RNKPCE

RNKPCE

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All Content by RNKPCE

  1. Working doubles...how do you do it???

    Doubles are rough on all employees. That is why I have only done one in my career. Most people I know do at the most one a week. You are really working two jobs and it is not really a double because...
  2. law on being sent home??

    At my unionized hospital that have to call one hour before the shift starts to cancel you or they must pay you at least 2 hours. Per diems are cancelled first if there are no volunteers. Yes you can...
  3. Optic neuritis

    My friend has had a few bouts of optic neuritis and some parathesias in her feet. I forget what tests she did, maybe an LP and a MRI. I think the MRI did show MS. Initially( her first bout of optic...
  4. 1950s nursing

    In nursing school in the mid 80's there was one instructor/nurse who stood up at the nurses station whenever a doctor walked in. Also around the early 90's you had to have an MD order to do a...
  5. I love nursing but I'm too busy to:

    I love nursing but I am too busy in my personal life to pick up extra shifts when the unit is short. (maybe that is why I am not burned out) I love nursing but don't feel in is my job to double check...
  6. Most dreaded Dr.'s orders

    Never heard of this kind of enema thank god and hope I never do. Is the doc who ordered it older? Anyone ever hand an alcohol IV bag. Did that once about 15-18 years
  7. Can new grads get a 7a-3p shift?

    I think it is good to ask these questions before you get into nursing school. Never say never. When I graduated 15 years ago I assumed I would be working Night shift. I didn't want to work evenings as...
  8. A friend of mine's husband had surgery at the hospital where she works. She was at his bedside most of the time and this one nurses aide falsified vitals as well. The sheet we record them on was at...
  9. Potassium piggybacks

    On my floor most of the patients that need K replacement have CHF and this would be too much fluid to give. We sometimes slightly increase the primary rate or give lidocaine. Of the few patients in...
  10. I will be speaking at my daughter's career day in 2 weeks. The kids get to select two careers of interest and go to listen to two speakers. I get 35 minutes to speak, ugh, and 10 minute Q/A . I need...
  11. I will be speaking at my daughter's career day in 2 weeks. The kids get to select two careers of interest and go to listen to two speakers. I get 35 minutes to speak, ugh, and 10 minute Q/A . I need...
  12. I think I will be there as an RN representative but I was planning on mentioning stepping stones to becoming an RN and/or alternatives in healthcare such as LVN's, CNA, Resp. Therapist. EMT's,...
  13. Working off the clock??

    I agree with the "give 'em an inch" reasoning as well. I think this is why we still don't have time clocks as my work. How many of you have time clocks? The hospital knows that all those extra 10...
  14. Working off the clock??

    Even as a per diem nurse I am paid for any class, certificate, training or meeting I am required to attend. This includes ACLS, BLS, OSHA stuff such as fire safety, universal precaution training,...
  15. whats per diem?

    Where I work it is a non benefitted position that pays 25% more. I am the first cancelled unless someone wants to take a low census day. I am required to work 4 shifts in 4 weeks, two days have to...
  16. Part time employee working extra hours

    People work a certain amount for a reason. There is no reason anyone should feel obligated to work more. Some of the people I work with that occasionally work extra also have more sick time then...
  17. If you're sick...please just call in...please...

    I remember several years ago we had this awesome cna. She was in her early 60's. Both of her parents were quite elderly and lived about 2 hours away. Both got ill and died within months of each other....
  18. Does anybody do an IV need assessment upon admission. I took an IV class several years ago and the nurse said that there are some hospitals that do this. On admission they try by diagnosis, history...
  19. Needlestick-from IV tubing

    I too am sorry for the stress this has brought to you. To prevent this from happening to you again or someone else you should check into your state's policy regarding needle-less systems. Out in...
  20. Do you know where I can find that posting about the cost effectiveness. That would be a
  21. Potassium piggybacks

    It may not actually work faster but you can give more meq's over a shorter time. You can give 40meq of powder or tablets at a time, but it would take 4 hours with my hospita's protocol to give the...
  22. Who calls staff to replace sick calls?

    I hate when you look at the schedule and see 8 nurses schedule for several days and then 5 nurses on other days. Wouldn't it be better to be staffed more evenly. Our core staffing is 6. Or when none...
  23. Who calls staff to replace sick calls?

    Our staffing office does the calls. Before state mandated ratios the staffing office would ask for a list of people to call, they don't do that anymore. I think they have to document that they have...
  24. Potassium piggybacks

    We do not stock vial/ampules of K on our unit anymore. The only injectable K is in 10meq in 100cc bags for replacment. This must be given over at least an hour. We do use 1% lido 1-3 cc for injection...
  25. how many holidays per year and holiday pay

    New Year's Day( for day shift), Martin Luther King Day, President's Day, Memorial Day, 4th of July, Labor Day, Thanksgiving, Christmas Eve, Christmas Day and New Years Eve for Pm's and Nites( they...