kcksk

kcksk

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All Content by kcksk

  1. NRP 6th or 7th edition HELP!!

    kcksk replied to sarrahsparks's topic in Ob/Gyn

    There are supposedly big differences between 6 and 7. My hospital will certify you after they hire you. You just have to get it within 6 months. You could always let them know you are in the...

  2. If you could speak your mind...

    kcksk replied to GSDlvrRN's topic in Patient, Colleague Relations

    Had a pt come up from the ED for admission. Refused all treatment-no IV, wouldn't give current med list, wouldn't allow an exam. I finally asked her why she was here if she wasn't going to allow us...

  3. Reporting a grievance and fear of retaliation

    kcksk replied to Roggae's topic in Collective Bargaining, Union

    There are a couple of different things going on here. First, were those positions posted anywhere? If they weren't posted internally they must've been posted on a company website in order for the...

  4. Med Pass Question for Student

    kcksk replied to CarliBeeHanson's topic in General Nursing

    Maybe she means to give the meds first that are the most important. Sometimes it's difficult to get a lot of meds into some pts. I would give BP, lasix, any psych meds, etc and hold onto the colace,...

  5. Deaf and pregnant: Live sign language interpreter or video conference for childbirth?

    kcksk replied to Donna Maheady's topic in Ob/Gyn

    In some areas it isn't easy to find a medical ASL interpreter. In our state you have to go through one facility to book them; they supply interpreters to anyone who needs them. I used to work in an...

  6. What's the meanest thing a patient has said to you?

    kcksk replied to fangirl's topic in Patient, Colleague Relations

    I had a pt scheduled to be discharged, everything in place. All I had to do was go over paperwork with him. He didn't want to go. He called the police and told them we were killing him. Needless...

  7. How to tame a provider!

    kcksk replied to Brian's topic in Nurses Rock

    I had a provider ask me about something that would've been done on night shift but wasn't documented and I didn't get it in report (nothing major and something she could've gotten in report from the...

  8. How likely is to get chicken pox in a pediatric unit?

    kcksk replied to Zaika2686's topic in Pediatric

    I haven't seen a child with chickenpox be hospitalized. In a pedi office you would be more likely to come in contact with chicken pox. Have actually seen a couple of adults hospitalized with it but...

  9. Immunizations and Titers

    kcksk replied to nancy.wong's topic in General Students

    Hi! I know I had to have titers drawn even if I had proof of the immunizations. My insurance paid for the titers although not all do. I had to be revaccinated on some even though I had vaccinations...

  10. Clocking out ..NO Overtime

    kcksk replied to SNFLPN's topic in General Nursing

    Actually we have had this same discussion at work. If you clock out and then continue to document, technically they have proof you are working "off the clock" and it is a reason for termination among...

  11. Should I do anything about being yelled at?

    kcksk replied to kw11's topic in Patient, Colleague Relations

    Ok, I know the point was the MD yelling but from what I read, wasn't the pt A&O? She would be the one that has the say in the catheter. The POA doesn't have a say unless the pt is unable to. I...

  12. Pediatric Dosing/Infusions- Help????

    kcksk replied to All4NursingRN's topic in Pediatric

    I won't answer each one individually but we use the Harriet Lane handbook for all peds dosing. It gives us specific instances where the general max dosing is exceeded. RE: solumedrol or...

  13. PLEASE HELP! How does your hospital do holiday rotations for night shift staff?

    kcksk replied to jnsrn's topic in General Nursing

    Our floor does it a little different. Our holiday starts at 3pm Christmas Eve (thanksgiving and new years too) and goes until 11pm the day of. So even day shift has 4 hours on the eve and then 12...

  14. Tuition Reimbursement Question ... Advice please!

    kcksk replied to NurseB_'s topic in General Students

    There were people I went to school with that had a similar arrangement. When they graduated, the hospital didn't have enough jobs for them so their scholarship was forgiven. Of course, then they had...

  15. Any Peds nurses out there? I have a few ?s to ask...

    kcksk replied to RNAngelus's topic in Patient Safety Issues

    We always have 2 RNs on the floor, even if there is only one or two kids. We do have another side that takes a few adults and we usually will split the floor, one stay on Pedi and one on adults but...

  16. IM injection

    kcksk replied to ender's topic in General Nursing

    We give it in the office where there is no IV access. I've given it on the floor when a pt hasn't had IV access and we couldn't wait for a

  17. IM injection

    kcksk replied to ender's topic in General Nursing

    I give Rocephin all the time in a peds setting and usually we reconstitute 1g with 2.1ml sterile water. Then draw it up in equal doses and give in different sites (usually both thighs). When that is...

  18. Staff Assignment

    kcksk replied to brandi smith's topic in General Nursing

    We don't do block assigning. We take whoever had the pt last and they get them back. That seems to work for us. We also try to split up the precaution rooms, acuity, etc. Then we try to take the...

  19. Communicating with patients that don't speak English

    kcksk replied to CalidthreeN's topic in General Nursing

    ASL interpreters seem to be a little different around here. There is one place that EVERYONE goes to to get interpreters. Hospitals, drs office, etc. When we would call, they would say they had no...

  20. Dear Health Care Proxy

    kcksk replied to blondy2061h's topic in General Nursing

    hmmm how about Dear Health Care Proxy, Just because you are a health care proxy does not give you the right to information or to make decisions when your loved one is A&O x 3 and making all their...

  21. Med error? help im going to loose ky mind thinking about this!!!!!!

    kcksk replied to avenellpn82's topic in General Nursing

    Ok you need to know what you have. In our office we have 1g vials and we reconstitute with 1.4ml sterile water. Not sure on the lidocaine. When we give the 1g we ALWAYS break it up into two...

  22. does anyone get a set day off

    kcksk replied to sunshine1216's topic in General Nursing

    hehe this thread made me giggle. First, I am a mom....three wonderful children but I definitely do my share. We had a girl we worked with who used her child ALL THE TIME as a reason she needed to be...

  23. Quite a few c/o sore arm post pneumo vaccine

    kcksk replied to newtress's topic in Patient Medications

    Just got my pneumovax last week and it was horrible! The day after my arm was red, swollen and was so painful I hurt all the way down to my fingers! It was day 5 before I could even touch my arm....

  24. Slow nurse response time is a danger to pt health

    kcksk replied to SoCalCrafter's topic in Patient Safety Issues

    Well the BP med could've been held because it was due to start at 0900 and be daily and if her BP wasn't high, they wouldn't give it at night. They could've been waiting for the antibiotic to come up...

  25. High Risk Meds

    kcksk replied to Special31's topic in General Nursing

    Our high risk meds need to have a co signer every time it is given. That should mean that two nurses are checking the order and actually looking at the med given. At our hospital it is for insulins,...