Celia M ASN, RN

I'm doing a little research on TPN policies and have some questions: 1. Do you give TPN via a peripheral line ever? (PPN) 2. Do you always stop the TPN for lab draws (even if the TPN is in a central line and the draw is peripheral?) 3. Do you add ins...

My 76 y/o mother in law is to have a TAH BSO and possible colostomy for Ovarian CA at LWH on July 5, 2010. Since we live in California we are concerned about her and are making plans for my DH to be with her, but trying to do all this long distance a...

Liverpool Jane, Thanks for all the info and good news regarding LWH. The situation is not so good for the MIL as it now seems that surgery is off and she will have chemo. Thanks to your info I did manage to get her a television/phone console for her ...

Thank you for your replies. My MIL is now in Southport Hospital following a PE being discoverd on CAT scan that took 1 week to be read, so everything is still up in the air. They will decide tomorrow whether to transfer to LWH. The staff in Southport...

Yes, several times, and one was with a confirmed serum BS of 8!!!! Celia

When the "new" title for a nurse was RGN. (Used to be SRN). When we mixed all our IV meds including chemo (don't worry we wore gloves and a plastic apron). When you taught to stand up for the Doctors and Sister had tea with the consultants in the bre...

I am sorry for your loss, your Dad was lucky to have you at his side. Sometimes it is difficult being a nurse in these circumstances. I have not lost a parent but had several miscarriages while working as a nursing sup and one of the duties was to at...

So true, most nurse managers work very hard and floor nurses would be amazed at everything they need to accomplish in a day. You can impact patient care without actually being hands on. I find it very frustrating that the perception is if you sit beh...

I agree follow your heart, you will still get some great expereince in a smaller hospital. I moved from a 1000 bed hospital to a 48 bed hospital 21 years ago because of my husbands job and I loved every minute of it. If the smaller hospital is savvy ...

This physician should be reported to the Medical Staff office, there is a Joint Commission regulation dealing with this. no one should be treated in this way. At my facility there is a Physician Well Being Committee for this purpose. The Medical staf...

I'm so sorry you are going through this. I do not know if your employer has an employee assistance program (EAP) we do and it provides free financial counselling as well as 5 free personal counselling sessions. i think that you might benefit from tha...

I'm a manager and whenever one of the outstanding nurses in one of my units interviews for another job or leaves I do get that awful "OMG, how am I going to replace them" knee jerk reaction. This is probably the reaction your DON had and is a complim...

Got mine (shot d/t asthma) and had the kids (10 and 6) take the mist last week. No side effects, except I fell asleep during a class the next day, but it could have just been really boring!! I'd prefer a little discomfort to being really sick or resp...

There are night shift openings at my facility on med/surg/tele if you are willing to relocate to Kern County. PM me. Celia

We are looking at campaigning for a charge nurse differential and were wondering if anyone out there gets paid extra for being in charge and if so how much? Thanks for your help Celia

Enemas are ordered in the ER, however because of privacy issues they are done wherever a free bed exists in the hospital, usually on an inpatient floor, tying up nurses and beds. it is a problem in aour small community hospital, especially since it i...

I am the nurse manager of a med/surg/tele floor and an ICU. I have in the past few months hired new grad RNs and LVNs, LVNs with LTC exp only and RNs with only HHA experience. SO if you need the money go with LTC, as a manager I would take that exper...

I work on a med/surg/tele floor in California, Nurse/patient ratio of 1:5. I was wondering what duties your charges nurses have and how many patients they take and how many LVNs they cover. Thanks Celia:nurse:

Hi, I have posted this on the med/surg forum too. I would like to know what duties your charge nurses have, what your nurse/patient ratio is, whether the charges nurses take patients and/or cover LVNs. Thanks Celia

Is anyone giving Lovenox IV, we have just had an MD order it and have not given it by this route and the MD could not give us much evidence other than other hospitals are giving it IV as a bolus when starting anticoagulant therapy. Thanks :)

We use SBAR for the RRT, PAMPER for report and ticket to ride for transfers to radiology etc. PM me if you need details. Celia

We use the IHI Ventilator Bundle, no VAP since we started. Celia

If you're a JCAHO accredited hospital check the regs because I believe that if you don't give a face to face report there has to be the opportunity for the oncoming shift to ask questions of the off going shift. Celia

Hi Leilah, Sorry you're going through this. At my hospital we have an RN from Australia who is waiting for the BRN to clear her to take boards (the process has taken nearly a year!!) and she's working as an ER tech. Hope everything works out for you,...

I'll be making the real deal, it's an 18 year tradition for us, we'll have brown sugar and lemon juice, jam, cinammon and sugar, and golden syrup as our fillers. The kids (7+3) love it because that's all we have dinner, what a treat!! Have yet to tr...