Cassaundra

Cassaundra

OB-GYN

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All Content by Cassaundra

  1. Elective induction

    I am an OB nurse and am always of the opinion that it is a bad idea unless the baby is going on 42 weeks. Women have had babies for eons and it's not natural. C-sections are even worse without a solid medical reason. Fetal monitors are a big cause...
  2. Cutting diabetic toenails

    We're too small to have a podiatrist, but we only cut nails on a doctor's orders - Hospital policy.
  3. So today, I almost passed out ....

    My thing is spinals. I cannot deal with that needle going into the back. Once it's there, no big deal - until then I have to turn my head away and even the thought can be rough.
  4. Doctor was yelling...told me I was negligent....am I?

    You're not a doctor. It was not your call.
  5. WDWN - do you use this abbreviation?

    I was never tought to use it and I graduated in May. We were given a specific list of abbreviations that were "legal" and had a minor amount of leaway, but WDWN was not on the list.
  6. We just implemented CPSI.... What a pain in the rump! I don't know how much of it has to do with the admins trying to work the layout and how much is just the general cumbersome nature of the system, but it takes us 3 times as long to take care of ou...
  7. stupid question

    D5 W is just sugar water - no sodium. D5 NS is salty sugar water.
  8. Just hate those navy blue scrubs

    Our facility is going all navy on January 1st. Supposedly it's so the pts can tell the difference between their nurse and the housekeeper. I agree that it is better than all white.
  9. Nursing School: Did you turn into Jekyll & Hyde?

    I can relate to what you're feeling. I started back to college at the age of 35. I can suggest that when you notice yourself acting like that, excuse yourself from the room for a few moments. Get it back in check, then go back. Make it a point to...
  10. Helpful hints and tips for working Med surg

    Organization and flexibility - Keep an idea of who needs what and when, but remember that things happen and your best plan will be changed.
  11. "disturbed Energy Field" ...Really?

    Well, I must say it is this type of attitude that prevents new breakthroughs in medicine or anything else. I am a Reiki healer and I find it does work. I did a demonstration for my class in clinicals one week when I was in school. I have used it in m...
  12. LPNs Scope of Practice in Arkansas

    You can try looking here http://www.arsbn.org/praclink.html, but I don't see where it makes a specific list if that's what you're looking for. Also, your hospital should have a paper copy of the NPA if you want to look it all up.
  13. I loved my chemistry classes. It was a big help to learn how the molecular structure of medications make them work or not work. Also, it makes a big difference if you actually know what potassium and sodium are.
  14. hospitalists increasing your census?

    Our facility has a hospitalist, but he only works on the weekends. He stays on premise from Friday evening to Monday morning. I can't say he has increased admits. He's usually pretty conservative about that. The rest of the time we have our regul...
  15. Our mantra when I was in school is there is a major difference between NCLEX world and real world. For your tests you go by the book - not common practice.
  16. How to report my boss

    Is there a person in management you feel comfortable talking to? If possile, sit down with them and discuss the problem on a personal note and ask how they would recommend you handle it. Sometimes they can tell you how to tactfully put a stop to it...
  17. This web site might help. There are also others like it if you hunt for them. http://www.payscale.com/mypayscale.aspx
  18. Wanted

    Magnolia Hospital is looking for an RN to replace one that has given notice. Send me a private message and I will give you the info you need to apply for it.
  19. Need advice in NE Arkansas please

    I would say it has nothing to do with your age or gender. A number of places are just not hiring support people right now. I know that Baptist in LR is still hiring, but otherwise I would suggest looking up facility web sites to see if anything is ...
  20. Question: Why don't hospitals color code the scrubs?

    It depends on the facility. A number of facilities have dress code by department and others by job. I work in a facility where all nurses wear navy &/or white. The local hospital uses colors for department - brown is resp. Suggest it to your ...
  21. Archetypes in Nursing

    OMG, these are so funny. Have to add this one: Perpetual Instructor - No one ever does it right. She is constantly correcting other people's techniques, meds, charting, scrubs, speech, walk, and a mirriad of other things. However, if she is caught ...
  22. Archetypes in Nursing

    The Silent One - This nurse avoids conversations not work related. She is expert at avoiding personal questions from anyone, but especially coworkers. Her opinion is silent out of fear of insulting another or getting into an arguement. This may or ...
  23. I really need your help with these guys!!

    Well, I would answer C on the first one. It's not contagious, can be treated orally, does not pose a serious threat to life. On the second one, I would answer A. A nurse can talk to the pt and get answers to some questions, but, unless s/he is a NP...
  24. Microbes

    Very twisted and very cute. What a great set for a doctor or NP.
  25. Problems with a Doctor I work with, any advice?

    Umm... Just my opinion, but you may want to pull her aside and ask her what her problem is. Maybe the two of you can come to some sort of common level before dragging mgmt and all into it. The first question from them will be "have you talked to h...