RNKPCE

RNKPCE

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All Content by RNKPCE

  1. Experineced nurses...you're best organizing tips

    One instructor I had always said " don't wait to do later what you have time to do now" I alway remember that. Because you might be right on task then a rapid response happens to your patient and the...
  2. I know someone whose kids go to school at a closed school due to swin flu. They are not heeding advice to not go to Mexico unless travel is essential. They are going to Mexico in 12 days and taking...
  3. How far can a patient go?

    For physical abuse or like what the HIV + patient was doing charges can be pressed by the nurse on the paient. Most physical abuse on staff where I work is by elderly patients with dementia who...
  4. Why do nurses take the fall?

    Wow Ploppers can you work on my unit! I love that you take what you do so seriously. Unfortunately as the RN I am responsible if something isn't done or done correctly. Part of delegating tasks is...
  5. ACLS

    Does your hospital have a tele unit with monitor tech. Ask if you can use your educational time to sit for 4-8 hours with the tech and practice your rhythms? Or ask the tech to save you some strips,...
  6. Social sorority and nursing school.

    I think time will determine what you will be able to do. This time next year you will have finished one semester of nursing school and you will know what those demands are, you will have been away...
  7. Social sorority and nursing school.

    Also in different post you are struggling with moving away from your family and finding day care for your child so you can attend school. You do realize as much as the sorority is welcoming a mother...
  8. Social sorority and nursing school.

    You may not be getting a lot of responses because not that many people join sororities and go through nursing school. Put the parenting factor on top and not sure you can find anyone who can tell...
  9. pyxis dilemma

    The people in the best spot to notice this issue are the co-workers, not the "powers that be". Management doesn't know that a patient's IV was dc'd at 4p but a narc was checked out at 4:15pm on that...
  10. pyxis dilemma

    This needs to be reported and not through an anonymous text message. You need to come forth and state all the evidence you have. This is your obligation. It sounds like she increased her diversion...
  11. Being sent home after floating?

    It is part of the contract that the per diem goes home before the traveler. The hospital tries to use very few travelers so it isn't a real problem. Travelers float to other units and cover...
  12. Being sent home after floating?

    Where I work they would have you return to your home unit and sometimes some else there wants to go home if not they rotate as others have mentioned. Per diems sent home first, then travelers(which...
  13. I Need Advice - MD Not Signing Order

    Another issue is why can the "pain nurse" be the only one to set up a PCA. Our PACU nurses set up their own PCA's all the time and floor nurses set them up all the time. Waiting for pain med because...
  14. I Need Advice - MD Not Signing Order

    Protocol or standing orders have to be somewhere in writing/computer. We have standard orders in our PACU and the doctors check what they want and can add things not pre-printed. Basically in this...
  15. My friend was a 25 year old teacher in a high school in a small town and she always felt like she had to be on her best behavior when she went out on the weekends for fear of running into some of...
  16. RRT initiated by family/patient

    I think the OP is referring to pt or families initiating the rapid response team not the direct care nurses
  17. RRT initiated by family/patient

    We have it and it is called Code Help it came from a case back on the East coasthttp://www.josieking.org/ When we first implemented it we had a few inappropriate calls, needing a box of Kleenex...
  18. Quiet nurse?

    I think quiet would be very calming in OB. It would be a mess of a world if everyone was " not
  19. discharged a patient wearing telemetry

    We started a discharge checklist at my hospital because we were losing tele boxes. We also were forgetting to give patients back their own meds(the one our pharmacy doesn't carry) and some teaching...
  20. If you make over 100k/year as a nurse

    Not me but at my hosptital in SF Bay Area a new grad staff nurse on day shift working 40 hours a week starts at $98k not including weekend diff or holiday pay. The top of the pay scale workinging 40...
  21. wanting to go casual

    Are threatened by your co-workers and management and that is why you want to go casual or if you go casual you will be threatened by them? Most people change their status for "personal"
  22. The one who knew the patient best which would be the one who just got done taking care of him/her for the last 8-12 hours, even if overtime is incurred. Valuable information is lost with each hand...
  23. Lunch breaks and required phones

    Do you work in the US? Are you paid for your so called break time when your are still carrying the phone? If you aren't then you are letting yourself be abused and your facility could be fined...
  24. Lunch breaks and required phones

    Every time I hear of nurses who don't stand up for their rights it makes me so angry. I know some places that is the culture but it is against labor law. Even within my own hospital there are units...
  25. Meal Break Rules in Cali?

    California Meal Breaks California labor law requires that employees periodically be allowed to take meal breaks. Specifically, the law requires: No employer shall employ any person for a work period...