RNKPCE

RNKPCE

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All Content by RNKPCE

  1. Heparin Injection

    RNKPCE replied to Nurseboy1's topic in General Nursing

    The drug rep for lovenox(enoxaparin) said it could also be given in the "Love handles" I still always use the abd

  2. I am not a cardiac nurse but isn't ASA supposed to be DCd

    RNKPCE replied to MargRN's topic in CCU, Coronary, Cardiac

    Aspirin is not stopped. If the patient is suspect of coronary artery disease they need the thinning effects to assure no clots form and catch in clogged arteries. I think years ago it was stopped but...

  3. question about staffing guideline

    RNKPCE replied to julie_anne's topic in Patient Safety Issues

    Check out California forum. New law implemented on January 1st. Ratios the same on all shift. 6:1 on med/surg, 5:1 tele, 4:1 transitional or step down unit, 2:1 or less in critcal care. Don't know...

  4. Chronic Back Pain Patient Has Surgery

    RNKPCE replied to Tweety's topic in Pain Management

    She probably has built up a tolerance to opiates due to having long term back pain. What about a fentanyl patch?

  5. Opinion re: getting a new patient at the end of your shift

    RNKPCE replied to ShimmaShimma0304's topic in Patient Safety Issues

    I think it is common problem everywhere. Post ops always seem to come at change of shift too. Well nursing is a 24 hr job and things can't always be wrapped up with a bow. When we get admits at change...

  6. cardiac/bp meds- giving against policies/non-tele unit

    RNKPCE replied to smartynurse's topic in Patient Safety Issues

    The only cardiac med that I think of that can be given on med/surg at my hospital is

  7. Advice for telemetry interview

    RNKPCE replied to Di0202's topic in Cardiac

    As a new RN I wouldn't think most units would expect you to have a strong knowledge in EKG interpretations. Where I work the new grads take an EKG class given by the hospital in the first couple...

  8. Question for all nurses

    RNKPCE replied to srhdaw's topic in General Nursing

    Went to school too long ago for the laptop thing. Pen and Paper and if okay with instructor tape recorder. I think I learn and remember things better when I physically write stuff down. Have a PDA for...

  9. What unions?

    RNKPCE replied to RN4NICU's topic in General Nursing

    I am from California 1. We have an in house union 2. Only RN's belong to this union. In the past couple of year the remainder of the staff, housekeeping, RT, CNA's, pharmacy tech brought a national...

  10. When the nurse has to leave because of an emergency

    RNKPCE replied to LPNtoBSNstudent's topic in General Nursing

    Cannoli, If you were referring to my post. I meant specifically in that broken leg situation. I was shocked that the manager wouldn't let the mom go. I am totally for anyone leaving if someone they...

  11. When the nurse has to leave because of an emergency

    RNKPCE replied to LPNtoBSNstudent's topic in General Nursing

    I don't think I would want a nurse to stay and work if I knew his/her 3 year old had just broken his/her leg. I can see in that instance charting but let the mom/dad go. I can just see what we as...

  12. Too good to aide?

    RNKPCE replied to adidas99's topic in General Nursing

    Doesn't sounds like good financial sense to give CNA's the day off and have RN's work at RN pay to be CNA's. Maybe it is a contractual things. Where I work if the census is low and we don't need as...

  13. Can my employer deny me time off for surgery?

    RNKPCE replied to bam_bam's topic in General Nursing

    It sometimes amazes me that the compassion we are suppose to give our patients isn't extended to each other. By your managers definition lots of surgeries would be elective. Like a person who decides...

  14. Always finishing late, but is clocking out on time OK?

    RNKPCE replied to wishingmary's topic in Patient Safety Issues

    I work on the same type of floor that you do and also started there as a new grad many moons ago. I really commend your rationale for not givingn the iv Verapamil when the patient had a hx of...

  15. Always finishing late, but is clocking out on time OK?

    RNKPCE replied to wishingmary's topic in Patient Safety Issues

    I always charge for overtime. A co-worker gave me an example of why this is important, beside the fact that nursing is my career not volunteer work. What if you do something, such as hang an iv,...

  16. Against the spirit of ratios

    RNKPCE posted a topic in California Nursing

    http://www.bayarea.com/mld/mercurynews/news/local/7044706.htm Anyone worried that their hospital is going to do what they seem to be doing at Stanford? See the attached article. Where I work we...

  17. Need examples of Shift Change...

    RNKPCE replied to PSA, RN's topic in General Nursing

    We first have an overview of each patient which the oncoming charge nurse reads. It has important highlights such as : patient in restraints, Blood sugar down to 35 received one amp of glucose,...

  18. How Do You Make Patient Assignments on Your Unit?

    RNKPCE replied to RN-PA's topic in Medical-Surgical

    I don't work for a while to get the documentation.. But when this system first came about we had a sheet that determined what level each person was. Now you can pretty much figure out their...

  19. How Do You Make Patient Assignments on Your Unit?

    RNKPCE replied to RN-PA's topic in Medical-Surgical

    Assignments are done by the off going charge but can be switched. They first look who was working the previous day and try to give that RN his/her patients back. We also have an acuity system 1-5, we...

  20. Job won't quit calling on my days off!!!!!

    RNKPCE replied to jenny_g's topic in General Nursing

    With new ratio implemented in Cal Jan 1st the hospital is required to document that they have tried to call in extra help to meet ratios. Previous to this I had a note in Staffing office that said...

  21. Learning Thread (Medsurg)

    RNKPCE replied to nursbee04's topic in Medical-Surgical

    Our latest trick for relief from the aroma of a code brown is to open a package of coffee and put in a filter in the area of the source of the smell. At first I didn't know why I kept finding unused...

  22. telemetry staffing ratios trauma level I hospital?

    RNKPCE replied to lee1's topic in General Nursing

    I work a med/surg tele floor. There is also a unit between us and ICU that is more of a step down. Our ratios are 5pt to 1 nurse on all shifts(California) will go down to 4:1 in 2008. You got to...

  23. Going to a telemetry floor to work???

    RNKPCE replied to LoriRN911's topic in CCU, Coronary, Cardiac

    Been doing telemetry over 17 years. My first job out of nursing school. I love it. We get a little bit of everything. The majority of patients are coronary intervention patients, open hearts, MI,...

  24. What are Ca salaries really like?

    RNKPCE replied to creeves's topic in California Nursing

    new grads start at $35/hr where I work, this is comprable (sp) to other hospital in SF bay area. This doesn't include 10% weekend diff, 10% pm diff, 20% noc differ, or 5% charge

  25. sick nurses

    RNKPCE replied to Lauriek's topic in General Nursing

    As nurses we are stuck behind a rock and a hard place. We shouldn't be working with a horrendous cough, fever, diarrhea, but then we get counseled if we are sick too much. People who have desk jobs...