ivorybunny

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 receiving an invasive procedure. my question is... ...

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 the focus on quality. We also have a UBC Board (w...

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 each nursing station there is a board by the sece...

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 always let them know that if they need something to...

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 collaborative action team to have the two shifts ...

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 involved in my unit's unit based council and afte...

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 is if I don't like it, leave. However, my concern...

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 to take it again (third try). But maybe this is a w...

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 allowed to give heparin boluses. There's also bee...

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 an outdated IV and the response is well they'll (me...

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 me it's such a waste since most of our patients o...

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 information. We, however, must have a pin # befor...

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 are suppose to be ready for report at 645- she do...

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 times it actually made me stop and think about the way...

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. Usually most scrubs cover them up- sometimes they ...

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 you a broader educational base, but ADN or BSN... fi...

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 you will be making enough money to cover the stud...

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 I can make sure I chart everything. You will find ...

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 the Shared Governance that has sprung up on each fl...

NPO until fully awake... Apply 1" of nitropaste to chest wall Q6, have a 8 hour nitrate free period at night

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 an RN to make sure that the consent is correct. I...

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 weird..

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 afraid not too....

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 now- partly because it is a once a day dosing instead...

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 told me that if I got him a cup of coffee he would...