Aurora77

Aurora77

Med Surg

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All Content by Aurora77

  1. line flushes, patient safety, infection control

    IVRUS, can you show some documentation for the multiple scrubs? I was taught to scrub once at the beginning. I did some googling and found several P&Ps that go along with
  2. Could I fail because of this? can't be that bad...

    I think it is unprofessional. If you aren't completing the objectives your instructor is within his/her rights to fail you. My advice is to suck it up, do the assignment, and pass the
  3. Getting patient information before shift

    Ditto. Maybe I'm old and cynical, but I got burned by my old (non nursing) job. I'm fully prepared to give my 100% in return for my wage, but no way in the world am I giving more for free. If my...
  4. Speaking of... Getting to work early

    Something to think about--if you're giving a half hour of volunteer time to your work, in 52 weeks that comes out to 78 hours of free labor. 2 weeks of time you're not being compensated for. That's...
  5. Speaking of... Getting to work early

    So is there no report? You just go in essentially blind? What kind of facility is this? It sounds very
  6. Future Shortage in Bedside Nurses

    I wish I could like this a million times! I'm amazed when I read about people being constantly "abused" by everyone they one into contact with a the bedside. It's like this nurse I used to work...
  7. That's the problem right there. At this point, a BSN degree doesn't provide a significant wage increase over an ASN, therefore making it an unattractive option for nurses. I am an ASN prepared nurse...
  8. Pain control via PRN narcotics

    Something else to think about: the typical PCA dose for morphine is 1-3 mg Q8 minutes. Until your docs start writing correct orders, that can provide a starting point for administration. Of course...
  9. CIWA woes

    You will have an advantage over your younger peers, but the reality vs the idealism of school is very real, no matter the age. I, too, came to nursing later in life so I've got a bit of experience...
  10. CIWA woes

    Why? Why can't a nurse be a human being and be frustrated with a patient? Are we supposed to hold in that frustration and never expose it, like it's some dirty little secret? Why does having a bad...
  11. Getting patient information before shift

    I think it's working off the clock. I get to work about 1820, then get my assignment and get report. I don't see the point of giving free labor--anything I'm doing as part of my job, I'm getting...
  12. CIWA woes

    No you can't. Everyone (even we saintly nurses) pass judgments on others. It's human nature. Anyone who says they don't is lying. It's what we do about those judgments that matters. Every...
  13. Read this email my NM sent to all the nurses.

    No manager should have to say that. Apparently professional behavior is
  14. IV count?

    They're right. Just a couple of weeks ago we had a heck of a time getting enough IV pumps for all our patients. A couple of us had infusions going to gravity. I hadn't calculated drip rtes since...
  15. What to do about refusing Dr. orders?

    Not totally on topic, but IV tylenol is great stuff. We use it on some of our post op ortho patients and it helps tremendously with pain
  16. Shared Governance

    Having the meetings at 1 pm means you're entirely eliminating the night shift staff; that's like scheduling a meeting at 0100 for the day shift. Try making them closer to change of shift; if evening...
  17. Asked to get Consent

    Do you have to chart anything? We just keep the order open until the provider has seen them. It's not unusual for our post op floor to get, among the other orders for the night from the surgeon, an...
  18. So I get a call from the lab.....

    This makes me love our lab. We get our criticals called, but they do use common sense, like in the INR or dialysis pt example. Thank goodness, that would drive me nuts to get those phone
  19. The positioning sounds awkward. Get a pillow and have the patient roll over just enough so that you can get to the dressing. Depending on how long it's been from the surgery you may not need to do a...
  20. I think (may be wrong) that to the outsider looking in, the only "life saving" nurse would be an ER nurse. Those of us on the floors wouldn't count, so working on the floors during the Sabbath isn't...
  21. I think I made a mistake

    I think the mistake was giving both the scheduled and PRN meds at the same time, or so close together. The metoprolol would treat both BP and HR. I'd have given that then rechecked in a couple...
  22. You didn't argue. You dropped some insults and ran. The only way we can understand one another is by discussing issues. Why wouldn't you want to do that? Any philosophy that can't withstand...
  23. In my old debate team days, we used to have a saying, "silence equals compliance." I'm guessing by your inability to respond with anything other than insults, you must agree with me. Otherwise you...
  24. What are you talking about? Why the insults? I'd still love an answer to my earlier question, the one you are working so hard to
  25. Who pays for the healthcare coverage? Really, this a basic question. Where does the money come from? I promise, it's a simple answer. Nice ad hominem attack, btw. If a question can't be...