miss81

miss81 BSN, RN

Surgery, Tele, OB, Peds,ED-True Float RN

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All Content by miss81

  1. Power point mediport

    We actually had a pt go for a CT with a "normal" non-coring port-a-cath needle and it "blew" out for the port. In my area the power port is purple, the plastic part of the needle is purple and the pt...
  2. First RN job & it's pay

    I'm in Eastern Canada and New Grads here make $30.77/hr and 10 yrs experience that would be $38.10 (but we will be negotiating a new contract soon so that will probably go up). Add on night shift...
  3. giving report to a SNF

    Funny, if her BP was 100/56 we wouldn't be having this
  4. giving report to a SNF

    Social worker? Social workers here would tell me that this is a nursing issue. What in the world does social work have to do with this
  5. Tips for keeping your RN license safe in an ED setting

    "If your 6th sense if telling you "to" or "not to" do something - don't reason yourself out of it - that little voice has saved me and many, many patients. Heed it - or ignore it at your peril."...
  6. mistake on heparin??

    You're not wrong a my hospital! We enter the first PTT and then it is the responsibility of the nurse who is getting the results and adjusting the drip to enter the next PTT. I mean maybe the pt's PTT...
  7. antibiotic question...

    Depends on if the antibiotic has a preservative in it! Some abx are for one time use one. The package insert or Lexicomp would tell you how long a reconstituted drug is good
  8. Is it true? BS + RN does not = BSN?

    Ok, this is a stupid question but I noticed that people are making a distinction between BSN and Bachelor of Science in Nursing. We have BN around here so I always thought that BSN stood for Bachelor...
  9. Is it true? BS + RN does not = BSN?

    Well I'll throw another one at ya... I'm a B.N. (NOT a BSN). My University had a School of Nursing that was 100% autonomous. Not affiliated with the science faculty. So, we did a 4 yr degree and...
  10. Amio in a Code

    Nope, we put it in a mini bag and run it over 10
  11. Nope... left a heplock 2 times! Once they called and I explained about removing it (because they refused to return), the second came back and I removed
  12. I get a call almost every single day off! I'm a float and work in 9 different areas (and so is my husband), so needless to say the phone rings off the
  13. lovenox injection sites???

    http://www.lovenox.com/consumer/prescribed-lovenox/self-inject/inject-lovenox.aspx Hope this
  14. Vaccination at Dorsogluteal Site

    We are not allowed to use the Dorsogluteal site for IM's anymore. We now use the Ventral Gluteal site only. It is pretty much free of nerves and vasculature as opposed to dorsogluteal
  15. Administering Capsules

    Our Doc's would not appreciate that question! I can here the response now, "Your a nurse, with a brain... do some research and figure it out!" Even if he says, "Yes, you can open it," that doesn't...
  16. I had a pt yesterday that fell out of bed! Rails were up and call bell was in reach... we were evening toileting him regularly! We don't have sitters as such, our LPN's sit with pt's! There was not...
  17. Administering Capsules

    There are even some ER and SR caps that CAN be opened. The granules themselves inside the capsule are formulated for extended release. For example Effexor XR can be opened and sprinkled on a small amt...
  18. How to handle suspected med error?

    Depends on where you work. Where I work they sure can be punitive! And right now there is no consistency to how nurses are
  19. IV weight based heparin

    We keep the original weight UNLESS it used for an extended period of time which is unusual considering the high risk of the medication. But there have been circumstances that it is required for a...
  20. How do rotating shifts work exactly?

    We used to do rotating shifts until we started self-scheduling last year. When we did, it was 12 hours and we'd do: Friday, Saturday, Sundays (DAYS) --> Monday Tuesday (OFF) --> Wednesday and...
  21. Salem sump NG tube

    We do this all the time with a "plug" in the clear end of the NG tube (for example, we clamp for 20 min after meds administered). We never clamp or plug the blue vent tube, and never use the blue vent...
  22. My hospital: Surgery - 1RN to 8-10 patients (REALLY not enough, ppl hate to work there) ICU- 1RN to 1-2 patients (3 pts, if they are ready to be transferred to the floor but no bed avail.) Medicine-...
  23. Question: Lvn iv push

    Not at my hospital but I guess it depends on your province/state Board of Nursing and their "rules" governing practice AND hospital policy. Our policy sounds similar to wherever you live. No, they...
  24. Charting MVU's

    Our hospital does not place IUPC's... ever! In 8 years of work I have never seen one, even for a Pit.
  25. Did your nursing program cover 12 lead EKG?

    We covered how to do them but not interpretation. When I started at my current we had a class about how to complete an 12 and 15 lead EKG. In our hosptial only Cardiology Techs, RN's, NP's and MD's...