owensmommy

owensmommy

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All Content by owensmommy

  1. CNO vs. Dept. Manager

    owensmommy replied to mommy2boysaz's topic in Nurse Management

    Typically, unless you are working in a smaller hospital, there are nursing directors in between the CNO and nurse managers. The director role is a nice stepping stone to gain other important...

  2. Why do nurse managers refuse to hire admission/discharge nurses?

    owensmommy replied to Grasshopper11's topic in Nurse Management

    Admission/discharge nurses are most often only successful in very high volume hospitals. The hours worked have to be justified by the number of admissions or discharges. At organizations I have worked...

  3. Computerized med system

    owensmommy replied to Miriam57RN's topic in General Nursing

    I use the McKesson Admin-Rx program. Once I got used to it, it got to be pretty nice. Although we scan the meds and the patient's arm band, we still have to ask the pt their name and DOB. It has been...

  4. Milking a JP drain?

    owensmommy replied to JBizzleRN's topic in Medical-Surgical

    I don't routinely milk JP's, but if it seems sluggish in the tubing, I will. No big deal, just make sure you have a good grip above where you're milking so it doesn't pull at the

  5. Not told about a contact isolation patient!

    owensmommy replied to mgalloLPN's topic in Medical-Surgical

    I think that most MRSA pt's go undiagnosed for a few days and everyone that had contact with them have been exposed. Unfortunately, things are forgotten in report which makes it even more frustrating....

  6. Transfusing febrile pt.'s

    owensmommy replied to Hooligan's topic in General Nursing

    We just have to get a doc's order that it's okay to transfuse. And we usually would then premed with

  7. Flu clinics

    owensmommy replied to NightOwl06's topic in General Nursing

    I was taught in school to always pull back after inserting the needle to make sure you aren't in a vessel. But more recently I have been told that it is no longer necessary. I tend to still check for...

  8. OB-GYN surgery center.

    owensmommy replied to jessica456's topic in General Nursing

    I would go for the LTC position. You would at least be able to get experience in medication administration, wound care, Foley care, assessment skills, etc. The abortion clinic seems to me that it...

  9. How many patients per day in US?

    owensmommy replied to vrgh2008's topic in General Nursing

    I work on a tele unit and day shift nurses have 4-5 pts, nights

  10. is dosage calc. necessary?

    owensmommy replied to RN874's topic in General Nursing

    I took a dosage calc class in school. It turned out to be an easy "A". But it also was a great reminder on how to do certain conversions and a bunch of other things you tend to forget from jr/sr...

  11. Syringe Incompatibility?

    owensmommy replied to eric909's topic in Patient Medications

    I don't think I have ever mixed Toradol with anything! If it's 30mg or less, we usually give it IV

  12. pregnancy and night shift

    owensmommy replied to beachbum3's topic in General Nursing

    I was preggo and worked 12 hour night shifts. I did just fine. I had a great pregnancy though. I gues it would depend if you had frequent nausea or other complications. But, you'll have the same...

  13. needlestick :(

    owensmommy replied to colleennurse's topic in General Nursing

    Yeah, you never know what you can get from a needlestick! But, I'm sure you are at a very very low risk of any kind of transmission. But, I agree that is very scary especially when you are...

  14. Floating to other units...

    owensmommy posted a topic in General Nursing

    Just wondering what your policy is for floating to other units. Especially for new hires...is there a minimum time frame they have to be out of orientation before they can be pulled to other floors?...

  15. Floating to other units...

    owensmommy replied to owensmommy's topic in General Nursing

    That is awesome! I need to suggest it to

  16. crock shoes.

    owensmommy replied to korfila's topic in Scrubs, Uniforms, Gear

    Not allowed to wear them at my work. Personally, I don't like how thet look

  17. Precepting: One preceptor/2 orients?

    owensmommy replied to yogi2000's topic in General Nursing

    I agree that you are being set up for unsafe nursing practice. I have had multiple orientees at once (at one point I had three). This was on a med-surg floor at the time. It was very difficult to...

  18. Giving Bedside Report - Pt involvment or JCAHO violation?

    owensmommy replied to Teleflurry's topic in General Nursing

    My hospital has recently implemented bedside report and almost every nurse HATES it!! Besides the obvious breech in privacy, it is very time consuming. As stated by others, there's only limited...

  19. What is your policy regarding pt transports from the er?

    owensmommy replied to larn901's topic in General Nursing

    From ED to tele bed, just a transporter and the pt gets put on remote tele monitor that they stay on once on the floor. From ED to ICU, an RN plus portable

  20. New admits at shift change

    owensmommy replied to megananne7's topic in General Nursing

    At my hospital, once we give a bed number out for an ED pt, the ED nurse has to wait 30 minutes to send them up. But, that way the floor nurse knows they have 30 minutes to get ready for a new admit....

  21. Ultrasound PICC

    owensmommy replied to moonshadeau's topic in Infusion, Intravenous

    We recently started training nurses US guided PICC insertion. All nurses that are becoming "PICC certified" are trained in the use of the

  22. My boards today

    owensmommy replied to shakinginmyshoes's topic in General Nursing

    Mine shut off after 75 questions. I was SURE I failed miserably because I had to guess on what seemed like most of the test!! I went to my car and started crying. But, I passed. So, hang in there, you...

  23. Codes - Your Procedure

    owensmommy replied to antidote's topic in Patient Medications

    At my hospital, you can also initiate ACLS protocol (CPR, defibrillation, meds, etc) as long as you are certified. An ER doc is responsible for coming to all floor codes and they usually show up...

  24. Are you afraid of blood?

    owensmommy replied to HisTreasure's topic in General Nursing

    I think that most nursing/med assistant students have some aversion to at least one type of body fluid. (mine happened to be vomit!) But, the more you work with it/around it, you become used to it....

  25. New Grad

    owensmommy replied to Carla25's topic in General Nursing

    You could always practice on an orange! No, but really I think it just takes practice. After you do a few, it becomes more comfortable. I always pinch the skin and inject for SQ shots. We don't give...