mappers

mappers

Med/Surg/Tele/Onc

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All Content by mappers

  1. Wal-Mart Walk-in Clinic

    I seriously doubt it was an MD. Around here, NPs staff those. The fact that there were two people is a bonus, since many work
  2. Like my job but the building is making me sick!

    Do you have a latex allergy? Could it be one specific thing (like the brand of soap, hand sanitizer, gloves, etc) and not the
  3. what is "transitional care"?

    Where I worked transitional care was a step-down from
  4. witnessing a DNR

    I remember in the hospital that Hospice ruiquired witnesses to DNRs for ambulance transport, etc. The DNR in the hospital was an MD order, but there was something about when the patient went with...
  5. LPN or RN

    You have to look at your goals, opportunities, and resources to make this decision. One thing to remember, LPN is a vocational certificate whereas RN is a degree (either Associate's or Bachelor's.)...
  6. Do I need a new specialty?

    We had a Hospice MD come to our clinic once and discuss the idea of Professional Grief. It was really interesting. We as caregivers have an unusual role. We are not friends or family to these...
  7. Why are you taking a BP at 1:00
  8. Positive or Negative... EMR

    I can't imagine life without it. I come from an IT background so using a computer is second nature, most communication was through email, and everything was typed. Going from a job like that to a...
  9. 12 hour shifts...dangerous?

    10?? Ten doesn't divide into 24 evenly. That can't work. Shifts must be factors of 24 if the job is a 24-hour one. (Unless you have a lot of
  10. Assessments every shift?

    When I was in the hospital, we had a copy function also. I only copied my own assessments and only if they were from the previous day. Then I reviewed everything and changed what was now different....
  11. Student interested in oncology

    I was. I was hired onto a m/s/tele/heme/onc floor right out of school. Great experience because we had a lot of medical cases, CHF, COPD, GI Bleeds, etc, but we also specialized in oncology on half...
  12. Chemo patient to nurse ratios

    I worked med/surg/tele/onc, too. Our normal ratio was 6-7 pts to one nurse. If we had chemo, normally the charge nurse administered it and she usually didn't have other patients. She also was not...
  13. PPE

    What type of PPE do you wear when administering chemo and what type of setting are you in? Gloves, gown, mask, etc. and in-patient vs. clinic, vs
  14. Should I feel guilty?

    When my mother's Alzheimers was progressing, my sister felt the need to correct all the mistaken memories she had. Once at a family dinner, she corrected some tale mom was telling that wasn't...
  15. I saw a position in our newspaper for an informatics RN and I applied. My background before nursing was as a business analyst working closely with IT. Anyway, it is at an Endo ASC. She says they...
  16. Aww, thanks for responding. I have a 2nd interview on Monday with one of the
  17. Very inappropriate!

    There was no violation here and I'm not sure what your boss did is inappropriate. When you apply for a position, there is no assumption of privacy. It's not like it's a HIPAA violation or anything....
  18. Vent thread... when to send a pt out

    This was in reference to the 101 lady who was kept comfortable at the facility not the OP (as indicated by my quotes of the previous post.) DNH means do not hospitalize and palliative patients will...
  19. Vent thread... when to send a pt out

    Considering the patient ended up in the unit, I'd say that LTC could not manage this situation. Sepsis can turn bad very quickly. LTC cannot administer bi-pap or tube a patient, cannot do ABGs in a...
  20. I saw a position in our newspaper for an informatics RN and I applied. My background before nursing was as a business analyst working closely with IT. Anyway, it is at an Endo ASC. She says they...
  21. Has this happened to you

    This is terrible. I hope the patient ends up OK. Sorry this happened to you and mostly to
  22. Overtime

    I'd say look at PRN or agency for extra cash. One hospital system I worked for had its own in house agency and could send nurses to several hospitals. But then they got into a huge fight with an...
  23. How to get out of patient care?

    If I were you, I'd start talking to the surgeons you work with to see if they need any care coordinators in their practices. I know a lot of surgical and cardiology practices hire nurses to help...
  24. Is one of the adult children your parent or is that parent deceased? How close are you to Grandpa? Will he listen to you and other RN? I'd call a family meeting and let them know that it was unfair...
  25. Has this happened to you

    I'm a little confused. You bridge with Lovenox before the INR reaches goal. You stated "with the intent to bridge after an INR was reached". Is that a typo or do you not really understand how...