RNKPCE

RNKPCE

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All Content by RNKPCE

  1. Patient assignments during pregnancy

    I am sure this pregnant nurse was not what you call a team player before she got pregnant. We usually have anywhere from 4-8 isolation patients on our unit at a time and those are only the ones we...
  2. Support stockings or knee-high support socks?

    I had varicose vein problems while pregant, discomfort more than cosmetic, and in my thighs not my lower legs. A vascular surgeon that worked on my unit recommended full prescription support hose,...
  3. Passing out in the OR....

    Passed out as a CNA (new) helping an RN put a foley in an elderly woman with the curtains pulled all around the bed. They took me to the ER and my parents had to pick me up. Been a nurse over 20 years...
  4. Manager problem employees. Don't create new checklist or forms to deal with a problem being caused by one or two employees. Counsel, create a performance improvement contract and terminate if no...
  5. Pyxis as the problem? You decide.

    Also I don't think using pyxis and bar coding is being redundent. You can take a drug out of pyxis an administer it to the wrong patient. That is the point of bar code scanning. Right drug, right...
  6. Pyxis as the problem? You decide.

    First off where I work we have been double checking coumadin, heparin, levanox for years and insulin. We check with another RN at a computer looking at INR or Platelets. We will go to bar coding in...
  7. IV Lopressor...who can administer it?

    It is surprising how many tele nurses work where they don't have to be ACLS certfied. My thought on who can push it isn't as important as who know that patient current history, most recent vitals and...
  8. California nurses--- Do you REALLY get to eat meals?

    We almost always get our breaks. 30min for lunch and 2 15 minutes breaks. If we don't we get paid 1 hour for the lunch break missed and up to 1 hour total if 1 or 2 of the 15 minute breaks are...
  9. It sounds like she is concerned about several things. The one thing, her having to be quiet during the day while you are sleeping is legitimate. That directly changes her way at home. That would be...
  10. Amen!!! Veteran
  11. Even if you do transfer I would talk to your doctor about prescribing support hose. I didn't wear then during my first preganancy but during my second I was having really fatigued legs and felt a...
  12. Live Scan question

    I had my fingerprints done when I worked at my kids' school through Board of Education Live Scan and I still had to re-do then for my nursing license recently. it seems crazy that they had to be done...
  13. Some of our systems for charting, policies and procedures, etc are internet based so they can't do without it completely. I think personal internet use should be during breaks and lunches only. We...
  14. RNs caught lying

    My friend's husband was a patient and a CNA made up a few blood pressures. This CNA didn't know my friend was a nurse with over 20 yrs experience at this same hospital. My friend was at her husband's...
  15. No verbal reports at my hospital!!!!!!

    Hand offs are a big Joint Commission thing.It is one of the national safety goals. The oncoming nurse has to be able to ask the off going nurse questions....
  16. Angry over lack of proper care by a nurse

    First I am so sorry for your loss. About a year and a half ago we implemented a program at my hospital to handle similar situations such as you had with your mom. Where you noticed changes in your...
  17. Do your charge nurses have a patient load?

    Charge nurse doesn't have patients, unless a really rare situation comes about. 5% for doing charge but often that the headaches and hassles are greater than
  18. Can an employer penalize you for calling-in due to illness?

    If we go home sick that is can't finish our shift that counts as being absent. I wonder if the people who work at the hospital at desks jobs such as those in billing have the same absence policy as...
  19. What to expect after CABG

    I knew one nurse who told her non compliant patient that if he didn't get up walk and use his incentive spirometer he increases his chance of getting pneumonia and he might have to had the tube shoved...
  20. Can an employer penalize you for calling-in due to illness?

    From the governments site “Serious health condition” means an illness, injury, impairment, or physical or mental condition that involves either: • Inpatient care (i.e., an overnight stay) in a...
  21. Can an employer penalize you for calling-in due to illness?

    Isn't the federal law that allows people to take care of sick family member meant for longer term more serious illness? I didn't think it applied to minor illness, sore throat, cough, where the...
  22. Contact isolation for MRSA question

    wow all patient who have been previously hospitalized on contact precautions. Most of our unit would be in isolation. We swab anyone from a nursing home or hospitalized within 30 days of current...
  23. What to expect after CABG

    Once out of ICU and on the floor they will usually have a day where they really feel wiped out. Usually 3rd or 4th day post op. It is veryyyyy common. They don't want to eat and they feel beat up....
  24. Can an employer penalize you for calling-in due to illness?

    t] i don't think someone with cancer deserves any more consideration than anyone who is trying to bring up their children, especially single parents, those without any family close by (you had your...
  25. Can an employer penalize you for calling-in due to illness?

    First off if you work full time, 3 absences in a year does not seem excessive. Because our job is physical and we take care of sick people there are times we can't come in but a person with a desk...