gilf7243

gilf7243

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All Content by gilf7243

  1. Vital Sign & I/O Assessment frequency

    gilf7243 replied to MONITORHOSPITAL's topic in CCU, Coronary, Cardiac

    At my hospital it works like this ICU=vitals every 1 hour, I&0's every 8 hrs (6a,2p,10p)unless very critical then every 2 hrs. Step-down ICU=vitals every 4 hrs, I&0's every 8 hrs (6a,2p,10p)...

  2. Patient Ratio Concerns

    gilf7243 replied to deie0383's topic in CCU, Coronary, Cardiac

    I work at an hospital who is cutting costs the same way. The ratio is the same as you have given. In ICU it is 2 patients=1 Nurse, unless they have a doctors order to be 1:1. On step-down we have...

  3. Inmate Pts

    gilf7243 replied to NurseyPoo7's topic in General Nursing

    I've taken care of one prisoner for a few hours before he transfered out of the facility to a bigger hospital. He was hand-cuffed to the bed rails and had 2 guards. I never specifically asked what...

  4. Manager charting and my documentation missing!?

    gilf7243 replied to ladylikeRN's topic in Geriatric, LTC

    Legally you can not copy any nurse note record from the chart. You can keep track of dates, times, and actions on your own in a calander or on a report sheet so you can remember or recall if ever...

  5. RN vs. LPN clinical rotations

    gilf7243 replied to fifi2323's topic in General Nursing

    I went to school and got my LPN then went back much later to get my RN. I am not sure that either school set out to wean out students. However, there are so many students that are on a waiting list...

  6. LPN starting RN school spring '09

    gilf7243 replied to BabyNurse_PJN's topic in General Nursing

    I was an LPN for 12 years before going back for my RN through the LPN to RN program. I did not attend this school for my LPN either. They didn't even have an LPN program back then. Anyway, the...

  7. Bye, Bye, LPN's

    gilf7243 posted a topic in LPN to RN

    I work at a level 2 Trauma Center in Ohio. Recently they layed off all of the LPN"s. They offered them a few options to cross train for another position for less pay such as a nurse tech or Unit...

  8. Acuity-Based Staffing?

    gilf7243 replied to Ayrman's topic in General Nursing

    I work 7p-7a shift in Ohio on an ICU step-down floor and our hospital just layed off all the LPN's and a few RN's plus many from other ancillary departments. They also just decided to change our...

  9. New and Drowning

    gilf7243 replied to Sunbird21's topic in PICU, Pediatric

    Don't be too hard on yourself. I have been a RN for two years now and before this had worked as an LPN in a long-term care facility. I didn't know anything about the hospital at all. I started...

  10. Missing narcs returned to med cart...sorry long

    gilf7243 replied to OklaLPN's topic in General Nursing

    Sounds like you work with a bunch of hulligans. This is about the stupidest thing I have ever heard. How mature is your CMA or Administrative staff? I'm glad I work in a hospital where things like...

  11. what about these sign on bonuses???

    gilf7243 replied to rnnursesandy's topic in General Nursing

    The hospital I work for offered a 4,000 sign on bonus but you had to sign for 2 years. It hasn't been bad working there. Definitely have to check out your hospital before

  12. Need advice! 2 Rotten apples spoiling bunch!

    gilf7243 replied to papergirlRN's topic in General Nursing

    I personally feel these two nurses are not acting professional at all if they are kissing at work and extending their breaks. As far as I am concerned the two should not be working on the same floor...

  13. 1 year in and I cannot do bedside anymore!

    gilf7243 replied to mycatmax's topic in General Nursing

    One good thing about nursing is it is versital. Maybe it is just the area of nursing you are working in. Would you be more comfortable in any other area of nursing at the bedside? There is med...

  14. How frequent BP's on vasoactive meds?

    gilf7243 replied to nursecass's topic in CCU, Coronary, Cardiac

    At my hospital we take pressures every 15 minutes on someone with a

  15. what do nurses hate about doctors?

    gilf7243 replied to futureMD's topic in General Nursing

    Most of the doctors at our hospital are nice but there are a few that we fear to call at night. I work ICU step-down unit. I usually try to wait until morning since I work at night but if the patient...

  16. All nurses hate their job

    gilf7243 replied to iamhere's topic in General Nursing

    I have had 15 years experience as a nurse. 13 as a LPN and 2 as an RN. I don't hate my job. I like the profession very much and find it very rewarding. The problem is not liking or disliking the...

  17. Lasix gtt

    gilf7243 replied to brissie's topic in CCU, Coronary, Cardiac

    This has happened at my hospital before. Someone is on a K+ depleting drip and no one thinks about the K+ level. I think it should be protocal to check a K+ level daily when on a drug like lasix or...

  18. What would you do for this patient?

    gilf7243 replied to UM Review RN's topic in CCU, Coronary, Cardiac

    Sounds like moving this patient was the right thing to do. This patient is sick. She probably is septic or in shock from her colostomy surgery since her pressure is low. It's difficult to say for...

  19. ?? re: giving drugs through a maintenence infusiong

    gilf7243 replied to jamst149's topic in CCU, Coronary, Cardiac

    I have never heard that pushing Dilauded and Ativan was unsafe uless the wrong dose is given. I was never taught to use the most distal y port. I always have used the closest to the patient. Of...

  20. The eternal K+ debate

    gilf7243 replied to MissAnthrope's topic in CCU, Coronary, Cardiac

    In my hospital we have such a thing that is a standard form to replace potassium called "Potassium protocal" When it is ordered we print the form and fill it out and fax to pharmacy. The dose is...

  21. V-fib after Asystole

    gilf7243 replied to Shell5's topic in CCU, Coronary, Cardiac

    I just took ACLS and if pulseless, yes it is a shockable rhythm. Of course CPR and meds must be given before and after til a pulse is felt. Epinephrine 1mg every 5 minutes time 3 doses. Hope this...

  22. what do you guys think of my working conditions?

    gilf7243 replied to BandEmom's topic in CCU, Coronary, Cardiac

    I think you may work at my hospital. This all sounds very familiar to me. I feel burned out too. Good for you for going back to school. If we don't work at the same hospital then it must be the...

  23. Shift report form

    gilf7243 replied to MaryCQB's topic in CCU, Coronary, Cardiac

    I have a form that is very informative for report use that I can get my hands on at work. I don't go back until tomorrow. Sun July 27th. If you still need let me know. I am not sure how to get it...

  24. I'm so disappointed. My hospital FIRED ME!!

    gilf7243 replied to hotomalis's topic in CCU, Coronary, Cardiac

    I work for a Catholic Hospital too!! It makes me wonder what would happen to me if the situation was mine? I have never had cancer and cannot begin to understand all that you have been through. I...

  25. I yelled at another nurse.

    gilf7243 replied to Jo Dirt's topic in General Nursing

    Something else struck me about your situation with this co-worker. How can she get away with leaving early so much???? This should be a red flag to the DON?? I used to work in long-term care but now...