Andrew, RN

Andrew, RN

Pyschiatry/Behavioral (Inpatient)

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All Content by Andrew, RN

  1. How to calculate body burn percentage?

    Andrew, RN replied to lovehospital's topic in General Nursing

    Google "Rule of Nines" That's the general guideline to base your lacted ringers fluid resus for the patient. There is one for adults and

  2. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    This is exactly how things work at the facility. They don't train me or expect me to set up PCAs. Only the pain service nurses do that. Big emphasis on the "ambiguous non-written protocol orders"....

  3. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    I gave the drug with an order. The surgeon wanted the patient to have

  4. How do you deal with an insensitive CNA?

    Andrew, RN replied to arelle68's topic in Geriatric, LTC

    Snitch her out to the boss, that kind of talk to the patients is very

  5. Where Do People Dream This Stuff Up?

    Andrew, RN replied to BabyRN2Be's topic in Ob/Gyn

    "I don't need to take my blood pressure meds, my blood pressure has been fine" Then they go to ICU on a nitroglycerin

  6. Snoring a sign of respiratory depression/oversedation?

    Andrew, RN replied to Virgo_RN's topic in General Nursing

    Snoring is fine as long as they are moving air and not having apnea. I snore all the time when I sleep. I don't have OSA. Most of the time, it's just an inconvenience to their room mate. But it all...

  7. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    This MD isn't trying to protect his license. He's being passive-aggressive and overboard. The dosage I gave of this drug in this situation was safe. I've never had one of my patients respiratory...

  8. "will continue to monitor"

    Andrew, RN replied to rnto?'s topic in General Nursing

    I would write "no changes compared to initial assessment of patient" or whatever your facility would prefer you to

  9. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    Hopefully I will get to keep my job and help them change their policies so they can be doing things the right way. One of my friends got hired at this PACU the same time I did. She has 20+ years of...

  10. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    Some of this advice is helpful, some of it isn't. Thanks anyway for those who have commented. Here's some facts. The hospital is not JCAHO so their standards don't apply here. The pain nurse is a RN,...

  11. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    Pain nurse is saying that she gave me an order to medicate the patient, not necessarily a dilaudid order. They took away my weekend call and told me to stay home on Monday. They're going to meet with...

  12. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    This is what I'm hoping for. This department needs better order sheets and more things in writing than what they have now. There are no protocols in writing, it is just an understood thing that you...

  13. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    I'm on call Saturday and Sunday for 12 hours each day. This is so screwed up. I'm wondering if they're going to take this away from me too. I'm wondering if I still have a job. People keep things from...

  14. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    My manager is telling me the reason he won't sign it is because I "didn't talk to him first about it". Which makes no sense. We give fentanyl, we give morphine, we give antiemetics without talking to...

  15. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    I'm about to give up on being a nurse, this is my second job at a totally new hospital (the first one really screwed me over if you care to read my Orientation Woes thread) I can't handle this. I feel...

  16. I Need Advice - MD Not Signing Order

    Andrew, RN replied to Andrew, RN's topic in General Nursing

    There is no official policy in writing. It's all one big gray area. They were going to write a policy but the MD in charge of that has been gone due to health

  17. Many RN's administer IV meds wrong.

    Andrew, RN replied to Guest219794's topic in Patient Medications

    I slow pushed some pepcid and an anesthesiologist looked at me and said "Andrew... push it!"

  18. The Economy and your job as a nurse

    Andrew, RN replied to szccdw's topic in General Nursing

    People are going to be stupid and skip on preventative measures in order to save money, then they will end up in hospitals for even longer and be even sicker. We'll always have a

  19. Dangerous nurses

    Andrew, RN replied to funmom's topic in Patient, Colleague Relations

    Use paragraphs, that's way too difficult to read without line

  20. Dangerous nurses

    Andrew, RN replied to funmom's topic in Patient, Colleague Relations

    tl;dr

  21. Dangerous nurses

    Andrew, RN replied to funmom's topic in Patient, Colleague Relations

    I don't even know if it's still on here. They posted a bunch of incriminating stuff at first and the mods got on, edited their post, and everyone just said "Oh my god... you need to talk with...

  22. May 2008 grads....how are things going?

    Andrew, RN replied to marilynmom's topic in First Year After Licensure

    Older RNs treating us new grads like crap is so counter-productive. Who the **** do they think is going to take care of them when they retire and need a

  23. Dangerous nurses

    Andrew, RN replied to funmom's topic in Patient, Colleague Relations

    How about the "I killed my patient" thread that a new grad posted on here a few months ago? You want scary... I read some legal briefings. One case: a RN gave an antibiotic intrathecal instead of...

  24. Roll Call

    Andrew, RN replied to Tweety's topic in Men in Nursing

    If you want to learn more about PACU, google "ASPAN"... it's our professonal organization for Peri-operative RNs. They'll have plenty of stuff for you to read. We have unstable patients at times and...

  25. Roll Call

    Andrew, RN replied to Tweety's topic in Men in Nursing

    PACU is so much fun. It can be fast paced but there are also lulls where I'm sitting around without anything to do. Mostly it is patients that just had surgery with a general anesthetic that I...