NewNurseAlert

I double checked the morphine and ativan should be alright, so long as it goes slow. I had a pt that needed this almost every hour so i felt pretty comfortable. some people need reglan and opiates around the clock so i was wondering if that would be alright.

I'm pretty sure we do have a policy, and it probably defers to micromedix.

as a student and intern i always pulled my IV pushes into different syringes, flushing between each and every one. Now I am on the floor and see nurses mix IV pushes. This would be more time effective and reduce risk of infection, but it's important to know what's OK to mix and not mix. Morphine, ativan, lasix, phenergan ect...I never mix antibiotics with anything, and believe protonix is incompatible with alot of infusions.

i found out via incident report, several people got written up because of poor communication/documenting. I was exempt because I am new, but I don't blame the med-aid, it looked like a daily order on her mar. Actually I am concerned because the potential for mistakes is HUGE on the unit, it's a little nerve wracking.

i just found out that a confused medaid gave a pt on my floor fosamax yesterday and today, thinking it was a daily med and not once a week. also, she gave it with food (breakfast) instead of on an empty stomach. what can this do to the pt? The md said to continue the intended dose after 7 days and watch for abd distress.

I thought maybe it was a bowel obstruction. The charge nurse felt the shingle pain was due to muscle spasms and the ativan was being used as a muscle relaxer. She was prescribed oxycontin ER to handle it daily.

lol I need new fingers because I meant RLQ but typed RUQ. Funny, huh? Hey it was a long night.

No, sorry, she is already known to have shingles

no fever, still has appendix, 80 year old female. Also, what is the risk of transmission with shingles? I understand the chicken pox vaccination helps prevent it, but isn't it true anyone who has had chicken pox can get shingles?

I had a pt in LTC who suddenly complained of unbearable abdominal and back pain. I palpated her abdomen, it was firm and painful in the RUQ and visibly knotted. I didn't have any prescribed meds to work for this and chart had no indication of GI history. I called the doctor, as soon as he found out she had shingles he ordered ativan, which seemed to work after awhile, though she remained tender. So I suppose I don't know enough about shingles because I was thinking rash, can cause blindness ect...any info would be much appreciated.

Thanks. I got the "message" from a few people to watch out for her because she does not like me. It stems from an incident in the past where she got reprimanded, although the trash she is spreading around has nothing to do with that. It's important for me not to sink to the level, because a huge part of me wants to tell people the REAL reason she has a problem with me. I am better than that. I am so ticked to enter a new workplace and new role to find she has been talking bad about me before I was even there.

I recently got hired into a facility as RN. Well, it has been brought to my attention that a coworker, who I've worked with in the past, has been saying negative, un-work related, things about me. I am brand new and this person has worked there for a long time. Should I confront her, take it to the supervisor, or grin and bear it?

Another thing that has me wondering about this place...the RCM was scheduling me with nurses to orient with, she said she was particular about who did the orientation, than she put me with someone that has been working less than one month! This person is fresh out of orientation! I just am wondering why she trusts someone brand new more than someone who has been there for years...

I accepted a job at a SNF, the best one around. During my brief orientation, I observed hostile behavior between staff members and lazy CNAs. It reminded me why I didn't want to go to A SNF. I told the scheduler that I wasn't available to OR for a few days and am back to filling our applications. I am wondering, as of now I'm not sure what my comittment is to this facility. It doesn't seem right to leave, accepting a paycheck when I haven't done any work. But let's face it, they roped me in, didn't even check my references. They are not even interested in what I've done. They just want a body. If I leave, will it look bad on my hisotry? I usually stick things out and have never worked anywhere less than 9 months. I don't want to quit in case I can't land another job, than I'll just have to make the best out of the SNF. But I can tell you, this is not a positive working environment.

I know and it's so mean!! That must be a huge part of it. I can't tell you how many people have said "Wow, you're going to be a nurse, people will be begging you to work for them". Haha, maybe later, when I have a couple years down