TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

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All Content by TonyaM73

  1. TonyaM73

    Diagnosed with DVT....now what?

    TonyaM73 replied to MeTheRN's topic in General Nursing

    WOW! Our vasular surgeon recommends bedrest until ptt/inr are therapeutic. I have seen a pt with an unknown DVT get a PE with disasterous results. Pt stood up to get to a wheelchair for a test and...
  2. TonyaM73

    Where do you keep your Medical tape??

    TonyaM73 replied to andy22's topic in General Nursing

    I do the hemostat as well. I clip the hemostat to the bottom on my scrub shirt and it is very convenient. You can also place a couple of different kinds of tape that way. I always do paper and...
  3. TonyaM73

    Which one is more stressful: med-surg or LTC

    TonyaM73 replied to ijuanabhappy's topic in General Nursing

    OH MY! Try the med/surg! I worked in LTC with Rehab for 10 months. It was absolutley horrible! I got the same three days of training and then put in charge of 30 dementia patients. None had arm...
  4. TonyaM73

    types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

    TonyaM73 replied to tater.jake's topic in Patient, Colleague Relations

    The actually not sick anymore patient: The ones that were sick, but we have made them much better. This is the one that for some unknown reason the doctor has not discharged them yet, but they suck...
  5. TonyaM73

    types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

    TonyaM73 replied to tater.jake's topic in Patient, Colleague Relations

    The retired MD family member: The one that comes in at the last minute of your shift and tells you that you need to have an order for this, that, and the other thing stat! (sorry sir, your family...
  6. TonyaM73

    types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

    TonyaM73 replied to tater.jake's topic in Patient, Colleague Relations

    Nola, me too! You're in good
  7. TonyaM73

    why the lack of baths

    TonyaM73 replied to Trekfan's topic in General Nursing

    Yeah, the dil-lala every 2-3 hours is hard when you have so many
  8. TonyaM73

    why the lack of baths

    TonyaM73 replied to Trekfan's topic in General Nursing

    Thank you Kanga. There are times when I feel like such a pitiful excuse for a nurse because I can't be everywhere at once. I gave safe care, but did I do everything for each and every person to make...
  9. TonyaM73

    why the lack of baths

    TonyaM73 replied to Trekfan's topic in General Nursing

    Honestly, by the time I give all the meds, do all the procedures, check all the charts, document the assessments, call all the docs with changes in the patients or with all of the questions that the...
  10. TonyaM73

    mistake on heparin??

    TonyaM73 replied to marriednextmonth's topic in General Nursing

    It sounds like there are a variety of protocols out there from heparin gtt. At our facility, the pharmacist has no role to play in our heparin protocol. You get the ptt results and adjust the heparin...
  11. TonyaM73

    Why is LTC so hated

    TonyaM73 replied to MadameFreckles's topic in Geriatric, LTC

    I spent the first year of my nursing career in LTC with Rehab. I hope to never return! They gave me 3 days of following several different nurses on all three floors. As a brand new nurse with...
  12. TonyaM73

    Why is LTC so hated

    TonyaM73 replied to MadameFreckles's topic in Geriatric, LTC

    I started off in a LTC with rehab since none of the hospitals were hiring new grads at the time. I loved the pts, but there were just too many of them. You may have 20 pts on the rehab side. (which...
  13. TonyaM73

    How do nurses really feel about CNA/PCTs?

    TonyaM73 replied to barbamatt's topic in Patient, Colleague Relations

    I know when I come in how my day is going to be when I see who my aid is. If the person is a hard worker and communicates when the vital signs, input, output and mental status change then I will have...
  14. TonyaM73

    What do you guys think is more stressful, working at a SNF as an LVN or as a CNA ?

    TonyaM73 replied to futurenurse310's topic in Geriatric, LTC

    I agree with the above two posters. Both are busy jobs, but as far as stress, the LVN has it hands down. CNA is only responsible for their own work, but the LVN is not only responsible for all of...
  15. TonyaM73

    Being a american nurse

    TonyaM73 replied to MeliLook's topic in General Nursing

    On a Medical/Surgical floor where I work we have 5-7 patients at any given time. If you start off with 6 patients and discharge 1, you will almost always get an admission before the end of the day....
  16. TonyaM73

    Being a american nurse

    TonyaM73 replied to MeliLook's topic in General Nursing

    Much depends on the personality of the person you are talking to. If for example the doctor is one that values nursing input, then you would talk to the doctor almost like a peer and he/she you. If...
  17. TonyaM73

    Pcts telling you to get it yourself

    TonyaM73 posted a topic in Medical-Surgical

    I am so frustrated at work right now. We are on a trend to try to improve patient care scores by telling the nurses that we have to do the pct's work as well. Don't get me wrong, I have no problem...
  18. TonyaM73

    'Just a med/surg nurse'

    TonyaM73 replied to tokmom's topic in General Nursing

    I just copied it, I hope you don't mind, and will put it in the break room at work!! Wonderfully
  19. TonyaM73

    how did they pass theyre boards??

    TonyaM73 replied to reginachanana2660's topic in General Nursing

    Good intentions KILL patients! If this pt had COPD, their respiratory rate would have gone down to 0, then no amount of breathing treatment would bring them back. Good intentions will never stand up...
  20. TonyaM73

    Unlisenced assistive personell replacing nurse positions

    TonyaM73 replied to Italia23's topic in Activism, Healthcare

    There really would be no need for a nursing diagnosis in a doctor's office. The MD is coming right in and then the pt will go right out. There is no managing care in between MD visits like in the...
  21. TonyaM73

    What is the best unit to work in and why?

    TonyaM73 replied to wnb4's topic in General Nursing

    Thus far in my career, MedSurg. You get a fairly stable set of patients, but a lot of them. Lots of differenct diagnosis, history, etc. I love the group that I work with and the management is...
  22. TonyaM73

    Pcts telling you to get it yourself

    TonyaM73 replied to TonyaM73's topic in Medical-Surgical

    NO! Would never abuse my right hand people. I am on a med/surg floor, so nurses have 6-7 pts and the techs have 8-10 pts. BP that high on the med/surg is call for closer observation, which is hard...
  23. TonyaM73

    Pcts telling you to get it yourself

    TonyaM73 replied to TonyaM73's topic in Medical-Surgical

    Actually the reverse was true for me. I was running around like a chicken that entire day and every time I saw this PCT she was sitting down at the computer. I help my techs all of the time as...
  24. TonyaM73

    Nurses don't save lives....WHAT?

    TonyaM73 replied to ThePrincessBride's topic in General Nursing

    I have only been a nurse for a year and a half and I know personally I had a hand in saving several people. One recently, newly diagnosed CHF (doctor's didn't get the results yet) stopped the iv...
  25. TonyaM73

    Pcts telling you to get it yourself

    TonyaM73 replied to TonyaM73's topic in Medical-Surgical

    I literally didn't have time to argue or get the manager at that time, but what I did do was call the CN the next day to find out how they wanted to handle it. I had many things that I wanted to say,...