pmshiftrn BSN, RN

Was taking report the other night. Every patient on the team had just been admitted within the last couple of hours so there were still loose ends that needed tying up. Then, just when assessments and 9 PM meds were finished, and I thought I saw th...

Hi All Am trying to get info from CNSs regarding the type of work they're involved with? The CNSs on my unit have office jobs, M-F, 8-5. Are there CNSs still working on the floor directly involved with patient care working the typical 12-1/2 hour shi...

I'm a new nurse and, fortunately, have never had a patient fall on my shift. Falls prevention is an issue on my unit where there is usually a fall very one to three days. Sometimes longer, but very rarely. Our nurse manager wants us all (techs and...

I also tell them that it's easier to clean up soiled linens than to fix broken bones AND, with a smile, I also tell them that no patient has ever fallen on my shift and "I'd hate for you to be the first!" That gets a chuckle from everyone. Thanks fo...

I usually do just offer toileting to those who are awake and I agree that waking people is neither fair to them or productive for the nurse.

You hit it on the head by asking about the acuity and nurse/patient ratios. We have 5 pts per night. One night recently, of my 5 pts, 2 were total care and on contact isolation, 2 others were receiving blood transfusions, and the 5th patient was on...

Thank you. we do have bed alarms and I plan on using them more often.

Thanks for you response! I'm on a medical oncology unit. People have been reporting after the fall that no one has been in to help them go to the bathroom, so that is what prompted the nurse manager to request hourly rounding whereby we tell the pa...

Hey There, Not sure if you still need suggestions, but what worked for me was using a multitude of sources for practice questions. I used Saunders, Evolve, ATI, and also NCSBN. NCSBN, if you don't know about it, is put out by the same folks who wri...

I totally agree. I'm in a somewhat similar situation, too. The difference with me is that I'd be turning down a job offer that I'm expecting to get this week. The hospital has hinted that they'd have a different position available in about 3 month...

Excellent response :-)

Tweetums... I don't think you were cheating by asking how someone would handle a situation. I do it all the time, and no one would ever question my integrity. In fact, newer nurses and students are expected to ask for help from those with more exp...

Thank you all for your tips and suggestions. Am a day person and am just about to start my nursing career as a night nurse. This will all be helpful to me.

Let the officer know you are only a student, that you will look in on the patient, and would need to get help from someone else (your clinical instructor or a staff nurse after checking the patient. When checking on the "patient", get a few details...

Depending on how old you are, you might be able to look into AARP. They offer scholarships for women over 40 - though I'm not sure if it's for grad school. I just graduated from a BSN program with tons of debt now to Sallie Mae. Am not sure of int...

Hi Everyone Have just recently graduated w/ a BSN and am starting to think about areas I might want to specialize in &/or become certified. Wound care interests me but am concerned how WCNs deal with smells from ostomies. (Fecal matter is the odo...

To be honest, I do not have any expertise in this area, but I don't see why you can't mention an interest in going on for your masters. Five years is actually a long time in the future for job... you will probably sign a contract with them for a yea...

Can someone tell me what is meant by "positive signs" when assessing IV site prior to med administration. Does it refer to infiltration, phlebitis, etc? Thanks! :heartbeat

Is there a different between these two. We're learning IV complications. They sound pretty much the same to me... both involving leakage of fluid into the tissues instead of the vein. Is that right? Do they occur for different reasons? Thanks!

thanks!

Can anyone tell me how to determine calories in D5W? Thanks so much!

Thank you Amanda! I did just check it out and it was just what I needed.