BradleyRN

Med Surg, LTC, Home Health

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All Content by BradleyRN

  1. BradleyRN

    Want help with Insomnia working Day Shift

    I certainly do not recommend sleeping pills, because they reduce the amount of REM sleep, which is what we need the most in the first place. Also, taking pills carry a risk of addiction and can lead...
  2. BradleyRN

    I shouldn't be a nurse...

    If you have only been a nurse for 6 days, then you shouldnt be on your own already anyway. Without proper orientation, i would find it hard to fault you for forgetting something. Also, being in LTC,...
  3. BradleyRN

    Do you recommend becoming a nurse?

    Then you have not done enough. There is no room for tolerance with this. Your supervisor's lack of ethics does not excuse you to compromise yours. With such a response, this shouldnt even count as...
  4. How many times does the maintenance crew drop by a room to ask the patient if everything is ok? If your answer is "none", then exactly who do you expect them to complain to? If i told you my heat...
  5. BradleyRN

    Do you Pre-Pour? Is it legal?

    This "no orientation" seems to be a growing trend in the corrupt world of LTC. You should have received at least 4 weeks of training before ever having the med cart by yourself. Some people say 3...
  6. BradleyRN

    Do you Pre-Pour? Is it legal?

    That certainly sounds safer than standing in the hall with commotion all around you performing the same tasks. Presetting meds is not about going fast. It is about utilizing down-time to prepare....
  7. BradleyRN

    Do you Pre-Pour? Is it legal?

    In my years in LTC, the state only watched the nurse with 4 patients, and then moved on, never stopping to do the math and realize there were too many patients to possibly finish on time. If...
  8. BradleyRN

    Do you Pre-Pour? Is it legal?

    That is what i meant. One is on the facility and the other is on
  9. BradleyRN

    Do you Pre-Pour? Is it legal?

    Well i must say if you break the time limit rule, it is the fault of the facility for giving you more patients than you can handle, whereas if you preset your meds, any problems that arise are your...
  10. BradleyRN

    Do you Pre-Pour? Is it legal?

    In LTC, you have to do things you wouldnt ordinarily do. Sure presetting meds is against state regulations, but if you have just under 40 pts, by not presetting them you will go way over the two hour...
  11. BradleyRN

    Statins and side effects

    According to the FDA, "simvastatin occasionally causes myopathy manifested as muscle pain, tenderness or weakness with creatine kinase (CK) above 10X the upper limit of normal. Myopathy sometimes...
  12. BradleyRN

    Brain Teaser

    the patient has a tumor on the posterior pituitary gland. her "gas pains" are really uterine contractions caused by an increased release of oxytocin by the dysfunctional cells of the tumor leading to...
  13. BradleyRN

    fluid and electrolytes

    Hopefull meant: Potassium: Too high = hyperkalemia Too low =
  14. BradleyRN

    fluid and electrolytes

    Here is a simple tutorial for interpreting ABG's (post #9). here Osmolarity (thickness of the blood) goes up as the number of solutes (solids) in the blood (plasma) goes up. The thicker the blood,...
  15. BradleyRN

    Wearing Cologne to work Yes Or No

    Copycat!
  16. BradleyRN

    Wearing Cologne to work Yes Or No

    Wearing cologne to work is completely unprofessional. Sick people dont want to smell us. It makes them sicker. Quit caring about what your coworkers think and start caring about what your patients...
  17. You have certainly been blackballed. The more people you get involved though, the further it will spread. Unfortunately, the best thing you can do is keep working on your present unit, and wait for...
  18. BradleyRN

    Can anyone insert a foley? Inject IMs?

    That is insane. It is one thing to teach a family member to do nursing skills for their loved ones for free, but it is quite another if someone is getting paid (and much less) to do our job. It...
  19. BradleyRN

    Have you ever refused a pull?

    Nurses have the right to refuse any assignment they feel to be unsafe, including moving to a unit to which they have not been adequately orientated. Facilities that "pull" should be responsible to...
  20. BradleyRN

    Confused on ABG's

    Here is a method taught to me by a great teacher. I have condensed the information, so if you have any questions, feel free to PM me. First, you already know that the ph of blood is 7.35-7.45....
  21. BradleyRN

    Nursing? May not have any other choice.

    You are making a huge mistake. If you are choosing nursing because you "may not have any other choice", then youd better go back to the old drawing board before you waste your time and
  22. BradleyRN

    Do you recommend becoming a nurse?

    You and your classmates are certainly not alone. A poll of over 10,000 nurses in May produced these results: 73% of nurses asked don’t believe the staffing on their unit or shift is sufficient....
  23. BradleyRN

    New RN needs career advice...:(

    I dont think you need to seek "professional help". It is clear why you are depressed. You have a job making enough money, but you hate it with a passion and dread going to work, mostly because you...
  24. BradleyRN

    Background Check and Credit check???

    That is ludicrous. Perhaps they should check to see if you are divorced while they are at it. If you took lifelong vows and then abandoned them, maybe you will abandon your new employer or have...
  25. BradleyRN

    just quit job

    Indeed they do. And i dont mean to place all the blame on the nurses. We are victims just like the residents. But with things getting worse instead of better, the day will come when we finally have...