solneeshka

solneeshka BSN, RN

PACU, Surgery, Acute Medicine

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All Content by solneeshka

  1. Favorite Dr or Nurse Name

    solneeshka replied to sethmctenn's topic in Nursing Humor

    I work in ophthalmic surgery, where we have a Dr.

  2. Electonic documentation,how much time does it take from the bedside?

    solneeshka replied to Been there,done that's topic in General Nursing

    Great question. It takes way too much time away from the bedside. There are nights when it feels like I spend half my shift charting, and I'm not exaggerating. The problem is all of the modification...

  3. Hard for GNs to get jobs in St. Louis?

    solneeshka posted a topic in General Nursing

    I'm planning to relocate to St. Louis after graduation in May and would like to find out if it's relatively easy for GNs to get hired in St. Louis, or if there are so many nursing students there that...

  4. Pain meds & VS

    solneeshka posted a topic in Patient Medications

    For which pain meds do you check VS first? I know for any cardiac meds to check, and for any opioids, but other than that sometimes I wonder if I'm not checking them when I should be or if I am...

  5. Is it like this everywhere?

    solneeshka replied to carluvscats's topic in Operating Room

    Try ambulatory surgery. Lower acuity, fewer

  6. O.R. orientation 6-9 mos. or 3 mos.?

    solneeshka replied to LAM2010's topic in Operating Room

    I would just sit down with my manager and ask what the deal is. Remind him or her of what your understanding was coming in and ask why that's no longer the case. Sometimes being straight up will get...

  7. set up how do i proceed to work with these people

    solneeshka replied to RNOTODAY's topic in Operating Room

    I know this is the pat answer that everyone here seems to give for every answer, but I would be looking to work elsewhere. At least on a different service from this person. I worked with poison like...

  8. Making corrections to a computerized medication record

    solneeshka replied to tolerantgirl's topic in General Nursing

    Our system has a way for us to chart by proxy (you check off "Administered by someone else"), but doing that triggers a message to that other person that they must respond to the next time they log on...

  9. ER nurse to patient ratio

    solneeshka replied to MGHERRN's topic in Emergency

    Not an ER nurse, but I've never heard of a facility with a ratio as light as 3:1 in the ER. We're a level 1 trauma center (very high acuities) and our ER nurses have 5:1. Did an ER internship in...

  10. Need advice please

    solneeshka replied to DianeS's topic in Geriatric, LTC

    Never, never, ever, ever say or imply anything bad about a current employer when you're looking for a new job. New employers always want happy, can-get-along types of people. If you say something like...

  11. On call status and drive time

    solneeshka replied to netglow's topic in General Nursing

    We have hour to get in, but it's only a few areas that require it. As far as I know, none of the floor nurses are on-call. It's mostly peri-op. They hold to the 1 hour. If you live farther away than...

  12. What would you make of this?

    solneeshka replied to bluemorningglory's topic in General Nursing

    I know this issue was not the purpose of your post, but it makes me apoplectic with rage when I hear other personnel do this. That patient is not your honey! It's tremendously presumptive to use terms...

  13. get pt. up off the floor and keep your back healthy?

    solneeshka replied to ontocrna's topic in General Nursing

    This is exactly what I was going to suggest, this is how we do it on my floor. I am amazed at how easy it is to lift even very heavy patients off the floor with only 4

  14. We no longer triage

    solneeshka replied to Guest219794's topic in Emergency

    This is how it works at the Missouri Baptist ED. A doctor sits in the triage area with the nurse. The RN does regular triage stuff, the MD is there so that if the pt can be shipped over to the clinic...

  15. Do doctors really yell at you, and get away with it?

    solneeshka replied to copyandpaste's topic in General Nursing

    I'm a nurse and there are a lot of nurses in my family, all over the country. It seems to me to be a regional thing. That is, there is a different level of tolerance for this sort of thing in...

  16. ICU Nurse working on floor- trouble with organization

    solneeshka replied to squirtle's topic in General Nursing

    Wow, I'd love to know where you work that your night is so predictable! Most of our nights, we're shipping pts off to the ICU or getting new admits at the worst possible time or our phones are burning...

  17. IV Morphine Push

    solneeshka replied to Sweetie2005's topic in Patient Medications

    Sorry, I read the OP incorrectly. I experimented with this once, but that was flushing from the top of the tubing (from where the bag would hang. It took about 15 mLs to start coming out the patient...

  18. IV Morphine Push

    solneeshka replied to Sweetie2005's topic in Patient Medications

    If your IV tubing is 20-30mLs, that is some LONG tubing! PICC lines are 3 mLs. Seems very surprising, they seem like they ought to hold more. But the lumen is very, very small. This is why it's so...

  19. Ridiculous? Or not?

    solneeshka replied to LilgirlRN's topic in Emergency

    Why do you think she was posting from

  20. Reality Shock...

    solneeshka replied to xoblondebananaox's topic in First Year After Licensure

    My biggest reality shock, and it shouldn't have been after all I've read about it, is how awful other nurses can be to work with. Of all the many, many things I have to complain about regarding my...

  21. What do you consider to be "obtunded"?

    solneeshka posted a topic in General Nursing

    This question came up at work last night and I'm curious as to what you all think. Some thought of it as snowed, blotto. Essentially, drunk or high. Others thought of it as one step away from a coma....

  22. I feel TERRIBLE!

    solneeshka replied to SNjamie's topic in General Nursing

    It's great that you feel a sense of responsibility, but you are not God. I'm with juliann, you have to let this one go. You're a student now, you have a long career of stopping at car accidents ahead...

  23. Anything Good About Bedside Report?

    solneeshka replied to rntg's topic in General Nursing

    Well maybe the way you all do report is different from how we did it before walking report, but our charge nurses and unit manager have never been involved in the report process. We would just pair up...

  24. Anything Good About Bedside Report?

    solneeshka replied to rntg's topic in General Nursing

    It does give the pt the chance to speak up with points of clarification, that happens all the time and is very useful. My impression is that it helps pt to see that there is actually a plan for them,...

  25. Anything Good About Bedside Report?

    solneeshka replied to rntg's topic in General Nursing

    If I m oncoming, I wake them. We had a couple of cases where pts had turned critical and neither nurse realized it, wasn't disobeyed until oncoming nurse got to that room, and by then it was too late...