ivorybunny

ivorybunny

Cardiology, Psychiatry

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All Content by ivorybunny

  1. When are vital signs done?

    i was wondering if you can help me.... on my floor we do q shift vitals at 4am and 4pm. q4 vitals are done at 8, 12 and 4, this would apply to new admits, transfers, observation patients, and anyone...
  2. Shared Governance Council--Need New Ideas!

    We also have a Shared Governance model at our hospital. Our UBC- unit based council- has been up and running for about 3 years now. The CNO my hospital is a huge advocate for SG on the unit level with...
  3. I was wondering if anyone has heard about this or is experiencing this as well. I work on a cardiac tele unit with 52 private rooms. It's a very large unit and it has two distinct nursing stations. On...
  4. Hourly Rounding

    I'm glad to see I'm not the only one dealing with this. We have been told that we should not tell the patients to call us if they need us because we should "anticipate" their needs. I'm sorry- but I...
  5. i work on a cardiology unit, and it is apparent there is conflict between the day shift and night shift. i currently work nights, and have no desire to go to day shift. my manager wants to implement a...
  6. Getting the spark back....

    This year is my 7th year of nursing and over the last few months I seemed to have gotten my "spark" back. I'm suddenly energized to work with new nurses and feel as though I can make a difference. I'm...
  7. I'm in need of some advice. I've been working on the same floor for six years now and I'm to a point where I have ethical problems with what occurs. Before I even begin explaining- the simplest answer...
  8. What to do when there's no one to turn to?

    Thank you everyone that has replied. I've actually got my MSN- ironically, though, I've been unsuccessful at passing the ANCC certification test. It has rattled my confidence so much that I'm afraid...
  9. "size of the paycheck"

    I work in FL, in a hospital, on a cardiac floor with an LPN- she is allowed to give IV drugs pushes- however it is a very limited list. For instance she can give 1mg of Dilaudid but not 2mg. She's not...
  10. nurses attacking nurses

    Interesting, I came on here today to ask for some advice about this going on currently on my unit. One of the things that has bothered me so much is that dayshift complains about night shift leaving...
  11. Medication Shortages

    We are currently using the Morphine 10mg/ml vials because of a shortage. Not too long ago it was IV Vasotec and premixed heparin bags. I haven't noticed a dosage increase with using the 10mg vials- to...
  12. Unless if a patient is indicated NO INFO- we are allowed to give a room number- no other information is made available. When someone calls asking what room Mr. Smith is in- we are allowed to give that...
  13. Med Errors vs being "slow"?

    I completely understand what you are going through. I've been working in the same place for 6 years now- and for that entire time we've always had one RN that comes in every day for her shift late. We...
  14. Effective communication at work

    My hospital hosted a 3 session class on effective communication. It was geared towards the shared goverance, the unit based council members. There was actually a lot of good information in it. At...
  15. Tattoo's on Nurses

    Our hospital recently revised the tattoo policy- it now just says no offensive tattoos. I've got a lot on me- chest, neck, back, legs, feet... not that I have to worry about patients' seeing my feet....
  16. Our hospital has recently started a nurse residency program which has been a great success. Any one starting out either ADN or BSN needs extra guidance when they first start. Having a BSN does give...
  17. Student loans - how much are you paying monthly??

    My student loan for my MSN came to 28K, payments are $287/month. Completely affordable because I'm starting out at 80k as an NP. I was lucky enough to have a scholarship for my RN and BSN. If you know...
  18. How can new nurse be sure of her charting ?

    As the others have said, try to chart as you go.. however when things are going crazy, or there's just a lot going on... I write it down. I keep a log on my report sheet of things that happen so that...
  19. Magnet designated hospital--anyone work at one?

    It's interesting reading about the Magnet status. My hospital applied for it a few years ago and did not receive it. We are working our way towards applying again. One of the big pushes has been for...
  20. Informed Consent Responsibility

    We can not have any abbrevations as well. I have been written up before because a consent form was not filled out to the hospital's expectations. Depending on it hospital, it is our responsibility, as...
  21. Nursing Superstitions?

    I do believe this is true too. Which is why sometimes I won't tie a knot, and wouldn't you know they will go on my shift.... kinda
  22. Nursing Superstitions?

    I was wondering if anyone would post this. I do believe in this- they say it ties the soul to the body... and let me tell you.... every time I have tied a knot they have never died. Now, I'm too...
  23. Heparine, Lovenox, Coumadin... which one?

    Also add in there Fragmin- this is being used in my hospital in place of Lovenox. Has something to do with purchasing I'm sure- but I think it's something to be aware of. We routinely give Fragmin...
  24. Nurse/Physician Conflicts

    Was asking an infectious disease doctor about a patient's IV antibiotics. She has been getting IV Flagyl Q8 for about 10 days. I was asking him at what point would she be switched to PO pills? And he...
  25. Am I crazy?

    I applaud you for keeping your cool. I would have a very hard time not being one of those family members that can sometimes make me cringe. Do they know you are a nurse? Sometimes I think that when a...