KBRN413

KBRN413

Med/Surg, Telemetry

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All Content by KBRN413

  1. Incompetent nursing assistants

    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 tim...
  2. Did I Do Something Wrong?

    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!
  3. FINALLY!! I am an RN!!!!!!!!!

    Congrats!
  4. Help with PRN medications

    That is just an example, not an actual order!
  5. Help with PRN medications

    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 us...
  6. 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 ...
  7. How much of a yearly increase in pay do you see?

    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.
  8. manual BP's?

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

    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...
  10. charting help - ugh!

    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 ...
  11. "Why don't you just be a doctor?"

    i'm sure most of the rn's here can agree with me......... we are the backbone of patient care! i work at a teaching hospital and deal with new intern's every month. we know what needs to be done. we are with the patients for 13hrs/day. the doctors se...
  12. I need your Advice

    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...
  13. How to give a thorough report?

    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 i...
  14. Change has hit... and it ain't good.....

    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...
  15. What's so stressful about working 3, 12hr shifts?

    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 sorr...
  16. The Patient I Failed

    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!
  17. i can't even begin to tell you how familiar this sounds! we have had a young girl on our floor for almost a month now. she is a frequent flyer for dysphagia and abdominal pain. she had a gastric pacemaker placed and is here for tube feeds and pain co...
  18. medical dosage problem

    yes, you can't give 12.5gtts. it would round up to 13..
  19. New Telemetry Nurse

    where i work, we all have our sbar's attached to our orders and we clip them to a clip board that our nurse manager gave us. i have my assessment, pmh, admission diagnosis, and meds on my sbar for individual patients. i write things that need to be d...
  20. :heartbeaton my first day, i basically "shadowed" my preceptor. i did what she did. i got a tour of the floor and learned her routine. on my second day, i took one patient and then gradually went up to 5. taking one or two patients at first allows yo...
  21. ok, if you walk into a room with scrubs on....most people will know you work there! :chuckle if you have a name tag, most people can read it. and most people introduced themselves when they walk into a patients room. so, wearing the same uniforms rea...
  22. A little help please!!!

    :yeah:many facilities have nursing intern positions where you work directly with an rn. i know you have to be in the nursing program at your school. look around because it is an excellent opportunity.
  23. Aunt :)

    my sister is a dental hygienist and she makes at least $11 more an hour then i do. i understand she works hard, but, i just think that rn's should make at least what she does! we work hard!!! (no offense to dental hygienists!!!!)
  24. unfriendly doctors

    if i were you, i'd try to get back into the hospital you were happy at. i also have a long commute to work, but i refuse to leave because i love it there. most of the doctors are great and very observant to the nurses and their needs. i don't want to...
  25. Reprimanded for NOT giving IV Push Medicine

    good for you! that place isn't worth it! if they are willing to fire you for doing the right thing, then you shouldn't work there! sorry about the bad experience :uhoh21: everything happens for a reason! you'll find something much better!