Genista BSN, RN

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All Content by Genista

  1. Genista

    Quick?? on TPN..

    Genista replied to Zee_RN's topic in General Nursing

    I agree the TPN needs a filter. Usually I see lipids already mixed in TPN. My thought is to piggyback the lipids into the tpn (both on separate pumps) and run both through the single filter, which is...
  2. Genista

    PAIN as the 5th vital sign ..What's it about??

    Genista replied to prn nurse's topic in Pain Management

    LindaHP- I am sorry to hear of your sister's terrible experience.You have valid concerns about use of opioids in chronic pain management.Your comments do give one something to consider. However, I...
  3. Genista

    PAIN as the 5th vital sign ..What's it about??

    Genista replied to prn nurse's topic in Pain Management

    I don't know what Hillary has to do with this, but pain as the 5th vital sign has been in the works for a few years now. http://www.nurseweek.com/features/99-7/pain.html Traditionally, oncology...
  4. Genista

    Hospital Food

    Genista replied to RNKitty's topic in General Nursing

    Well, not all California hospitals have food service contracts with the pros. I can tell you from personal experience! I have never actually eaten the food from my hospital, because seeing it...
  5. Genista

    I'm i expecting too much from my preceptors, please help?

    Genista replied to wrkoutgirl's topic in General Nursing

    Hi Monica, I think the hardest time is when you are a new grad. On one hand, it's nice for you to precept w/ several different nurses b/c you can see different styles and different ways of handling...
  6. Genista

    All Lpn's Please Read

    Genista replied to RNforLongTime's topic in LPN, LVN Corner

    Hello. I am an RN "visitor", just stopping by the LVN boards to see what's new. I can tell you a little about scope of practice for LVNs in N. California where I work... At my acute care floor, LVNs...
  7. Genista

    Noting orders

    Genista replied to swacht's topic in General Nursing

    I agree that whoever signs off orders is 100% responsible for making sure they are all ordered/on Kardex/transcribed to MAR, and faxed to pharmacy. We have a real problem with noting of voluminous...
  8. Genista

    Another Forced into Charge Role

    Genista posted a topic in General Nursing

    The post by ICU Becky was so timely for me, b/c now I am being forced into the charge nurse role (called "Lead Nurse" where I work). I have up to this time loudly proclaimed that I would quit my job...
  9. Genista

    Another Forced into Charge Role

    Genista replied to Genista's topic in General Nursing

    Thank you each & all for your comments! So many great replies. True, I would rather not do "lead," but then again, I feel I should at least give it a shot before I condemn it . I know it would be...
  10. Genista

    Primacor drip

    Genista replied to Genista's topic in CCU, Coronary, Cardiac

    Thanks for the replies. This drip was started just at the change of shift, as I was leaving for the "weekend," so I don't know what the primary MD decided for monitoring orders. Next time this comes...
  11. Genista

    Bad day at clinical

    Genista replied to KristaB's topic in General Students

    Krista, sorry to hear about your horrible day! That nurse was a real bully. It's too bad you had to face a grump like her when you were already feeling nervous. But, I agree with previous posters....
  12. Genista

    How is code blue announced at your facility?

    Genista replied to deespoohbear's topic in General Nursing

    We call a code as "code blue" and then they announce the floor or unit (no room numbers usually). All our codes are announced with colors, ie code red, code pink, etc. The other day they called a code...
  13. Genista

    Help I am a new grad and I made a medication error!

    Genista replied to Rosey's topic in General Nursing

    Agree with many previous posts. Learn from your mistake & do better next time! Do your five rights, like you were taught. Check arm bands (I joke about it w/ patient, "Just making sure you are who...
  14. Genista

    Please help with Time management techniques

    Genista replied to cornelia's topic in Patient Safety Issues

    Hi Cornelia- Though I do not work in LTC, I can relate to your problem. Time management is something that all nurses deal with. I am improving (slowly), but it is a challenge. I have two tips. One:...
  15. Genista

    refusing mandatory O.T.

    Genista replied to MQ Edna's topic in General Nursing

    Nebbynurse- Good for you! I am certain I would do the same if I were in your shoes. I work at a union hospital in California. We have "no mandatory overtime" written into our contract. In fact, our...
  16. Genista

    I turned in my resignation today!

    Genista replied to sharann's topic in General Nursing

    Sharann & Moonshadeau- Good luck to you both! It takes courage to make a decision like that.I wish you the best. Va & others- As for safe staffing, yes, California assembly bill 394 (safe...
  17. Genista

    THESE NURSES SUCK!!!

    Genista replied to SUBQ's topic in Nursing Career

    OLSKL- Here's a sample "assignment under protest" form from Oregon: http://www.oregonrn.org/unsafestaffing.php
  18. Genista

    help???

    Genista replied to hoppy4's topic in General Nursing

    Introduction to Crohn's Disease: http://www.healingwell.com/library/ibd/info1.htm [This message has been edited by kona2 (edited March 31,
  19. Genista

    CNA's Humiliation

    Genista replied to hanginginthere's topic in Medical Assistant, CNA/MA

    Hello. I agree w/ most comments in above posts. It's just a part of the job.Fergus51 had some great points too. Most patients feel embarassed not to be able to "take care of themselves." You would...
  20. Genista

    Memories: Best & Worst of Clinicals

    Genista replied to TracyRN's topic in General Nursing

    Hello. Here's a funny clinical memory...I remember the first time I ever gave a shot to a patient. It was subcutanous lovenox injection. My instructor was standing at the bedside, and I was so nervous...
  21. Genista

    Oh, my aching feet!

    Genista replied to Rileycat's topic in General Nursing

    Another fantastic shoe is by SAS, called "Freetime." They look like white tennis shoes. They cost about $100/pair, but are worth every cent! They are the most comfortable shoes I have ever
  22. Genista

    Do you miss lunch or dinner breaks routinely?

    Genista replied to Brian's topic in General Nursing

    Routinely missing lunch breaks is just one of many reasons why no one wants to be a nurse anymore. In what other profession would this type of employee abuse be tolerated? It harkens back to the...
  23. Genista

    Your observations please

    Genista replied to Hypoxic Pixel Eyes's topic in General Nursing

    Some good info here re: NP
  24. Genista

    Your observations please

    Genista replied to Hypoxic Pixel Eyes's topic in General Nursing

    Here's one more... Stanford School of Medicine in California offers a program where RNs are eligible for NP licensure as well as PA cert.
  25. Genista

    Your observations please

    Genista replied to Hypoxic Pixel Eyes's topic in General Nursing

    University of California at Davis offers an NP/PA program.