LightMyFire

LightMyFire

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All Content by LightMyFire

  1. Patients REALLY do these things!

    LightMyFire replied to 3aremyjoy's topic in Patient, Colleague Relations

    You got it! Same things apply when you're a nurse so better to know them now! You're awesome and you'll rock those clinicals! Always great to see students with a great

  2. ED tranfer.. No verbal report required

    LightMyFire replied to HeartRN13's topic in Patient Safety Issues

    We do faxed SBAR and admit orders. I only want to speak to the ER nurse if the pt has dementia (are they climbing out of bed) or if there's something weird I need a heads up on. Ultimately I'm going...

  3. AC IV starts

    LightMyFire replied to LetItBe_12's topic in Medical-Surgical

    This ^^. You may need to go kind of sideways. Some people's veins don't really run up and down. This way you know the angle of

  4. Front Desk Staff

    LightMyFire replied to speeder's topic in General Nursing

    I absolutely adore our support staff. Our unit clerks are a valuable resource for anything from helping new nurses with policies to deciphering physician orders (many still prefer to write their...

  5. Mandated overtime. What?

    LightMyFire replied to dudette10's topic in General Nursing

    Not really sure how this works but I'm interested. Our BON is vague on the issue, stating that failure to work beyond your scheduled shift is a staffing issue, not abandonment. However, failure to...

  6. When will I learn? Right back where I started

    LightMyFire replied to Marshall1's topic in Health, Stress Management

    I completely understand. I'm struggling with the option to get on meds. Just don't know what to do. I don't know what else to say except you're not

  7. Ideas for Effective Time Management at Work/Juggling Tasks

    LightMyFire replied to monicanurse's topic in General Nursing

    I check for early am meds first (renal meds that need to be taken with breakfast, thyroid, etc); those pts get all their meds at that time. If they are joint pts, I assess for pain and medicate before...

  8. Getting a meal break

    LightMyFire replied to kms6417's topic in General Nursing

    I work med-surg and we generally cover each other. Of course, most of us try to be mindful to have everything done to keep the covering RN from having to do much more than maybe give pain meds or take...

  9. $11/hr as a registered nurse

    LightMyFire replied to naikosbripad's topic in General Nursing

    I have to wonder if these are salaried nurses working long

  10. Shingles precautions

    LightMyFire replied to LightMyFire's topic in Infectious Disease

    Thanks all! I'll ask our infection control person whether it is actually the policy or if the other nurses are just doing it this way. Next time I see the ID doc I'll ask him

  11. What is the largest dose of insulin you have given a patient?

    LightMyFire replied to AlphaPig's topic in Patient Medications

    30 units of Novolog scheduled 30 min before meals. I called to clarify but still held the am dose since pt refused

  12. Generic name for vitals machine?

    LightMyFire replied to WalterWho's topic in General Nursing

    The first few times I called it a dynamap, the techs were like, "what?" Now I just call them vital sign machines.

  13. Medsurg nurses rock!

    LightMyFire replied to NurseNanci1's topic in Medical-Surgical

    I always thought that ICU or ER is where is want to go but I really LOVE med-surg. The pts are stable (for the most part) and we get all types and diagnoses. I'm going to seek certification when I...

  14. Length of orientation

    LightMyFire replied to funkyRN's topic in Medical-Surgical

    12 weeks for new grad. 6 weeks with

  15. rapid response team

    LightMyFire replied to murse1015's topic in Medical-Surgical

    If you're unsure, call a RR and stand by your decision. I would have done the same. Let them get mad. Your job is to keep the pt safe, not worry about the doctor getting upset. If you hadn't called...

  16. Let's not try to make them invalids or keep them invalids

    LightMyFire replied to Alnitak7's topic in Patient Safety Issues

    What we do is assess fall risk, teach our pts, and document refusals (bed alarms, equipment, and fall precautions). You can't force compliance but you can CYA. This also includes documenting

  17. When someone asks you what you do for a living, do you say "nurse" or "RN" or "LVN"?

    LightMyFire replied to HHN2472's topic in General Nursing

    I just say nurse. My patients are usually the ones that ask RN or LPN. I think they are generally just making conversation when they do ask

  18. Bedside Reporting- your thoughts

    LightMyFire replied to SailorMoonRN's topic in General Nursing

    We also are supposed to do bedside report but usually do it at the desk and then round. Some of the nurses want to go in though and that makes report take a long time as some oncoming nurses will try...

  19. Checking A Patient's Blood Glucose In His Earlobe?

    LightMyFire replied to Dazglue's topic in General Nursing

    Had a pt once with severe edema in upper extremities. That's when I learned the earlobe

  20. Staffing and patient abandonment

    LightMyFire posted a topic in Nursing Career

    Here's the situation: Oncoming shift nurse is no call, no show. No one can come in to pick up the shift. Oncoming shift is already overloaded and refuses to take an extra 3 pts each (don't blame them,...

  21. Staffing and patient abandonment

    LightMyFire replied to LightMyFire's topic in Nursing Career

    I stayed until the issue was resolved. Another nurse from my shift agreed to stay an extra four hours. The charge nurse had a full patient load already. My problem with the situation was not just that...

  22. Staffing and patient abandonment

    LightMyFire replied to LightMyFire's topic in Nursing Career

    Another called and was going to be late. I applied to other jobs already and there are lots more I can apply for in my area. My facility refuses to get agency because they're expensive but having no...

  23. 1/2 ns vs. 0.9% ns

    LightMyFire replied to Lev's topic in Patient Medications

    I'd been thinking about this lately and nurseprnRN's post has me thinking...why do we give NS to correct low Na+ instead of a hypertonic solution? Sorry, but like many nursing students F&E was not...

  24. medication mismanagement?

    LightMyFire replied to Eyerly's topic in Patient Medications

    At my facility all we'd have to do is call the pharmacy and they would change what we could pull. I've had to do this numerous times with Toradol specifically. The pharmacy is a valuable resource....

  25. Working summers only as RN

    LightMyFire replied to Humaneclowninscrubs's topic in General Nursing

    Yes, I'm in Oklahoma City. I don't know about other areas but in my area there are always contact positions open. If go for one myself but my family relies on my benefits