LightMyFire

LightMyFire

Member

  • Content

    137

  • Visitors

    4,307

  • Followers

    0

  • Likes

    0

All Content by LightMyFire

  1. How does your facility prevent falls?

    LightMyFire replied to GoldiesMom's topic in Patient Safety Issues

    Place our aides as sitters regardless of how few we have. Still doesn't prevent falls. Our falls tend to be the A&O patients who think it's OK to get up despite multiple devices connected and meds...

  2. altered cardiac function?

    LightMyFire replied to takingcare19's topic in Nursing Student Assistance

    Yes, INR affects thrombus risk. But does your patient have evidence (S&S) of altered cardiac output? The output is most likely fine (excluding other causes of altered cardiac output) but the...

  3. altered cardiac function?

    LightMyFire replied to takingcare19's topic in Nursing Student Assistance

    What does INR affect, cardiac function or thrombus risk? Start there. Good

  4. Asking Former Preceptor for Some Space

    LightMyFire replied to betterinthesun's topic in Patient, Colleague Relations

    Was this nurse in charge during the

  5. I need a RN-BSN Preceptor!

    LightMyFire replied to christiejwza's topic in General Nursing

    Did you try contacting any clinical sites? If I'd had to do that I would have been planning since day one in

  6. Ethics: Does knowledge of a patient's blood borne pathogen change your care?

    LightMyFire replied to JMed18's topic in General Nursing

    I'm reminded of a time when I had a student and we had the opportunity to start an IV. I mentioned the patient's HIV status and she got really nervous. I asked why, since we're following universal...

  7. Med-Surg Nurses: How many phone calls do you take per day??

    LightMyFire replied to Cola89's topic in Medical-Surgical

    We don't carry phones, we have to come to the desk. If I'm busy whoever is calling holds or I return the

  8. Does a nurse preceptor qualify as a "supervisor/manager" type of reference?

    LightMyFire replied to Jaellys's topic in General Nursing

    What about a former charge nurse? I like to use them on apps as a reference and have specified that they were the charge

  9. I really need help with this case study?

    LightMyFire replied to Diana1823's topic in Nursing Student Assistance

    Where are your available sites for IV placement? Are there any contraindications for using one site or another, either with the site itself or with the blood/drug? What are your considerations in...

  10. What are the 3 most dislike RN duties in demand?

    LightMyFire replied to Natasha A.'s topic in General Nursing

    Everyone is different. I hate placing NG tubes. And I'm sick to death of the AM med pass. I love, love, love educating my

  11. Admissions

    LightMyFire replied to nightsinBoston's topic in General Nursing

    We get a report faxed and then the ER nurse calls for a report. Usually I don't even want to talk to them unless I have a question because they want to give me a lengthy report that covers my faxed...

  12. Is an associates degree in nursing a waste of time?

    LightMyFire replied to hardworkingmom9's topic in Pre-Nursing Students

    I have an ADN. I had no problem getting a job and have had no problem being offered jobs that I subsequently did not take. I'm also the charge nurse on my floor. I'm an RN, and a good one, and that's...

  13. Quit during orientation

    LightMyFire replied to Themostsupreme's topic in General Students

    "A lot less physical"? My days are plenty physically exhausting. There are many days that it seems all I do is clean patients and do "grunt work". My PCTs are awesome but they can't do it alone and...

  14. New grad or inexperienced nurse interview question

    LightMyFire replied to vanessaem's topic in Nursing Professionalism

    I wasn't asked anything like this. I guess it was assumed that because I passed boards that I knew that stuff. My interview was more of a getting-to-know-you type thing. Strengths, weaknesses, etc....

  15. What is it like to be an Oncology nurse?

    LightMyFire replied to EmBSNStudent's topic in Oncology

    Be prepared to give lots of blood products. Also know your chemo. It is my understanding that to become certified there is testing involved. All bodily fluids are to be treated as toxic, not just...

  16. Would you take a patient's blood sugar without an "order"?

    LightMyFire replied to Nola009's topic in General Nursing

    I would check if the pt asked. If a pt has q4 vitals ordered but requests a BP check would you not do it? I check if requested and call the doc if it's not WNL and request orders to address the BG. If...

  17. Newish grad. Dealing with students on the ward.

    LightMyFire replied to loveoutloud's topic in First Year After Licensure

    Let them know that you'll be happy to answer questions if they keep up. Otherwise they can forget it because you're responsible for your pts, not them. I'm not going to pursue them to teach them. With...

  18. Multiple infusions, having trouble

    LightMyFire replied to shopARC's topic in Medical-Surgical

    We frequently have 2 antibiotics due at the same time. One I see frequently is Rocephin and Vancomycin both due at 0900. In that instance, I'll start the Rocephin first at 0800 (it only runs for 30...

  19. Was reprimanded for wearing gloves while working with a patient

    LightMyFire replied to amillion3147's topic in Infectious Disease

    C-diff? MRSA? These diagnoses require the use of PPE and proper hand hygiene. Encourage the pts to also wash their hands before leaving the room. While I work at a hospital, our policy is to have...

  20. Patients Cheeking medications

    LightMyFire replied to sdegracia's topic in Patient Safety Issues

    All make good points. Here is my view FWIW coming from a unit where frequently pts are admitted for vague diagnoses with no real medical data to back them up. I could (and used to) get worked up about...

  21. Indwelling Catheters

    LightMyFire replied to msygrnbw's topic in General Nursing

    Starting POD 1, we very strongly discourage the use of bedpans. I make sure the newer techs know this so that they won't use a bedpan for their convenience. Every trip to the bathroom provides a...

  22. Indwelling Catheters

    LightMyFire replied to msygrnbw's topic in General Nursing

    My floor is ortho/med-surg. Generally our patients only have Foleys if they came in with a hip fx. Since they usually go home or to rehab on POD 3 or 4, it doesn't make much sense to keep one in after...

  23. Why do they always start with IV fluids?

    LightMyFire replied to rosemary_petals's topic in Nursing Student Assistance

    Disclaimer first: I don't work in peds. My main thought is that in the absence of heart or kidney disease, extra fluids simply prevent dehydration and cannot hurt? Of course, this also implies a...

  24. How to Pay for Tuberculosis and Hep B Vaccinations

    LightMyFire replied to nwbsoon's topic in Medical Assistant, CNA/MA

    I got my TB test at a local hospital for $10 each (needed 2 negatives). The health dept told me that they only do testing for exposures. The health dept also would not do my hep B for free. I paid $45...

  25. Shingles precautions

    LightMyFire posted a topic in Infectious Disease

    When a pt is admitted with shingles we've always put them in a negative pressure room on droplet precautions. I asked a doctor about the necessity of wearing a mask. He states that since I've had...