RNKPCE

RNKPCE

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  1. With your full time managers trying to work with you I would start the per diem job and see how it goes letting the per diem manager know your situation. If you get 3-4 weeks into the orientation and...
  2. hospital policy on Facebook, cellphones= suspension

    I am all for no texting, cell phone use or internet while on duty, however you should be able to do all of those on your breaks. Meal breaks are off the clock and you should be able to text all you...
  3. Bedside Reporting

    Beside the downsides already mentioned doesn't report take longer? We are planning on doing this and frequently I get report from up to 4 different nurses. It is not like Nurse Sandy gives report on...
  4. Evening shift??

    I work out at the local gym. I see other people who work nontraditional shifts there like firefighters, police officers. Shopping is so much easier during the week. Make sure you plan something on the...
  5. Patients paying for TV service in the hospital

    We had this at where I worked around 20 years ago. It was a PIA. A patient would pay for 4 days and get discharged after day 3. Or the poor patient had no money to pay. Glad that is long gone for us....
  6. Telemetry, Step Down?

    varies. Primary focus is cardiac but we can get hip fractures related to a fall from syncope, stroke related to atrial fib, a cancer patient who goes into CHF, post op open heart surgeries, coronary...
  7. Being called off.

    We have a daily list for people who want to be called off so if census allows those people are cancelled based on her has been cancelled the least in the last 90 days. If that is equal they go by...
  8. Surgery centers would likely have one RN and one aide if only 2 patients spend the night. Insurance and other financial reasons are why they wouldn't transfer a patient to an acute
  9. Kindly in writing ask them to not call you on your day off, the hospital then has written proof you wouldn't be available if they tried to call you(important if you live in a state with ratios). If...
  10. Please Help with IV calculation homework

    Oops. I thought you were talking about dopamine
  11. Please Help with IV calculation homework

    If the strength is 400mg/250ml your drip rate would be about 4.7ml per hour. But you don't know the strength. Some doctors order double strength dopamine 800mg in 250ml, I have even seen triple...
  12. I agree with itsthegreeneyes. Where I work we already were pretty much staffed at ratio levels on days an pm's before ratios were implemented. We also have a break nurse to help the charge give...
  13. i placed 30 cc to a 16 fr 5 cc foley cath

    Our kits come with a prefilled syringe of like 5-10cc. Did you kit come with a pre-filled syringe? I have on occasion added a little more if the patient is leaking around the catheter. I believe they...
  14. Survey: How do you get a life outside of work?

    Caller
  15. No time off for new dad!!

    When he started his job 3 months ago he should have stated that his girlfriend was pregnant and knew he would need a couple days off around the birth. I know many people have plans, vacations, births...
  16. MAC Anesthesia?

    Some people who have MACs are so deeply asleep(but maintain their own airway) they think they had a general. Some patients are awake for almost the whole procedure. Some doctors will return a patient...
  17. ACLS question

    Where I work tele, standing orders cover us. On med-surg hopefully a rapid response will be called first( they have their own standing orders) if not it is likely you are already in a code situation...
  18. Depends how your hospital works, where I work the nurse's aides do not learn heart rhythms or EKG's but if that is an expectation of a nurse's aide there then I think it is great. If you are just...
  19. What is the work schedule like for RNs?

    It varies from place to place and can even vary over time in each institution. We never had 12 hour shifts now we have a combination of 8 hr and 12 hrs. Where I work there is no set pattern. Some...
  20. Change dosing time - electronic charting

    I think it really depends on your institutions practice. Where I work pharmacy would think you were nuts to ask them to do it. The responsibility falls on the doctor or the nurse at my hospital. If I...
  21. VS parameters and antihypertensive meds

    Most of our doctors leave parameters. If there are no parameters and the patient's blood pressure is on the low side for me usually around 100, I will hold it and then call the doctor and get...
  22. You should NOT become a nurse if...

    Do not become a nurse if.......... 1) You aren't ready to really really work hard to get through nursing school 2) If you think nursing school is where you will learn the most about...
  23. Required Nursing Uniform

    OMG who makes these things
  24. Required Nursing Uniform

    The thing about Magnet hospitals having to have RN's wear all the same uniforms is baloney! We are Magnet and don't. A few years back we did a trial of the same uniforms on a few units. The hospital...
  25. CLARIFICATION

    Until the number of men in the profession increase you will most like see "she " used most of the time. I also find "he/she" cumbersome if I have to read that each time. The males nurses I work with...