Aurora77

Aurora77

Med Surg

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All Content by Aurora77

  1. Giving report

  2. Acetaminophen: Why?

  3. Outside Food in the Hospital

    Definitely just ask the staff. We have lots of hip fracture patients on my floor and we let family bring in food. Unless there is some kind of safety issue, I don't see why patients have outside...
  4. Untold medical error confessions

    One of the SCIP requirements is a beta blocker 24hrs pre/post op if the patient is on one. Contraindications have to be documented by the provider if this isn't done. I'm surprised your facility's...
  5. No more phlebotomist in the hospital?!

    That's the key: 4:1. Try 6-8 to one and report back how easy all these additional tasks are when added to your already busy day or night. Unless the number of patients per nurse decreases to...
  6. Passing things on

    For me it depends on who the nurse is. There are some nurses who almost never pass anything on, so when they say they're leaving something for me, I have no problem doing it. Then there are those...
  7. Does anyone else feel old while reading this thread? When I got my first degree years ago, we actually took notes. Our profs wrote key topics (in chalk!) on the board and that was it. Then, when I...
  8. Co-worker asked how much I make an hour

    I agree. I figure my pay is my business. If I wish to share that with others, that should be up to me. The only party that benefits from keeping pay a secret is the
  9. I would suggest looking at outcomes. I'm not in CA, but I think I've read on here that some facilities were just paying the fine rather than abiding by the mandated ratios, which would make the...
  10. JCAHO Requirement

    We have individual pill splitters. They're kept in the Omnicell so we can pull them when needed. It seems a bit wasteful, but before we went to single patient splitters, the old ones were always...
  11. Aspirin in the hospital

    From an ortho nurse perspective--total joint replacement patients are on anticoagulants postop. Depending on the surgeon, that may be Coumadin or Lovenox in hospital. A lot of the patients go home...
  12. Lipids at night

    We usually hang ours in the
  13. Phasing out noc shift differential in acute care?

    I don't see it as a perk, but a way to encourage people to work those off shifts. If I were to lose my shift diff, I'd be angry and insulted since it would essentially saying my work is crap so I...
  14. Not to sound stupid, but why would I need a nursing bag? I keep my stethoscope, scissors, etc in my locker. I bring my purse to work but nothing
  15. Exactly.
  16. I work post-OP/ortho. I always, if possible, try to go for the non dominant forearm. Hands are good, but those IVs don't last long when patients are using walkers to ambulate multiple times per day....
  17. Talk to the CNAs you encounter in clinicals. Watch what they do and ask them questions. Just like any other nursing skill, learning to transfer patients takes time and
  18. Needles!!

    I hit bone once on skinny little old lady. I can't remember now what I was giving, but it was an IM in the deltoid. She never even flinched. I was a new grad and terrified I'd seriously messed up...
  19. Waiting room

    Same here. I was 27 when I had serious abdominal surgery that required me to go home with a JP drain. Not only was I miserable from the surgery, I was dealing with all of the body image issues that...
  20. Waiting room

    I'm sorry you had to see another person's troubles. How dare they go out and offend others! How is a JP drain any big deal? Several years ago I had surgery and went home with one. On our long drive...
  21. Question about giving Lovenox

    I work on a post OP floor. We give tons of Lovenox shots. I would never encourage a patient to refuse it. In fact, if they do refuse, I document that I educated them on the repercussions of not...
  22. Blood administration help

    It all depends on the pump (or gravity) system you are using. On my floor we run RBCs as a piggyback, with the NS as the primary line. We program the pumps so they automatically switch back to the...
  23. It's basic math, not that hard. It's scary to think nurses can't do simple dosage calculations without a