NotFlo

NotFlo

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All Content by NotFlo

  1. Water Pitchers

    How many patients on your floor? Filling one by one seems like a waste of time. On my floor a CNA just fills 30 pitchers, places them on the rolling cart as she goes, and goes down the hall and...
  2. HATING MED/SURG

    So disagree with this
  3. Help! Pre-employment nicotine test!

    How about 3600 for a single in a "CDHP" (consumer driven health plan because they've done away with the PPO) with a 1500 deductible before they start paying for anything, no coverage for preexisting...
  4. Dehydration and PEG tubes

    I just hate making assumptions about what other people have or haven't done. It's really hard to tell if the tube has been flushed properly or not. I know for all our feeds except for bolus feeds,...
  5. Medication administration, not following the rules

    You can either pour, sign, give or pour, give, sign for each patient. It is fine to sign off the MAR right after you pour right before you give to the patient and then come back and circle anything...
  6. ZZZZ's - Time to be honest!

    Yes, I have dozed for a couple seconds while taping report. It's just finally sitting alone in a room repeating a lot of repetitive info. on 20 patients and the fatigue finally catches up with me. I...
  7. make up?

    I never wear make-up to work or anyplace else. When I was way younger I experimented with it and hated the way it looked and felt on my face, and it also tended to disappear very quickly. I tend to...
  8. Crazy on-call situations.....

    LOL for being called for that situation but wow, I can't imagine being in that RNs shoes even for a short period of time. The DON at my current facility was ADON at another local facility before she...
  9. fun: what does this photo say to you?

    I thought the scabies outbreak was under
  10. Snack bar in the ER?

    Weird! Why not just have a regular bar as well, people need a beer with their burger after all. Also maybe someone going around the waiting room giving mani-pedis while you
  11. Can I refuse an assigment if .....?

    I would bring up your concerns with your unit manager (or whomever is in charge of your floor) and see what she has to say. Find out exactly what you're going to be expected to do and tell her...
  12. Hospice

    One of the local hospice agencies in my area has a special dementia program. I am not exactly sure of what qualifies a person for this service except they have to have had a certain amount of decline...
  13. Why is LTC so hated

    Well, whether you find it hard to believe or not, my facility will give a month and more to a nurse that really needs it. My last orientee was on orientation for 6 weeks (and still never "got...
  14. How to help my CNAs

    There should be a CNA assignment sheet or list that has every patient and their basic info, like how they transfer, how much assist for ADLs, if they are alarmed/fall risks, if they are in thickened...
  15. My horrible hospital stay. What would you do?

    Yes they are supposed to but I work subacute and I can't tell you how many times a pt arrives to us never having been given anything but IV push pain meds. They get to us and of course we can't give...
  16. lovenox injection sites???

    Nope I wont give it anywhere but in the abdomen. It is only approved to be given in the abdomen. Had a patient once given a lovonox injection in the arm. Nurse accidentally administered all or part...
  17. Of course they shouldn't but I've seen it happen. Also, I've seen DONs initial stuff in MARs/TARs with other nurses' initials and enter blood sugars/BPs/APs under another nurses' initials without even...
  18. IM Morphine

    We have one patient with very special circumstances that gets IM Dilauded for routine pain control. No one has IM morphine ordered for routine pain control when there are other options available...
  19. My narc count was over!

    Always. The nurse withe paperwork should be reading off the number from the sheet, and you should be verifying that the number is correct with the physical count. NEVER have I seen or heard of it...
  20. Health of Staff when working on the floor!

    My facility has the same policy, for the entire floor staff, CNAs and nurses alike. Of course, the people who make the policy sit in their offices sipping coffee and water and eating snacks all day...
  21. I'm so stressed, I want to give up nursing...

    Are you sure the technician said "To RULE OUT leg edema?" I'm betting what he said, or what he meant to say, was that the order should say the doppler is being done due to leg edema. I know for our...
  22. Well, in my case, I do nursing assessments 8 hrs per day, 40 hrs per
  23. Reapply a Fentanyl Patch?

    What if one falls off and you can't find it? What if it falls off and you find it stuck on the bed sheets or rolled up in a ball or folded over stuck to itself? All these things have happened at my...
  24. Reapply a Fentanyl Patch?

    Yes, this. I would have just put on a new patch and changed the MAR to reflect the change. My facility does not require an order for this. If the facility policy really did want an order for this...
  25. LPNs as Unit Managers?

    I think the problem is more these particular unit managers, not whether they are an LPN or RN. I am sure the obnoxious ones you mention would be just as bad if they had an RN or LPN. However, as...