gilf7243

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) Tele=vitals every 8hrs unless they are on a drip or...

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 3-4 patients per nurse. Many times without a nurse ...

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 he was in jail for. Didn't want to know in fear it...

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 called into a court hearing. Just as you can not tak...

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 to attend nursing school in my area. If they find...

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 classes you take will go through all of the body syste...

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 Secretary. However, this would be fairly big pay cut...

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 Matrix. Our Nurse staff ratio has never been based on ...

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 working in ICU step-down and some of the patients shou...

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 this don't happen. We have a machine called a Dei...

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 signing.

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 or shift if they cannot act in a professional mann...

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 surg, pediatrics, OB, ER, ICU, CCU. At my hospital som...

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

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 has a significant change of condition for example...

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 profession as much as the stress and demands placed ...

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 bumex. I work night shift so it irritates me when...

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 sure with such little information. She definately ...

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 course I make sure first that it is compatable with t...

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 based on the patients weight and most recent potassiu...

At our hospital we have a thing called Pharmacy dosing for heparin that the doctor writes for on the physician orders. When this is ordered the pharmacist tells you what to start the dosing at and when to put an order in for the next aptt. Usually ...

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 helps

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 same company that owns it. Is your hospital a catho...

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 to you. Can you attach things on these forums? I ...

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 cannot believe you where fired!! I will include you i...