miss81

Yes, but at the rate we go through bottles of Propofol we'd never have a cupboard big enough. haha

They're still not locked drugs where I work. Ativan is used left, right and center but it's in the patient's own drug drawer. As far as I know we don't have any issues with that. But I guess I may not hear about some occurences. AND it's not uncommon for nurses to keep narcs to use for later. Especially Morph for chest pain, 10mg mixed 1:1 in a 10cc syringe and you keep it to give 2mg at a time...

A member of my family has a Bachelor's Degree in Nursing and works as a drug rep. for a pharm. company. She does not need a nursing license. She hated floor nursing and decided to take a different route right from the get go. Just an idea.

Everyday and sometimes twice/day!

A Coke Zero AND a Diet Dr. Pepper, tape by the miles, stethoscope, lexicomp on computer or iPhone and lots and lots of pens!

My close friend started work in the ER straight out of school. She was thrilled then, but it's 10 years later and she will tell you that she would never recommend it. She will say that she can't believe that they let her work there as a new grad after all she's seen! She was smart and eager to learn, but many times new grads just don't know what they don't know! On the other hand, I had 7 years med/surg, ICU and OBS experience and an a Critical Care course behind me when I started there. I guess it depends on the ER. Ours is so busy that you don't always have time to bounce ideas of others and you have to make quick decisions using your experience and "nurse intuition" as a guide, and that intuition takes a little experience to develop. In our ER there are days that you may have an upwards of 6-8 "intermediate" patients or 3 "critical or Trauma" patients to yourself! Also, our ER does not have a good orientation program either. They did just implemented a new rule that nurses have to have 2 yrs experience before starting there. This is just MY opinion, from MY experience in MY ER!

i guess it's a good thing we have housekeeping staff 24/7... i don't know where i would find the time to being mopping up all the spills, blood and pee or plunging all the "you know what"! i think syringes, stethoscopes, bp cuffs, bedpans, and even calculators are more frequently used nursing tools. but... that being said i guess i should chill out 'cause it is only a cartoon hey? haha

I guess it's a good thing we have housekeeping staff 24/7... I don't know where I would find the time to being mopping up all the spills, blood and pee or plunging all the "you know what"! I think syringes, stethoscopes, BP cuffs, bedpans, and even calculators are more frequently used nursing tools. BUT... that being said I guess I should chill out 'cause it is only a cartoon hey? haha

Funny! But I can't say that a mop is ever a tool that I use as nurse!

I Was helping another nurse change out a pt in the ER. Once we had him changed he said, "oops, sorry!" The nurse I was with asked, "Sorry for what?" The patient said, " for pooping again." We looked everywhere but could not see any bowel movement anywhere. The other nurse said, "No, you must have just broke wind 'cause you never moved your bowels." He gave us a look but we just carried on and left the room. A few minutes later my coworker went to pull out his pen and what should he pull out instead? Big ol' turd. The patent did have a bm after all and it must have just fell directly into my coworkers pocket. He was mortified but I could not stop laughing.

She is a grown woman. You're not a junior high teacher. You give her your opinion, the info about consequences and the option to leave without penalty, and the rest is up to her. Even if she was in her GP's office and he suggested she go to Urgent Care, he can't MAKE her do anything she doesn't want to!

Nobody says a word about the lawyers, doctors, profs/instructors and other professionals that have these credentials on their name tags, but when it's a nurse we "eat our own". Geez, be proud of how far our profession has come! If you don't want to write it than that's up to you, but anyone who has worked hard for that education deserves to be acknowledged for the extra knowledge they have accrued! My 2 cents... Miss81 RN, BN, MN(s) ... hehe

This is what we do at our hospital. We don't really have a nursery, just an area with a few isolettes for sick babies. Our babies are taken to there mom as soon as the admission assessment is completed on the baby. With the exception is after a c-section, in which case we will watch the baby in the isolette for a few hours only. The mom's have a support person stay with them to help her care for the baby. I mean the care that the baby needs is not nursing care... changing diapers and feeding... no reason a family can't do it with some teaching!

We use them in an emergent situation for both adults and paeds until we can get another line. I find it works well for a short time, but they tend to leak and are very painful. That's my experience...

Not in my hospital (except for VAC dressings or packing). That is a Registered Nurses order/intervention. We use our own judgement for type of dressing (i.e. mepitel, silvercel, aquacel, etc.). We also have a wound care RN that can be consulted for very difficult cases. She can also do debridement and order VAC application.

Funny... I never really thought about the use of different terms. I moved to the US briefly and some of my co-workers laughed (not in a mean way) at some of the terms I used! For example, Johnny Coat=hospital gown Emerg=ER/ED Gluc=accu check At home, A "Grad" always means an RN (never LPN or NA), it means a "graduated cylinder" where I moved. Back home, "The UNIT" always means ICU

I know of an LPN student that was observing in the OR that started singing... according to the OR staff/doc it was the strangest thing and totally inappropriate. She is no longer in the program... I don't know if she was removed from the program or if she was embarrassed and left.

$82,000 last year... staff float pool nurse with 8 yrs experience (very, very little OT). Be a little more this year with the raise we got in July.

Never seen a filter needle, ever! Not in nursing school or since I've been working for almost 10 yrs (in med-surg and critical care). And, all of our narcs come in ampoules.

A lot of the NA's where I work wouldn't do this because most of them say that they don't what the pt's to know their names because "they won't stop ringing their buzzer for me and it'll seem like I have all day for them." Your introduction was very professional!

Over the next few shifts, keep an eye on weather she starts producing breast milk. That could be a clue that she has not expelled all the placental parts.

We have some old fashion Docs that will ask you to perform fundal pressure! That's a BIG NO NO! There is a place and time for it, but this is not it! I guess they don't get the mechanics of how the baby is stuck. Otherwise they wouldn't ask you to do it!

Stole my answer! hahaha! Great one at that... Our educator just did a great presentation on these techniques!

BN here! (My province does not have a BSN program as the Nursing faculties are autonomous. They are not associated with the Science faculty (same with the Pharm. faculty). No more RN diploma program either. That was done away with in 1995 in the entire province. We only graduate Bachelor's degree students now. All the instructors from the RN diploma programs had to complete their MSN, DNP or some kind of Education degrees and now teach at the University level, as opposed to the College level. We don't have any ADN programs here. Actually a few provinces are working toward BN/BSN for entry to practice.

Funny, "Annual leave" always seemed to be a Canadian term to me! We have to submit A/L for Summer in the Winter and vice versa. We have a list for each unit and an RN progresses "up the list" each year. First person on the list gets first pick of holidays and second person gets second pick (and so on and so forth). Each year you move up a spot on the list and the first person drops to the bottom. But then again we get 3 weeks as a new nurse and 4 as an experienced RN. (not including sick leabe). BTW, I agree about lighting a fire under your union but where I come from the Reps are volunteers, not paid!