massrn116

massrn116

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All Content by massrn116

  1. How do you protect your back health?

    massrn116 replied to Silas's topic in General Nursing

    Sleep number bed, swear by

  2. per diems

    massrn116 posted a topic in General Nursing

    Just wondering if any of you have per diem nurses working in your units and do they get preference on shifts or is your manager loyal to his/ her regular

  3. How far do you go with precautions...

    massrn116 posted a topic in General Nursing

    We all know that gowning and gloving has become all too common place. Most recently in the ICU it has been decided for safe drug passing we are to bring our MAR charts into the patient room (they are...

  4. how come we as nurses are taught and do things differently?

    massrn116 replied to smartnurse1982's topic in General Nursing

    It's not "funny" but learned with tube feeds HOB> 30 and the dietician will say that if the residual is >200ml to cont. tube feed. But inevitably if my residual is that much AND contains bile,...

  5. Digitally removing fecal impactions

    massrn116 replied to LouisVRN's topic in General Nursing

    Either way it would be a good thing.....nothing worse than getting a NH patient with fecal impaction, worse smelling stool

  6. No one told me....

    massrn116 replied to Reese17's topic in First Year After Licensure

    I was sore most days but now I wear sneakers. I had extreme back problems but I truly recommend the sleep number bed. I awake every day without a back ache when before I could barely bend over to...

  7. Being a student preceptor

    massrn116 replied to Darknights's topic in General Nursing

    I truly think teaching ADLs is truly a needed experience for students. It is a great assessment tool. It may seem silly but I do not feel my male patients are "clean" unless they are shaved. It is...

  8. Grace period for CPR card?

    massrn116 replied to cherrylhearts's topic in General Nursing

    Funny thing about CPR and ACLS, why oh why do we have to renew every 2 years. Each and every time I find the recerts are a joke. People joking around, not really having the information, anyone...

  9. Why dont' nurses help each other?!

    massrn116 replied to scorpio24's topic in Patient, Colleague Relations

    I started off as a "team player" getting other nurses lights, IV pumps, etc. Soon I realized a lot of it was a one way street or that there were some nurses that took it as a personal insult if you...

  10. Hanging myself out to dry

    massrn116 replied to diane227's topic in General Nursing

    I am thinking that most managers now are punitive, at least where I work. I have been in my current place of employment 25 years. I find that for the most part upper management does not want...

  11. looking for morale booster--kudos program

    massrn116 replied to kdfranzen's topic in General Nursing

    Unfortunately from my experience from the unit I currently work on "kudos or rewards" programs create some negative feelings amongst staff and some view such things as childish. Also most people work...

  12. What do you hate most/love most about your job? List one of each.

    massrn116 replied to AtACrossRoads's topic in General Nursing

    Love: The genuine thanks I get from my patients and families. Getting to know my patient, tonight for example I had a rec'd report that my patient was "out of it." When I started talking to him and...

  13. What happened to make him die?

    massrn116 replied to massrn116's topic in General Nursing

    [quote name= I would have immediately manually ventilated with 100% O2, put him into a high fowlers, and then returned him to the BiPAP. Thanks for your input, this particular patient had initially...

  14. What happened to make him die?

    massrn116 posted a topic in General Nursing

    Had a patient a couple of days last week and this week. HX: Pulm.HTN, Afib, CAD, mitral valve prolapse. Came in with change in mental status and hypercapnia. The only way to get his CO2 down was...

  15. Will you give out a medication without the order yet?

    massrn116 replied to rn4ever?'s topic in Patient Medications

    A nicotine patch can wait for an

  16. NO LUNCH? NO BREAKS? Is that common in nursing?

    massrn116 replied to CleveRN2008's topic in General Nursing

    This is an old post but.... I posted before. When in charge I started to assign lunch breaks, people more or less said "yeah right" but lo and behold people are now setting aside at least a 30 min...

  17. What would you change about Nursing to make it better?

    massrn116 replied to RNman09's topic in General Nursing

    The undermining, backstabbing and the non-support of each other. Realize that each shift has done their best to care for someone and a patient is what they is....I did not create them. Take what you...

  18. patient dies from combination of drugs that doc prescribed. who is responsible?

    massrn116 replied to premedwoahs's topic in General Nursing

    Had a patient for the first time in her admission, had been in for 5 days receiving vanco had a little renal insufficiency. I noted no vanco level was done. I find the docs let a lot slip by, I...

  19. Bring a fellow union member with you..advice union members

    massrn116 posted a topic in General Nursing

    A nurse I work with was recently told to bring another union member to meet with her nurse manager and the nursing educator because she gave coreg to a patient that was having "blood pressure issues."...

  20. Bring a fellow union member with you..advice union members

    massrn116 replied to massrn116's topic in General Nursing

    She was encouraged to bring a fellow union

  21. Patient beds in hallways

    massrn116 posted a topic in General Nursing

    Just wanted to know how many hospitals are putting their inpatients in the hallways when the floors are full. This will be the new trend where I work. In MA there is a "no diversion" rule. Patients...

  22. Patient beds in hallways

    massrn116 replied to massrn116's topic in General Nursing

    My thought is that the first people that should have to have a bed in the hallway should be one of the administrators so they can experience for themselves what being in the hallway, potentially...

  23. Patient beds in hallways

    massrn116 replied to massrn116's topic in General Nursing

    Plans for our hospital is to put up to six patients in the hallway if need be. It seems to me too that at least in our ER, the patients waiting for an admission bed are given actual rooms and...

  24. Patient beds in hallways

    massrn116 replied to massrn116's topic in General Nursing

    We have a no diversion law in MA, it is about a year old, or so. We can send patient's via medflight to a trauma unit, cardiac cath lab, etc but cannot divert patients because of an overflow. We used...

  25. Should I have worn gloves?

    massrn116 replied to noyesno's topic in General Nursing

    I think you don't have to be paranoid but perhaps just get into the habit of donning gloves even for back rubs. When I started, in the olden days, it was considered insulting to the patient to wear...