CathyLew

CathyLew

MSP, Informatics

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All Content by CathyLew

  1. Do you think your manager likes you?

    CathyLew replied to LilyBlue's topic in General Nursing

    Ouch. well, stay profesional, do your job the best you can, and ride it out. Those types of managers seem to run their course. Managers come and go. I have been thrugh more than I can...

  2. Do you think your manager likes you?

    CathyLew replied to LilyBlue's topic in General Nursing

    does this manager go out of the way to say hi to other nurses on the floor? some managers keep their distance intentionally. with the mind set that you can't be friends with people who you may have...

  3. how can this happen

    CathyLew replied to marina17's topic in Patient Safety Issues

    yikes. you mean like giving the pt a

  4. NG med administration

    CathyLew replied to athena2005's topic in General Nursing

    I always administered them together. (as long as the meds are compatable) I also (unless contraindicated) liked to flush the ng with cola after the meds. (unless of course, they could not have it)...

  5. Med Errors: Share Your Stories

    CathyLew replied to Ruby Vee's topic in General Nursing

    Great thread, and true. No nurse should be cocky about med errors. whenever I make one, I become super careful. You go back to all those checks and ballances that are in the sysem, and you just...

  6. Are Nursing Homes a good place for a new nurse to gain experience?

    CathyLew replied to Jessmed0324's topic in General Nursing

    I think you will gain a lot of experience working in a LTC facility. You can learn about many kinds of medications, patient care, treatments, dressing, skin care, wound care.... if you worked on a...

  7. Another ethical med question

    CathyLew replied to blondy2061h's topic in General Nursing

    Since I worked nights so long, I got in the habbit of giving a brief run-down of what they needed the rest of the night. Since often times procedures or treatments were scheduled at odd hrs... like...

  8. Discovering incompatible IVPB's with primary lines - anyone else notice this a lot?

    CathyLew replied to ANH_RN's topic in General Nursing

    wow, that is an odd way to do it. After 8+ years of higher education. Resort to that. Some things are Y site compatable, some are mixture compatable. (i.e. mixing up a cocktail of antibiotics, as...

  9. Blanks on MARS

    CathyLew replied to AngelsWings09's topic in General Nursing

    Maybe you can be proactive with this, and get the help of your fellow nurses. Watch each other's backs. Make it a point to point out blanks before a long time goes by. If you don't want to get...

  10. RNs caught lying

    CathyLew replied to inland18mempire's topic in General Nursing

    yea, I was wondering if it was one of the hospitals where they still hang the narative note on the foot of the bed. We used to do that.... the narative and check off page only. Until we found some...

  11. RNs caught lying

    CathyLew replied to inland18mempire's topic in General Nursing

    that is a good point. I see over and over, nurses checking the lung sounds every 2 hours, when we usually assess lung sounds at the start of the shift on everyone, and then with every breathing TX...

  12. Nursing Responsibilities

    CathyLew replied to oldfashionedlove's topic in General Nursing

    I agree with the posts above, it is everyon's responsibility. There are cases, where you don't have time. You may be in the room responding to the roomate who is having chest pain, having a crisis,...

  13. RNs caught lying

    CathyLew replied to inland18mempire's topic in General Nursing

    that is what I was wondering also.... You see it time and again, a check list makes it so automatic when you chart. We get amputees that have great pulses bilaterally! and if the nurse before...

  14. How to deal with nasty LPNs.

    CathyLew replied to arabella205's topic in General Nursing

    actually, over the years, that is what our LPN's have fallen into. PO meds and VS. And many will push the VS machine at the RN, and say, since you are going in to do your assessments anyways......

  15. LPNs and RNs---does your hospital see a difference?

    CathyLew replied to Riseupandnurse's topic in General Nursing

    I would have a problem with this. If I were the RN, and "technically legally responsible" I would want to know what was going on with the patients. or if an LPN asked me to give IV pain med to her...

  16. How do your nurse assistants get shift report?

    CathyLew replied to Riseupandnurse's topic in General Nursing

    your problem sounds a lot like how it in in my hosp. the CNA's sort of report off to each other, except for the many days there is no CNA on nights... the day aid gets little to no report. They are...

  17. Manager removing hours!

    CathyLew replied to guest64485's topic in General Nursing

    no one should alter your time clock punches. we also got that speach about not punching in early or out late. We were told there would be no OT without prior aproval and a supervisors signature....

  18. I'm scared to death!

    CathyLew replied to rn4babies63's topic in General Nursing

    This hasn't happend to me (knock wood!) But has happend twice in our hospital. now....remember that the hosptial attorney is there to help save the hospital. not help out any individual nures. If...

  19. I just want a break

    CathyLew replied to JB2007's topic in Geriatric, LTC

    that always bothered me about our MSP floor. no break room. You take breaks in the cafeteria with all the family members. most are curtiouse enough to let you break in pece...but not

  20. fellow nurse, small error...what to do?

    CathyLew replied to BigMar's topic in Patient Safety Issues

    but it can be a site for a SQ injection, and a SQ can leave a mark. If this is someone you have to work with, don't jump to conclusions. Area the Deltoid or Upper Outer aspect of the Arm : Have the...

  21. How do manage to leave work on time?

    CathyLew replied to Kurious RN's topic in General Nursing

    nicely put cheerfuldoer! and kurious rn you will find your pace. 3 months isn't long. i wouldn't really call them shortcuts, but you will find time-savers. hang in

  22. Are all newer nurses scape goats?

    CathyLew replied to kambra's topic in General Nursing

    "the mgr went and crossed out my daily skin assessment and changed the braden scale by making my 2's into 3's so it would be a weekly skin instead of daily and added the stage two to my assessment." i...

  23. fellow nurse, small error...what to do?

    CathyLew replied to BigMar's topic in Patient Safety Issues

    I wouldnt' go to the nurse manager. A SQ injection can leave a bruise as well. Its not 100% indication that the shot was given IM. You don't know what size needle she used. You could always...

  24. Do you experience jealousy from friends/family members?

    CathyLew replied to Ms. Nurse Assistant's topic in General Nursing

    not really that, but i have *friends* i have worked for in my hospital for years that are jealous of where i am now in my career. if they arn't truely happy for you, then they are not your true...

  25. Vent: Husband lost job today with no warning

    CathyLew replied to Melinurse's topic in General Nursing

    oh man that is too bad. I do believe everything happens for a reason, and something better may be out there that he would not realize if he still had his job. best of luck and let us know how...