kayern

kayern

Medical Surgical & Nursing Manaagement

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All Content by kayern

  1. Sleeping on the job

    kayern replied to mairose15's topic in General Nursing

    think of it this way.............how guilty will you feel when she does some serious injury or doesn't do something and injures one of the patients? Give her a heads up and tell her the next time you...

  2. Volunteering?

    kayern replied to BigB_RN's topic in General Nursing

    I volunteer once a month just for the sake of volunteering. Working with less fortunate people who are so appreciative revives my faith in

  3. new grad residency dilemma

    kayern replied to nina_RN's topic in General Nursing

    I think it all depends on where you see yourself going. Interested in pediatrics..........then stick with the school nurse. Clinic will off you more diversity, I think. Think long and hard...

  4. How would you interpret this order for pain medication?

    kayern replied to I<3H2O's topic in General Nursing

    First of all, the order for Lortab 1-2 tabs every4 hours prn isn't acceptable. We would need parameters, i.e., Lortab 1 tab PO Q4 hours prn for mild pain, Lortab 2 tabs PO Q4 prn for moderate...

  5. Transferring A Patient to Stepdown/ICU

    kayern replied to SwimNurseRun's topic in Medical-Surgical

    Go with your gut..........what's the worst that can happen........you call an RRT or code on a patient that doesn't need it. Isn't it better to err on the side of safety. Additionally, listen to...

  6. Going from Hospice to Medsurg..HELP.worried

    kayern replied to dixiesnurse's topic in Medical-Surgical

    Per diem or not you need a good orientation. We give a classroom experience then minimally 12 shifts with a preceptor. Do not put your license at risk, ask for as much as they are willing to give...

  7. plz help me to prepare for rn interview?

    kayern replied to prinz's topic in General Nursing

    Do your homework! I always ask the applicant why they want to work at my institution and what they know about us. Usually they say "It a magnet hospital". Not enough............know what magnet is...

  8. Am I in trouble?

    kayern replied to nursiestariray's topic in General Nursing

    I have some advice. When something like this happens, first, SELF REPORT and second, apologize to the patient/family. I work in an acute care setting so I don't know the assessment requirements for...

  9. Vitamin K used incorrectly.....INR 1.8

    kayern replied to GoNightingale's topic in Medical-Surgical

    Sorry not platelets but

  10. Med surg certification

    kayern replied to booziemgm2's topic in Medical-Surgical

    Check the guidelines from the certifying agency. In addition to hour, you need a specific number of continuing education hours in the

  11. possible needlestick or just paranoid

    kayern replied to grace202004's topic in Medical-Surgical

    Here are a couple of things to consider: 1. Before going through your garbage, did you check the patients med drawer to see if the med that should have been held was in the draw. If so, no need to...

  12. Legitimate Pain or no?

    kayern replied to MiaNursingStudent's topic in General Nursing

    Pain is what the patient claims it is. The patient you described is ABSOLUTELY in pain. It is criminal not to medicate! Let me vent about "drug seeking patients". One of the first things I learned...

  13. OK Here A Kicker For Ya

    kayern replied to KarmaWiseRaven's topic in General Nursing

    Come to the big

  14. Vitamin K used incorrectly.....INR 1.8

    kayern replied to GoNightingale's topic in Medical-Surgical

    First, what anticoagulation meds was the patient taking? How was the liver profile? For instance, the dose of coumadin you take today really affects the INR two days later. There's more to...

  15. Favorite CEU sites?

    kayern replied to Ellekat's topic in Medical-Surgical

    I use Nurse.com, paid $39 for unlimited. NDNQI has a great pressure ulcer training offering FREE and worth 2-3 CE. Medline University also offers FREE CE. Join a professional organization...

  16. Post op Admissions During Shift Change?

    kayern replied to All4Seasons's topic in Medical-Surgical

    We have a 30-minute before/after report policy. Of course that's gone if the building is on high census (which it is frequently, with an occupancy rate over 100%) or if its going to hold up the OR....

  17. All preferences aside, what is the best "track" for a new nurse to learn?

    kayern replied to RevolutioN2013's topic in General Nursing

    My vote goes to Med/Surg. As a 20 year Med/Surg nurse I get to see it all, but best of all I get to see almost all of my patients leave to go home or rehab. I have a question for this...

  18. How do you deal with a doctor who sweared on you over the phone?

    kayern replied to Blackheartednurse's topic in General Nursing

    First of all, I would ABSOLUTELY tell that physician that I will not engage in a conversation with a person who is swearing at me. We have a no tolerance for behavior of that nature in my institution...

  19. Write ups

    kayern replied to ttpurtee's topic in General Nursing

    Getting "written up" is usually a violation of some hospital policy. At my institution, usually not for medication administration errors those are opportunities for improvement. Violations, i.e.,...

  20. Can't wait for tomorrow......

    kayern replied to roser13's topic in General Nursing

    We emptied ALL our narcotic cabinets on Friday of Darvocet. They'll have to get used to ordering something else. There was some talk of a substitution hospital wide for those MDs that just don't get...

  21. Holiday Nursing

    kayern replied to lsad78's topic in General Nursing

    :uhoh3:From the original post I find that schedule very unfair. I go as far to discuss holidays on interview, I tell my applicants "its every other weekend and holidays. For Christmas and New Years...

  22. Do you think Patients would confuse me for a doctor if I'm South Asian and male?

    kayern replied to Samian Q's topic in General Nursing

    Patients/families may mistaken you for a physician, it is up to you to correct them and say proudly "I'm a

  23. How much "easier" or "harder" is the RN-BSN once you get your ADN?

    kayern replied to Spikey9001's topic in General Nursing

    I did a traditional bridge program in a class room setting and it was cake. I did a Masters on line and it was difficult. No way to judge the caliber of your classmates, how the instructor is...

  24. IV starts in nursing school

    kayern replied to sunnycalifRN's topic in General Nursing

    No IVs in nursing school because of insurance and state practice regulations. We give a course using an artificial arm then the novice needs to be observed X5. Do not let your peers practice on you!...

  25. AAS to BSN Degree

    kayern replied to *MishB*'s topic in General Nursing

    First of all, education is never wasted. Although the courses you have taken may not be applicable towards a BSN you learned. CMA = Certified Medical Assistant as others have posted, those courses...