RNKPCE

RNKPCE

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All Content by RNKPCE

  1. Recovery time from Mitral Valve Replacement

    RNKPCE replied to Twink's topic in Cardiac

    Suzanne4 is right it is individual. But more often then not most patients are discharged in a 4-7day post op window. With 5-6 days being most common at least where I work. But as a nurse you have to...

  2. Recovery time from Mitral Valve Replacement

    RNKPCE replied to Twink's topic in Cardiac

    I work telemetry unit and we get the open hearts both bypass and valve replacement usually 1st day post op if on their clinical path. The valves sometimes take a little longer to recover but not...

  3. I.V.'s I.V. piggyback ?

    RNKPCE replied to IMA's topic in General Nursing

    It sounds like you are running the IV's concurrently in the same line. Piggybacking is when the IV( say an antibiotic for instance) is hooked into the primary is at a higher level than the primary so...

  4. how hard is it

    RNKPCE replied to lesley_girl's topic in General Nursing

    Even people who don't have kids find working full time in nursing very hard physically and emotionally especially if they work 8 hour shifts. Then they only get 2 days off in a row twice a month....

  5. Eating in bed

    RNKPCE replied to sharann's topic in Cardiac

    We order "finger food trays" too and put a towel across their chest. Some docs want the patients in reverse trendelenburg which makes eating

  6. Medication Errors and You. And Cheese.

    RNKPCE replied to shoelace's topic in General Nursing

    Is this something the hospital has figured out since the pyxis holds all the meds now. How are they determining that the meds are late? By when they are checked out of the pyxis? I work at the same...

  7. I p****'ed off a coworker

    RNKPCE replied to BuffaloLPN's topic in General Nursing

    This kind of thing happens everywhere. Don't feel bad. Would your manager want you to put in for overtime to stay over and fix the iv problem? Nursing is a 24hr job there is no end. At sometime you...

  8. any nurses do only perdiem?

    RNKPCE replied to rn-jane's topic in General Nursing

    orrnlori Where I work it varies from floor to floor how they handle per diems floating. In critical care the per diem always floats first. On my floor we decided that the per diem rotate with regular...

  9. GETTING WRITTEN UP: What is the most ridiculous thing you have been written up for?

    RNKPCE replied to greeneggsnham's topic in General Nursing

    gingerzoe I think the switchboard operator should have been written up. Our management on very rare occasion actually pays for us to order pizza. Sometimes we have Chinese food delivered in. I guess...

  10. Pain medication for ASC patients

    RNKPCE replied to Connie Morris's topic in Ambulatory Care, Clinic

    We don't do peds at my facility. We have a standard sheet and the anesthesia checks off the drugs they want with the option of adding those not posted. They sign the bottom. It includes anti emetics,...

  11. Er Holds?

    RNKPCE replied to tiredfeetED's topic in Emergency

    It does happen everywhere, from city hospitals to community hospitals. I work tele and unfortunately more and more docs are wanting their patients on tele, even 95 year old no codes. We have such fast...

  12. any nurses do only perdiem?

    RNKPCE replied to rn-jane's topic in General Nursing

    I was thinking of starting my own thread when I found this one. I have worked at one facility for 17 years. Since my children were young I have wanted to go per diem but for one reason or another...

  13. Alcohol pad for nausea????

    RNKPCE replied to TonyaPacu's topic in Operating Room

    We do it too in the surgery center I work at. Especially if their IV is dc'd and their are about ready to go home. It seems to

  14. Charge Nurse Role

    RNKPCE replied to emily_rn_03's topic in General Nursing

    Where I work the charge nurse is rotated to all those trained, there is no rhyme or reason for who is in charge when or how often. I never feel like I am anybody's boss when I am in charge. I am just...

  15. surgical consents

    RNKPCE replied to ybmucg's topic in General Nursing

    I think Fiesty Nurse described it best by saying we are just witnessing their signature. What I hate is when we witness the consent for heart cath, angioplasty, coronary stent and then the patient is...

  16. Working while Pregnant??

    RNKPCE replied to burger914's topic in General Nursing

    I lot of contractions with my first about 34 weeks and had to stop working but otherwise not really curtail activity. I was working day shift on a busy medical floor. That is when my doctor told me...

  17. GETTING WRITTEN UP: What is the most ridiculous thing you have been written up for?

    RNKPCE replied to greeneggsnham's topic in General Nursing

    I think somethings should be documented so if things are called to court in a year or more there is some written record. I have documented things that either I have done or have happened on my shift...

  18. Would you do this so others could get vacation...

    RNKPCE replied to BittyBabyGrower's topic in General Nursing

    With 80 nurses working an extra 8 hours a month that is 640hr/month. That is equivalent to almost 4 fulltime nurses. That is what they really need. I was just curious are your nurses unionized? I...

  19. How many of your Pts have died in one shift

    RNKPCE replied to jonas42's topic in General Nursing

    I work tele and greater than 14 years ago, I was on days, we had 2 codes and one near code all on one shift. The first one was at the beginning of day shift the patient was in PEA and died, the other...

  20. NIH Stroke Scale

    RNKPCE posted a topic in General Nursing

    Anybody doing the certifications for this at their hospital? We are in the process of becoming a stroke center and have to do this certification. What have you thought of it. How was the scale taught...

  21. NIH Stroke Scale

    RNKPCE replied to RNKPCE's topic in General Nursing

    I think it is invaluable tool too. However some of the scenarios we were tested on was on a trached patient who couldn't talk but were still suppose to assess orientation, sensory, neglect. I think it...

  22. The Pyxis System

    RNKPCE replied to VRON's topic in General Nursing

    We've had the pyxis for years, got the fingerprint type in the last year. It is so much better than counting narcs each shift. There are still descrepancies at times but usually easily resolved more...

  23. Santa Clara County Hospitals

    RNKPCE replied to Purple_RN's topic in General Nursing

    I think you have to think about what area of nursing you want to work in. If you want trauma you have to go to a trauma hospital. If you want peds either Valley or Lucille Packards. If you want a...

  24. Tele transports from the ER

    RNKPCE replied to Surfnurse's topic in Emergency

    If they have to be monitor continously then an ACLS trained nurse will transport. If they are a stable r/o MI with no arrhythmmias, or any other stable cardiac patient then come up with a...

  25. Clogs <dansko?>

    RNKPCE replied to joyflnoyz's topic in General Nursing

    I bought my first pair of Dansko's about a month ago. I love them. It took 3 shifts to get used to them, but never had blister or had to go back to my old shoes. I bought the professional closed back....