CathyLew

CathyLew

MSP, Informatics

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All Content by CathyLew

  1. Aggressive Nurses

    oh yea, I have had nurses give me a text book report... and when I asked if the patient needs one or two assists to the bathroom. (since when I worked nights, that was a huge deal!) they looked at me...
  2. Bad Managers

    "She was told NOT to befriend co-workers" I went to a charge-nurse seminar years ago, and they basically told us the same thing! I am the charge nurse, not there to be everyone's buddy. exqueeeze...
  3. Starting IV's

    as a new grad, we had to get 10 signed sticks in. I used to work at a reaserch lab... after starting IV's in mouse tails and rabbit ears... people were easy! I was a little too cocky about it, and...
  4. Where to start after graduation

    "I'm sure there's many factors but I would like to know what many of you did to earn what you did when you graduated." I have seen some of the years of experience posted by many members....and believe...
  5. Starting IV's

    we like to move new grads to ambulatory surgery for a few shifts. regardless of where they will work. There you get to start IV's all day. On mostly healthy, hydrated people. (people going in for...
  6. Bad Managers

    "none of which my supervisors gave a darn about. All they wanted was my warm body at numerous meaningless meetings, my signature on disciplinary actions and my budgets, which I was never trained to...
  7. Aggressive Nurses

    Sometimes when I would go into work, the day nurse would be so far behind, that I would just look in the Kardex, check some labs, and start my shift without report. It was usually the same nurse...
  8. Why is hand-off reporting to so hard?

    Oh, I hate those walking rounds!!! Every patient wakes up, and wants something. You have about a half hr to give report... and the patient sees two nurses walk into the room. They need to go to...
  9. Negotiating Salary

    Interested in hearing responses myself, since I will be in the position in the near future. I have already submitted a proposed contract to HR, but with the closing of the end of the finantial year,...
  10. Documentation Mistake?

    I think at this point, drawing a line thrugh and erroring it out would only draw more attention to it. Im sure the Dr put in his own progress note more than you did. dont' sweat it. We all chart...
  11. Why is hand-off reporting to so hard?

    we used to tape our off going shift report when I first started. you hear a lot of things when you play it back! Shift report is so hard, because unless you have a set criteria of things you run...
  12. Bad Managers

    Yes, in my hospital, we have had really good nurses go on to be very bad managers. they have great nursing skills, but not good management skills. It's nice when a manager can be your friend, but...
  13. IV tubing....why don't you recap it?

    nope, if you wipe, you can re-hose. or whatever they call turning the tubing onto itself. but I think what happens, is most people walk into a room and see it capped onto itself, and think they...
  14. Apologizing when paging physicians

    But... isn't "I hate to bug ya, but..." the same as being sorry? I don't hate to bug them. Im not sorry. But I can't just say, hey Doc, Glad you answered on the third page.... Your patient,...
  15. IV tubing....why don't you recap it?

    Yea, that is a peeve of mine also.. those that cap into the tubing. Not that they used an alcohol wipe to wipe off the exposed "port" they plug it into. or those that flush the one way valve that...
  16. "It's hard for patients to sort out who is who, since nurses don't have a distinctive uniform. They really don't know much about the workings of the hospital system and get confused. Try not to take...
  17. Apologizing when paging physicians

    Oh I do. I always start with... Sorry to bother you. I have a couple that come back with You don't sound sorry, or no your not. It's just a way to start the conversation. Im defenetly not...
  18. Commute times

    My job is about 30 minutes away in good weather. It can take over an hour if the roads are real bad. I live up in the sticks, and sometimes they don't plow our road at all. I have had to spend the...
  19. Aggressive Nurses

    yea, I know I have done that in report. When you follow a nurse who has left you a big mess... and you know from past experience, that trying to educate the nurse is a lost cause. (it's one thing to...
  20. I am sorry

    "As for family members making coffee, well I just direct them to the tea room where they can do it themselves. I didn't study nursing for 3 years and end up with debt just to make coffee." Ouch!...
  21. per our policy, 72 hrs. even intermittent infusions, for all peripheral lines. Or course, if it gets contaminated, change it imediately. Central lines, different policy. And some PPN or Lipids, we...
  22. Interesting question. just by looking at some of the people I work with, and seeing how they interact... We have a couple of nurses that are downright scary when it comes to passing meds......
  23. Someone at work is trying to get me FIRED !

    well, I don't know as I like the idea that someone can complain about you, and that you aren't supposed to know. If someone complains about you, you should be informed, and given the chance to speak...
  24. Someone at work is trying to get me FIRED !

    I would confront her. Not in a way that gives your boss away... but if someone makes complaints about you, you have a right to defend yourself. I would start by telling her that you have been...
  25. Someone at work is trying to get me FIRED !

    wow. what kind of job/position does this other person hold? is she also a health aid? is she well respected in the school? staying there may do more damage to your reputation. I would be very...