Sonjailana

Sonjailana

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  1. NARCAN NARCAN NARCAN ROMAZICON ROMAZICON ROMAZICON Pulse ox, o2, shake shake shake it like a polaroid picture (ok sorry, little hyper after work, I mean um sternal
  2. Suggestions for an eager student!

    I have 9 students on my unit 4 days a week and frankly, it gets OLD. I want students who are eager, know their meds, and ask me good questions. I want students who take their vitals, bathe their...
  3. Yeah I wear a cute lab jacket from koi. At first, I got some teasing and what not, but now people have copied me and we have lots of nurses in lab coats! Start a trend and stay
  4. Port a Cath for IV fluids

    I would think it would be ok to use post op..but they might have your chest all sterile draped during the procedure. This would make it hard for the anesthesia provider to assess your port during the...
  5. We use sigma...it's not bad..if anything, overly sensitive (lots of false upstream occlusions). It has different beeps for different issues (low battery, etc)The library is nice, it has a nice lock...
  6. Nurses with depression

    Yes, getting on my big girl panties is NOT going to get me out of depression. It might help me get through a scary situation at work, but that's about it. I find depression is something I'm going to...
  7. Bloody patients

    I think if you didn't get annoyed by these types of pts you would be
  8. Ever Refuse a MD order?

    Prudent nurse means a nurse with good judgment who follows typical standards of care. I had a resident order 5mg Ativan in an elderly pt who was having mild insomnia. I said, are you sure? Do you mean...
  9. Out of control resident!!!!!!

    Have him checked out (MD, psych, etc.) and if he checks out, behavioral contract...ie You will only call with legitimate needs, we will check on you q30 min-1hr etc. and hold him to
  10. What's your reason for putting up with it?

    I've been a nurse about three years and I've never been touched, hit, commented on, etc. I practice defensively and have back up present if I have any questions on safety. I always maintain a clear...
  11. awesome nurse pt ratios

    I work onc/surg/tele and we have 4-5 on days, 5-6 on nights, with one aide per 6 pts on days, up to 10 at night. Needless to say, pt's get bathed! It's
  12. How much of a yearly increase in pay do you see?

    Zilch. last two
  13. I'm lucky, most of my pts come from surgery..and I'm able to turn them when getting them when getting into bed..and get a good look at elbows, bottom, heels, when they're out of
  14. Bored on night shift- should I ask for transfer?

    I recommend that you ask yourself a few things: a) Are you taking a full pt load? b) Are you reading your charts and multidisciplinary notes? c) Are you checking your aides' charting? d) Are the med...
  15. Do you have a system for making fair pt assignments?

    We have nurses fill out a sheet giving a brief bio/report on each pt. Then each pt is classified into team, nice team, or primary pt based on the nurses' perception of acuity. The charge nurses use...
  16. Kennedy Ulcer

    I saw one once..and the pt was dead within 12 hours. I would notify the
  17. pt was very upset about fluid restrictions

    I try to offer more mouth care when people are on FR or are STRICT NPO. I find that many people really just don't like the sensation of dry mouth, and are happy to rinse and spit or brush their teeth....
  18. Today after clinical I broke down in Tears!!:(

    You can do it. I think that as you gain knowledge you will gain confidence. Do you have a tendency towards anxiety? When I was in school, I used to shake during clinicals because I was so terrified. I...
  19. Pick your battles with your LNA.....

    I always ask pt's what they would like to be called/addressed as at the beginning of my shift when I meet them. You'd be amazed how many people have been called 'Bob' their entire stay and they go by...
  20. Tips for being a great Nursing Assistant

    -get your vitals done, and have them in quickly. Call me right away if something is abnormal. KNOW what is normal/abnormal for vitals. -check incontinent patients frequently. Remind me to turn...
  21. Pets in the office? (LTC)

    Sorry, snakes are not a good idea. My toes curl even look at photos to be honest. I wouldn't be able to go in your office at
  22. We no longer triage

    We triage and then put everyone in a bed. We have a new, big ER and it seems to work ok. You can still wait a long time, but are in a comfy bed. This seems to be a better solution. We still advertise...
  23. What do you know/have you been taught about Sepsis?

    -high or low temp -change in LOC -urinary retention/low UO -hypotension -tachycardia -increased RR for about 24 hours before (like 18-20
  24. Obesity and shift work in hospital setting.

    I find when I'm really overtired it can be hard to read my body's signals. It can be hard to tell if I'm hungry or just
  25. ours are 4oz...1oz