. As far as your analogies, I'm sorry you feel that way. All I was implying was that you seem to be making assumptions of things you don't understand. Being rude to someone who was replying to something that YOU said is wrong. Please, if this is something that you REALLY want to pursue, think of the people who you will be caring for. You CANNOT be like this with people who are sick and dying. Compassion.....it is a must have for this profession. Doesn't seem like you have this capability.

how could her daughter do that to her mother??!?!?! knowing what she wanted!!! that makes me sick! my parents would come back and haunt me forever!