mjjlRN

mjjlRN

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All Content by mjjlRN

  1. In my current hospital, if the visitor/staff member is too unstable to transport to ER per the staff who finds the situation, then a regular CODE BLUE is called so the person can be stabilized. I did work at a hospital that had a special code to cal...
  2. Ambu bags (inpt)

    We have one on the code cart. We do NOT have one in each room at the hospital I currently work. I have brought this up with my manager, requesting one in each room, or at least some kind of one-way valve mask resucitator in each room for mouth - to...
  3. Changing schedule and not telling me

    I agree with PP. I will add, that you need to speak to your manager about this. I had this happen to me at a previous job in another city 3 times, but I was coming back from vacation or time off, say my scheduled day back was Monday, and on Sunday ...
  4. Fluid restrictions vs Patient rights

    When I worked on a Heart Transplant Unit several years ago, we would give the patient frozen grapes to help with their thirst, or those oral care sponges dipped in a few ice chips (but we were careful even of these as to not give them too much.) As f...
  5. If you cant read my writing I dont know what to tell you.

    If the patient has CHF, then the ACE inhibitor was likely prescribed to comply with CORE measures, as it is a requirement for a CHF patient to be on an ACE or an ARB (as long as there are no contraindications such as CRI, hypotension, true allergy, e...
  6. I worked in a facility just instituting a clinical ladder a few months before I moved, and what I remember, was that you needed a certain # years experience for each level, as well as the committees, certifications, degrees, etc. So it was something...
  7. Communication between nursing/pharmacy Crushing Meds

    On our computer printed out MARs, certain meds always have certain instructions/comments that print with them. Some of those are comments include, take on empty stomach, take only with meals, Do not crush, etc. So, no matter how the med is ordered,...
  8. Can AMI cause acute CVA? or seizure?

    I agree with above posts. Also to say, a stroke/cva is possible in conjuction with an ami. Most AMIs are caused when a severe coronary artery blockage becomes complete, usually d/t a microclot/platelet aggregation in the blockage. If this clot is ...
  9. Our wound care Doc for the hospital always orderes Vit D levels on the pts he sees, so I asked him one day. He says that his personal experience has taught him that most if not all pts with chronic poorly healing wounds/ulcers are vit D deficient, a...
  10. Going to hospitals in person-- yes or no?

    I was in the same situation nearly 10 years ago, and that is exactly what I did. I called up 6 different hospitals in the city I was moving to, and left messages with HR that I would be in town between such and such dates, and would love to set up a...
  11. TPN and PRBC

    Sorry, I would have never done what you did. The ONLY thing I have ever even heard of piggybacking into TPN is Lipids. The only thing I would ever piggyback with Blood products is NS. I'm not sure what you mean by a "carrier", though. Is is somet...
  12. RN salary in Alabama

    I currently work in Mobile, AL. I think you will likely find RN salaries lower in AL than most other places, but take into account the cost of living is also usually lower. With 9+ years of BSN/RN experience, as well as certifications as ACLS and N...
  13. With each of my 2 pregnancies, i went on bedrest at approx 32 weeks. my first son was born at 38 weeks, so that was nearly 7 weeks of bedrest prior to his birth, then I ended up staying out a total of 16 weeks, however, I was NOt a full time employe...
  14. Change dosing time - electronic charting

    I would either call the Pharmacy and ask them to reschedule the dose, or I would ask the MD to write a clarification order, with the dose due at 1800 instead of qhs. I would NEVER give the dose and then ask the next shift to sign it off for me, nor ...
  15. Broken arm and the emergency room

    Often, as a nurse, i have patients tell me that they are "terrible sticks" and that they "always" require a picc line. some have told me that the ONLY place I will ever find an iv is on their left wrist, and don't even think about looking at their r...
  16. Taking one for the team...ugh

    What I don't understand is, if the assignment was so bad, why didn't they split it up? At least you could have kept some of your pts from the previous 2 nights then. Also, we have 1 particular nurse who "can't handle it", too. We used to try to tak...
  17. What would you do?

    I would guess that it depends on how it happened. if the patient leaves AMA or just goes AWOL, then this should have NO bearing on your license. However, if this is a regular discharge, and the nurse simply "forgets" to take out the PIV, then I can s...
  18. What supplies do YOU use to start an IV?

    as for the 10cc flush, I always use one when I start a Peripheral IV, I like to flush with a full 10cc to be extra sure that it is a good line. To the orig. question: I take a towel (folded as it is on our cart) then place my 10cc flush, my J-loop...
  19. Patients falling

    We are required to do a fall risk assessment q shift, if the patient is deemed at risk for falling, they get bright yellow gripper socks, a yellow arm band, and a "falling leaves" sign on their door. We also have signs that we put in the rooms. Gree...
  20. I understand the anxiety you have, and it is really hard coming into work "late" and playing catch up all day. I have worked placed where we were required to be "on-call", and as long as you are being paid on-call pay, I wouldn't be complaining too l...
  21. "Eyes & Thighs"

    In my hospital, Consents are only valid for 24 hours. Otherwise, I think is a great idea for those who have planned births (either c-sections or inductions) Not so practical for those with more complicated deliveries such as pre-term labor.
  22. Student nurses and legalities of online charting

    As an RN at my facilty, I am currently precepting a senior BSN student. She went through the charting class, and she charts everything (Except the Plan of Care) just as a nurse would. Then, I go behind her, read all her charting, and must co-sign ev...
  23. Singing River Hospital

    I would call up the Nurse Recruiter and ask. I also work in Mobile, AL as an RN, but live in Mississippi. When I moved to the area, 2 years ago, Singing River paid nearly 2 dollars/hour more for full-time than where I finally chose to work (but the...
  24. Ok, This is a question of if you think I did the right thing, as well as a general Vent. I will be meeting with my boss to discuss it Friday, but need some feedback first. Here's what happened: Yesterday (Tuesday) I was in charge of my unit, I work...
  25. Jackson, MS CNA or LPN

    OK, here is my 2 cents. (know that this is coming from an RN, BSN) I would suggest you start the CNA route if the pay will be enough for you. It is a relatively short program before you can get started. Once you are working, you will get a good idea...