MichelleB34

When my kids were younger I used to calculate the amount of motrin, tylenol, etc. they should get according to their weight. I never went by what the bottle said.

I brought a patient back from PACU that had some abdominal surgery. She had a PCA. She wasn't even off the stretcher when she asked if she could go down for a smoke. Uhm, I don't think so!

I live in the central part of New York State and new Rn's start at 21.15 per hour at the hospital I work at. In 1997 I started at 13.13 per hour at the same hospital.

My first job as a nurse was at a nursing home. One of the other nurses had a patient call 911 because she had not had her Milk of Magnesia. One night on 11-7 we had a lady in a chair at the nurses station with wrist restraints on. The restraints w...

Where I work we went to mom/baby care about a year ago. Prior to that they did have a postpartum nurse, L&D nurse and nursery nurse. Usually the postpartum nurse would round with the aid. The nurse would do her assessment while the aid would g...

Thanks for the information. I was not aware of this particular issue. We give stadol most of the time. Any risks associated with giving stadol beyond the normal assessments when giving IV meds?

It is normal to feel uncomfortable when you first graduate. I always tell my orientees it takes at least 6-12 months to feel a certain level of comfort in your new role. Don't be too hard on yourself. Is there another nurse you work with that can ...

I work on maternity so obstetrical emergencies, gestational diabetes, and GBS are some of the topics that peak my interest and are pertinent to my practice. But if you wanted to do something different maybe you could do something on infertility. Th...

Curious Jomo Nurse your age is 94? Was that a typo?

I'm curious, those of you who mentioned you have 4 beds to a room? Where do you live? Our hospital has only semiprivate and private inpatient rooms. Our old ER trauma/cardiac room had 2 stretchers on each side of the room (total of 4). Our ER now ...

I did med-surg for 11 1/2 years along with some pediatrics because it was on our unit. I wouldn't say I was burned out but maybe frustrated. Nurses are always being urged to limit their overtime. Towards the end of the last year I worked med-surg ...

If being a nurse is still on your mind after all these years maybe you should go for it. You sound like a caring person and that will take you part of the way. In nursing school you will learn about nursing interventions. These interventions along...

When I have had similar orders I will sometimes use the shift flush(es) during my med pass. When you are giving metamucil you can easily give 200cc of water or more so there is your first flush. Also I wouldn't mix the metamucil until right before ...

One of my favorites from when I worked nights. Call bell rings at desk. Patient says I haven't had a bm yet today. We look at the clock and it's only 5 am.

Set up PM, not sure what you mean. I don't know if it will help but remember that all your new coworkers were new at one time. We all have to start somewhere. Just take it one day at a time. Good luck.

I think it is within the nurses role to answer questions from the patient and or family honestly and within the scope of our practice. But of course the decision to place the patient on comfort care has to be made by the physician after discussion w...

LovingNurse- I love your word decootify. That's great.

At our hospital we have preprinted PCA orders. The doctor picks which drug they want and fills in the doses and the hourly limit. I think the form has the concetration of the drug on it as well. When we program the PCA the first thing we put in is...

I work with PCA's often. I alway take the order in the room when I set up a PCA. Any medicated gtt has to be checked by a second nurse. But most of the time I am picking up a patient from PACU who already has the PCA going. In that case I also ch...

You were certainly within your rights to feel out a report if that's what you felt was the right thing to do. At our facility our meds are profiled by the pharmacy. ie During pharmacy hours we can't take anything out of the pyxsis until pharmacy pr...

At my hospital we only obtain a specific consent for the hepatitis B. I think the other meds are covered under the consent for admission to the hospital for medical treatment. But of course the parent could refuse the medications. I have only seen...

JCAHO just came through in December and this was not raised as an issue. We do keep the dermoplast and tucks in the bathroom and the lansinoh at the bedside. Perhaps you could get an order to leave the meds at the bedside. We have done this on med...

I work in New York state. I'm not sure if there is a law but this is what happens. An HIV test is done with the initial prenatal blood work. I have noticed that one of the doctors has the HIV test repeated later in the pregnancy but I don't belie...

I just became an OB nurse last summer. I had floated to OB from time to time and had thought about making a switch to OB. I also was crosstrained to pediatrics. I knew if I switched that I wanted to stay on days. It used to be that a day job on O...

Here are a few of the web sites from my favorites. I hope this helps. Also on this web site under the specialty tab there is a section for obgyn nursing. I don't know if you would find any information there that would be helpful. Good luck. http:...