Orange Tree

Orange Tree

Medical Surgical Orthopedic

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All Content by Orange Tree

  1. Slow nurse response time is a danger to pt health

    Orange Tree replied to SoCalCrafter's topic in Patient Safety Issues

    Let me guess? You're not a

  2. How fast is too fast to transfuse blood?

    Orange Tree replied to RNdiva505's topic in General Nursing

    OK, well the gauge with too high of a pressure makes sense. The LR thing is pretty interesting. I thought blood+LR= dead (or at least

  3. High Risk Meds

    Orange Tree replied to Special31's topic in General Nursing

    At the end of the shift, everyone gives their list of what needs to be co-signed to a co-worker. That's how we complete our required "double checks" in the computer. No one has time to do it the right...

  4. How fast is too fast to transfuse blood?

    Orange Tree replied to RNdiva505's topic in General Nursing

    I don't understand it either. On my unit, we give blood through 22s all the time. I was taught that the need for a larger gauge catheter to transfuse blood is a myth, so I'm surprised to see so many...

  5. Help! What would you do?

    Orange Tree replied to DeniseLee's topic in Medical Assistant, CNA/MA

    A lot of employers do have rules against discussing wages, so I wouldn't make a habit of answering these types of questions. But like the others have said, I can't imagine that this would cost you...

  6. Thinking of leaving bedside nursing due increasing documentation, short staffing, etc

    Orange Tree replied to JordanRose's topic in General Nursing

    Our newest torture is filling out a skin assessment sheet for every patient on every shift. It's not enough that our whole assessment is already being charted in the computer, they want a separate...

  7. and everyone's... OK with this?

    Orange Tree replied to tater.jake's topic in General Nursing

    I'm OK with it. I make about that much and I still come out ahead compared to people who make more in a high cost of living area. Shift differentials for nights and weekends also make my average pay...

  8. Night Shift Nursing

    Orange Tree replied to mooremds's topic in Health, Stress Management

    I wake up at 5AM every day (at least briefly) because my internal clock is set to start my final med pass before shift change at seven. Other than that, I have no schedule or pattern. I am 100%...

  9. Should this be reported??

    Orange Tree replied to nicenurselpn's topic in General Nursing

    I wasn't expecting to find that any one had been reprimanded- especially since we are new grads for the most part. I've actually had friends tell me to look them up, just because they are excited to...

  10. Pct refused delegation

    Orange Tree replied to Manatee111's topic in General Nursing

    I don't think you understand as much as you think you do. Nursing student and working nurse are worlds away from each other. Nurses actually have many more tasks to complete than CNAs do. They may...

  11. Should this be reported??

    Orange Tree replied to nicenurselpn's topic in General Nursing

    I think I've looked up almost everybody that I work with or went to school with. It's not that I'm out to "get" anyone, I just think it's kind of awesome that we're all there. I've looked myself up...

  12. Should this be reported??

    Orange Tree replied to nicenurselpn's topic in General Nursing

    I do this all the time, technically. Patient one gets dilaudid ordered for severe pain, but I can't pull it from the pixis because pharmacy has not profiled it yet. Patient two also has dilaudid...

  13. If you did not need the money...?

    Orange Tree replied to Daisy_08's topic in General Nursing

    She only thinks that money doesn't matter because her checking account balance is not negative. I'm guessing her opinion would change if her income actually

  14. Are LPNs being phased out?

    Orange Tree replied to zandile2011's topic in New Jersey Nursing

    My hospital has not hired any LVNs for the past two years. The existing LVNs are also the first nurses to be put on call when our census is low. They are basically used as back-up workers, and we have...

  15. is this what nursing is supposed to be like?

    Orange Tree replied to newnurse012's topic in General Nursing

    That sounds almost like my job. The differences are: 1. they are giving us 8 patients instead of 7 (6 was our max last year!) 2. we do have LVNs, but they have 8 patients of their own and we have to...

  16. First shift at new facility, heard something don't know how it should be handled.

    Orange Tree replied to sweetsleep28's topic in General Nursing

    It doesn't sound like there's much to handle. Just do your job and let people get to know you. Maybe they had a "pre-first" impression of you, but even if they'd heard nothing about you they would...

  17. Why do Doctors think they are................God!!

    Orange Tree replied to RNdiva505's topic in General Nursing

    you don't know what you don't know. i never assume a doctor is stupid when his/her orders don't quite make sense to

  18. Giving Report! Ugh!

    Orange Tree replied to AKA_Glamour_Pearl's topic in General Nursing

    We use hand off sheets, although a verbal report is still given. I cater my reports to the person I'm giving them to. I'm chatty with some people and very direct with others. I also let my...

  19. Useless "charge" nurse

    Orange Tree replied to MEDICJOHN's topic in General Nursing

    I agree with Carol. I would call him out. Tell him you need him to give the pain medication so you can harvest your crops on farmville (or something equally

  20. Your ER policy on giving rides home

    Orange Tree replied to psu_213's topic in Emergency

    Unfortunately, I have hit rock bottom (at least my rock bottom) and been dependent on the city bus for transportation. I wish I wasn't speaking from experience,

  21. Night shift -- can you just take it easy, please?

    Orange Tree replied to SoundofMusic's topic in General Nursing

    So, move to nights? I don't mind "cleaning up" after day shift, but I won't page an on call doctor at night to handle something that happened at 8AM unless it's an emergency- even if I have a quiet...

  22. Please help, call in sick for morning or go in?

    Orange Tree replied to beeble's topic in General Nursing

    When in doubt, I call in. If I go to work, I know they're going to expect 110% from me whether I feel OK or not. I do try to call at least 8 hours before my scheduled shift, but I'll call in with less...

  23. remember the flight attendent who quit creatively?

    Orange Tree replied to nola1202's topic in General Nursing

    I'd ride a bicycle through every unit of the hospital wearing only my

  24. How do you like to be acknowledged at work for a good job done

    Orange Tree replied to xtxrn's topic in General Nursing

    I would feel acknowledged if management got rid of the people who sleep, smoke every 15 minutes in the park and take multiple, extended lunch breaks. I really don't care about awards or notes or pats...

  25. Ever have a patient that "turns" on you?

    Orange Tree replied to dudette10's topic in General Nursing

    Unfortunately, it's really not that uncommon. I've found that staying calm, caring and reasonable will snap most of them back into line, but there are some who just stay far out