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LPN in need of help!
Not knowing where you live or what classes you've taken: have you thought about doing your science classes or some other generals again to try and up your GPA? Then shouldn't you be able to try again? Just a thought!
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new grad-advice on when to call doc for febrile pt
For me it would depend on the doc. Some of ours like called if a temp is above 101.5. No matter what. But with others I would have done what you did. I probably would have heads upped everyone if they needed to call that doc to discuss with them. Then just monitored temp and if didn't improve called later.
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What are the top 5 medications YOU administer daily?
Dividing into areas: Pre-op Versed, famotidine, cocaine-epi nasal sprays, afrin nasal spray, ancef, claforan, levaquin We do alot of nasal surgeries and urology surgeries so that accounts for some of the odd sprays and abx. PACU Dilaudid, Fentanyl, Demerol, Morpphine, Zofran, promethazine Dismissals Oxycodone (All types and forms) Hydrodone, Zofran, promethazine, mitomycin This list is from what I'm thinking I gave\dealt with this week, each seems different!
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Criminal Background Checks
But keep in mind you usually have one for licensure too! So I would talk to your faculty. And please be honest when applying for your license. I had a girl in my nursing class that swore her record was clear. She had juvenile stuff though that showed up on her state check and she was thisclose to not getting her license. It took almost 6 months to figure it out with the board.
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Which specialties have 3 pts/nurse or less?
Perioperative. I work an outpatient/inpatient combo unit Admits we have 1 at a time, OR 1 at a time, PACU depends on the patient generally 1:1 but critical 2:1, Dismissals (for outpatient procedures) we take up to 3. But all these ratios are pretty much constant working or critical patients. I've worked the floor and ICU previously and low ratios usually are for patient safety! Low ratios don't mean less work as some of my friends think.
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Giving pts. medications to take home at discharge
It could just be hospital policy. At our hospital we have to get a Dr's order to send it home with the patient and then send it to pharmacy to get repackaged. I work in a pretty much ambulatory surgery setting and we send lots of stuff home antibiotic nasal flushes, creams, eyedrops, and more. But when I worked on the floor we could also send home insulin and inhalers with the same stipulations. Also our pharmacy will give us enough meds (generally narcotics, muscle relaxants, and/or anitbiotics) for people that are in after private pharmacies are closed. In this situation we have 2 have 2 scripts one for the patient to take to their pharmacy and one that stays for what our pharmacy dispenses. Our pharmacy only gives out enough until pharmacies open in the AM and only enough for them to be taken right. Our community has no 24 hour pharmacies and they all close at the latest 8PM and open at 8 or 9 AM. I see this often when we are on call at night for things like traumas and gallbladders and some D& Es that generally just meet criteria and go home. I've found that sometimes its better to figure out the reasoning on things then you don't look like a liar and idiot if patient talks to someone else later and you're wrong.