desro1986

Hello. I work in a nursing home on a subacute rehab unit. I work with another RN on the same unit. Our DON did a narcotic inventory on her med cart and there were some discrepancies between the narcotic meds and the narcotic book. I have gotten to know this RN well and know she would not steal narcotics. She simply did not document the narcotics immediately after giving it, something which I'm sure many nurses have done at some point. Anyways, she was suspended and there is an invenstigation going on. My question is what are the guidelines for documenting narcotics? Is it a LAW that narcotics be documented immediately after giving them? Or is there an acceptable time span? Does it vary by State and facility? Thanks

Hello. I have been working as a part time floor RN in a LTC & rehab facility for almost five months now. I have been asked on a few occasions to fill in for supervisors when they need the day off. Sometimes I say I just have plans, but the real reason I choose not to work is because I do not feel comfortable being a supervisor. I don't feel that I have enough experience behind me in order to be a good supervisor. I am still lacking some nursing skills e.g IV's and trach care etc. and fear that I might not know what to do in an emergency situation. Is it normal to feel this way? Is it a valid reason not to supervise? Do you think my place of employment will think this is acceptable?

Hello. I am a new grad RN starting out on a subacute rehab floor in a LTC facility later this month. On this rehab unit, I will be working with another RN. We will each have 15 or fewer patients, and 2 or 3 CNA's on the unit as well. I want to prepare myself a little by reading up on and reviewing meds and procedures that are typical of rehab units. What are the most common meds given and nursing skills/procedures done on this kind of floor? Also, any time management or other tips? Thanks!

Hello. I have to research and do an oral report on disaster and emergency preparedness and the role of the RN in a disaster situation. The only reference I have gathered thus far, though, is one book on disaster nursing. Does anyone know of any websites, or journal articles that cover this content?

Hello. I'm currently in an associates degree nursing program. I;m about half way through and starting to think of where and what type of nursing I would like to get into. Many nurses I talk to say that starting off on a med surg floor unit is best. What are some other good places for entry level RN's to work? (in and out of the hospital)

Does anyone know the pathophys behind the reason COPD pt's are at an increased risk for respiratory infections? Does it have to do with a lesser ability to mobilize and cough up secretions? or because of areas of collapsed alveoli? or does it have to do with less macrophages in the lungs? can't find the reason anywhere. I would appreciate an answer if you know it.