KneKno

KneKno

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All Content by KneKno

  1. Midnight shift

    KneKno replied to NurseSuzann's topic in Geriatric, LTC

    Night shift since 1987--2 years of 11-7, 7p-7a since. You can't know until you try it. I didn't do as well on the 8 hr shifts, only had 2 days off in a row every other weekend, and I wanted to be a...

  2. what time does your shift really end?

    KneKno replied to sleepy1010's topic in General Nursing

    My 7-3 is really 7-3:30--half hour overlap for

  3. Frustrated Charge Nurse

    KneKno replied to Caffeine_IV's topic in General Nursing

    Are there lots of inexperienced on the unit, or are the new ones just all working on the same night? Could you talk to the manager about spreading them out over the week, so there's a few on every...

  4. Need Advice

    KneKno replied to MarBug7's topic in General Nursing

    Fluids were at 200, antibiotics were administered. Temp didn't go really high until you were giving report. In my experience, not much would have been done differently, even if you had notifed the MD....

  5. HELP - I need to interview a charge nurse!!

    KneKno replied to Cilantrophobe's topic in General Nursing

    I'm a night shift ICU charge. After assignemnts are made, I take care of my patient's! My load is usually a little lighter than the average, and I serve as a resource for the rest of the staff as...

  6. other rn mama's ..going back to work after

    KneKno replied to erin01's topic in General Nursing

    Can hour husband do a few "practice runs"? He can be responsible for the baby for 12-14 hrs overnight, you get to sleep. If something happens he truely can't handle, you are there for back-up--but, a...

  7. What is the best nursing advice you ever got from another nurse?

    KneKno replied to HealerWoman's topic in General Nursing

    Do not forget to eat and pee! (not at the same

  8. Prioritisation of care question

    KneKno replied to Jinbei's topic in Nursing Student Assistance

    Agree with PP. I'd be juggling #4 and 5. How high is the BP, how low is the glucose? That'd tell me which way to go first. If diabetic is responsive, can someone else take them a snack? Any protocols...

  9. Values/Beliefs paper topic ideas?

    KneKno replied to haunani's topic in Nursing Student Assistance

    End of life care--full code, agressive treatment in a pt with end stage disease (cancer, COPD, heart disease). Advanced Directives say "no vent", decision maker overrules. Old stand bys of assisting...

  10. Need some reassurance.

    KneKno replied to Spritenurse1210's topic in General Nursing

    You followed policy, so it's not wrong. Some pt's though, "need" a higher mg than the low end of the lab range, same goes for K. In my facility, a huge majority of pt's have a cardiac history--mid to...

  11. per diems

    KneKno replied to massrn116's topic in General Nursing

    Fairly recent change in my workplace (hospital). OverTime is the first to be floated or called off if not needed; perdiems floated (if oriented to the particular unit) or called off before staff on...

  12. And then they called me at Midnight

    KneKno replied to Tait's topic in General Nursing

    I've worked nights for over 20 years, and the benefits far outweight the negatives. However: *CE offerings at noon (for the lunch time crowd) *Food left out for nights (from that noon meeting!)--we...

  13. Elkins WV says HI!

    KneKno replied to WV_heart_RN's topic in General Nursing

    I work in Morgantown, so I'm much more familiar with those hospitals. Check out the websites for both, job postings are online. Ruby--University based, med school and nursing school. Trauma center,...

  14. Elkins WV says HI!

    KneKno replied to WV_heart_RN's topic in General Nursing

    There's a few small hospitals in the area--Davis, AB, Grafton City. Many, many healthcare workers commute to Morgantown--Ruby Hospital (WVU) or Monongalia General (smaller,

  15. Rookie nurse neds how to advice instructuring a day...

    KneKno replied to Cybernursex5's topic in General Nursing

    I would make a "skeleton" of tasks. All the hours down the far left of the page, the pateint names across the top. Then, for every hour, what needed to be done for that pt. 8, 12, and 4 were...

  16. "Yinz"

    KneKno replied to oramar's topic in General Nursing

    There's a book somewhere out there about "Pittsburghese." I did find this, with the spelling "yunz." http://www.tomtwine.com/pa.htmlunz I live down in the corner of SW PA, and work in WV. The word...

  17. Should I call?

    KneKno replied to SweetNothings's topic in General Nursing

    It sounds as if you know people that work at this hospital? Would any of them be willing to "sing your praises" to the NICU manager? Sometimes the recommendation of a known good worker can tip the...

  18. Please Help a Student out with an Assignment - This is actually sort of fun :)

    KneKno replied to hearts895, RN BSN's topic in Nursing Student Assistance

    A device that converts my (speaking) running commentary about the pt's assessment, v/s, teaching into the appropriate spaces in the computer

  19. Question about Nursing

    KneKno replied to Duttygal86's topic in General Nursing

    It's the culture of the ED in that particular place. A work culture ("vibe") can vary from shift to shift, from unit to unit within the same hospital, and from hospital to hospital. There is a trend...

  20. Is it possible to document too much?

    KneKno replied to Spritenurse1210's topic in General Nursing

    I was told by an English instructor: Writing should be like a miniskirt--Short enough to capture interest, long enough to cover the material. I think overdocumentation can occur, especially if double...

  21. Pregnancy-Hot Baths

    KneKno replied to pagandeva2000's topic in General Nursing

    I think it just has to do with raising the mom's and therefore the fetus's temp--almost 6 years ago I was told to avoid hot showers and baths, sun bathing, saunas. Even a febrile illness can raise the...

  22. Commuting opinions

    KneKno replied to ShellyRSRN's topic in General Nursing

    The milage is less important than the drive time. I'm rural, many people I work with have a commute time of 45 to just under 90 min. (Rural, mountainous area). Most everyone does 12s and just do the...

  23. can u believe it

    KneKno replied to lovingRN2009's topic in General Nursing

    Found this at: http://www.reducetriglycerides.com/reader_triglycerides_conversion.htm To convert mmol/L of glucose to mg/dL, multiply by 18. To convert mg/dL of glucose to mmol/L, divide by 18 or...

  24. Can a DNR order be a TO

    KneKno replied to Bug Out's topic in General Nursing

    Check your facilities policy. I work in acute care. We can take DNR orders over the phone, another RN also has to take the order, and it is signed by both RNs. The order must be cosigned by the MD...

  25. Can someone tell me how to switch my PA RN license to a NY license?

    KneKno replied to PANURSE15009's topic in General Nursing

    Licensing by endorsement information: