TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

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All Content by TonyaM73

  1. TonyaM73

    Navy Nursing

    I have a 14 y/o daughter and if she every asked someone for help and then showed the unappreciative, rude attitude that this one showed.....the navy recruiter would look like a kitty cat compared to...
  2. TonyaM73

    LTC hurt opps for hospital jobs?

    Straight out of school there were no job opportunities in the hospital anywhere in my area for a new grad. I went to a LTC with rehab instead for a year. When the year was up, I went to the hospital...
  3. TonyaM73

    Why do patients..??

    I just love this one too. A patient this evening told me..."Where is the PCT?" I told him that we are in shift change and that he is probably telling the incoming PCT about the patients. Pt: "He...
  4. TonyaM73

    Postpartum nursing judgment

    I would think that it could be either B or C. It would depend on the wording. If either one had the word "Assess" instead of check, that would be the one that I would choose. NCLEX is all about...
  5. If you have a patient admitted two days ago for stroke with left sided weakness and all of a sudden she is showing increased weakness to the left side, more pronounce facial droop, and slurring of her...
  6. TonyaM73

    Stroke pt with increased weakness and slurring

    talaxandra : That was what I was afraid of. The CT r/o any bleed and it was unchanged from the day before, but the neurologist says that sometimes an increase of the ischemic stroke will not show up...
  7. TonyaM73

    Stroke pt with increased weakness and slurring

    Thank you so much for your encouragement ESME 12. I have been beating myself up about this, but from everything I have read and what you guys are telling me, I acted appropriately. Thank you so...
  8. TonyaM73

    Stroke pt with increased weakness and slurring

    Thank you so much for your responses. We had just done a fingerstick before lunch, so this was happening just an hour afterwards. There were no orders for labs after the deterioration due to recent...
  9. TonyaM73

    PLEASE HELP, confused

    overview hyperkalemia is higher-than-normal levels of potassium in the blood. alternative names high potassium; potassium - high causes potassium is involved in regulating muscle tissue, and is part...
  10. TonyaM73

    Those in Med Surg

    5-7/1 with a tech on days. It's rough when you have a lot of total care patients, but when most are walky-talky it works
  11. I have just moved from a LTC facility to the hospital. In the LTC we used paper charting, which was fine for submiting your notes, but couldn't find a thing when you needed it or you couldn't...
  12. TonyaM73

    Finally happy!

    I know what you mean. I graduated during the hiring freeze too and could not get hired at any local hospital. I went to work at a SNF with a rehab side and HATED IT!!! I worked there for almost a...
  13. TonyaM73

    I gave the last dose...

    You were there and you CARED for him...that is all we can ask. I would love for when my time comes that not only would I be with someone who cares for me, but also that someone be the person that can...
  14. I know what you mean. I had a patient's daughter tell me yesterday that she "went to LPN school, but had to drop out so now she's a Home Health Nurse". WWHHAATT??? I ask: so you got your nursing...
  15. TonyaM73

    LTC Nurses Bottom of the Barrel

    I know what you mean. I graduated last year in August. I couldn't find a job at any of the local hospitals, so I branched out and went to work for a LTC/REHAB facility. Boy Howdy, was that tough...
  16. TonyaM73

    Waste of Time

    Trying to read doctor's orders when they are just scrolled across the page and you can not make out anything including the drug name and dosage!! Drives me nuts!! Especially, when said doctor says...
  17. TonyaM73

    Should I stay or should I go?

    Just remember it is hard to get a job, but it may well be impossible to get your licence back if something major went down. Just food for thought to pass to your
  18. TonyaM73

    Charting Bloopers

    Cerclage: also called purse stings (for slang) because that is what the suture stitch looks like. It is used to keep the cervix closed until it is time for delivery, otherwise if the cervix is not...
  19. TonyaM73

    Should I take this position?

    I agree with the above. The staffing ratios are too high. If you have med techs passing the meds, then maybe, but to medicate around 40 patients during the day and still stay within your 2 hours for a...
  20. TonyaM73

    Charting Bloopers

    I am with you. I want to keep up with this thred also! Seriously
  21. TonyaM73

    Any tips for giving injections?

    I have found that the taunter (sp?) the skin the easier it is for the needle to slide and easier on the patient. Bevel up too, like others have said. I have had many a patient tell me that they...
  22. TonyaM73

    If you could create the visitors policy....

    I would put a sign up front that said "Check your family and friends at the door, when you are discharged you can have them back!" I love my patients, but their family (for the most part) I could do...
  23. I got this last night as well. Just admitting the patient and trying to get the assessments completed (rehab pt and we have a ton of assessments and consents) when the phone rings while we are trying...
  24. TonyaM73

    Thoughts Please

    I did that very thing. I found out who was the nurse manager for the floor that I wanted to work on and dropped by one day with my resume. I just told her that I wanted to drop this off personally...
  25. TonyaM73

    New grad nursing home charge nurse.. help?!

    The biggest thing I can stress is: If you do not have your own patient load #1 Ask your LPNs if you can follow them around to get a feel for how things are done. Tell them that it would help you...