LightMyFire

LightMyFire

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  1. Fleet enema

    I always work under the assumption that if a doc doesn't want to be bothered with a particular problem they'll write an order for that possible eventuality. We have a doc that doesn't want to be...
  2. Working summers only as RN

    You could try doing a flex or contract position. Around here some hospitals offer 13 week contracts. Best part is that they pay a lot more since benefits aren't
  3. I did that on my daughter's folder once early in the morning when I was only half awake. The teacher asked my daughter why I did that.
  4. difference

    My floor is med-surg with all the postops (except cardiac surgeries) coming to our floor. At least half of our pts at any given time are on tele. Other than the postops, I'm not sure how our floor...
  5. Depending on the med, that might be reasonable. If its something in our Accudose, there's no excuse. Otherwise it depends on when the pharmacy brings
  6. Size matters? (IV question)

    Personally, I usually go with a 20 ga for multiple reasons. We are generally a postop floor and our facility requires a 20 ga or bigger for surgery. We also do lots of CTs. Radiology requires a 20 ga...
  7. nursing clinicals and glorified cna work

    While we try to find "nursing" stuff for students to do, sometimes there's no one who needs a foley, NG tube, or new IV started. It's irritating to have students refuse "CNA" tasks and just sit around...
  8. Is Nursing as Stressful as Nursing School?

    $28/hour?! Where do I sign up? I know it makes a difference where you live but sheesh! That's WAY more than what I'm making!
  9. In this case I would think you still set goals and your interventions might involve educating the pt. For example, educate on how ambulating will help get the bowel moving which in turn will decrease...
  10. Your first time with a student

    I get being there to learn how to be an RN. I always let students pass meds and do stuff but on our floor there is often not much they can do and even the meds are mostly just narcs when the students...
  11. Your first time with a student

    I love having students but if they don't show much desire to learn they get left behind. I still have a job to do to take care of my pts. Also I'm not digging some of the attitude we're getting when...
  12. What should every orthopaedic nurse know?

    Someone posted about giving lots of Ancef. It reminded me of something funny one of our ortho surgeons said to me once. He asked me if I knew the other name for Ancef. I'm a little slow to get the...
  13. Pt Load & New Grad Burnout

    Wow!!! I though my 6 pts with increasing acuity was bad. If something doesn't change quick, get out. Any mistakes made will ultimately land on the nurse and his/her license, not the hospital. It's a...
  14. We've had a lot of requests for full bed baths from patients who could bathe themselves, not to mention the bed-poopers. Is it really preferable to go all over the bed rather than use a bedpan?...
  15. You might find you truly (and unexpectedly) live the area in which you find yourself. I wanted to do critical care but found that I really love
  16. Almost passed out during clinicals!!

    When we were learning about pressure ulcers I Googled pictures so I could look and make faces and get it out of my system before I actually saw one in real life. On my floor we see a lot of them so...
  17. AMA Discharges

    At my facility this tends to be directly related to the discontinuation of IV pain meds for pts with mysterious conditions for which the docs can find no cause. It also tends to be related to our...
  18. Pertussis outbreak

    The nurses in your community (particularly the county health department nurse!) should be working to educate the public about the availability and safety of available vaccines. I've heard that a big...
  19. Nursing School Blues

    Doing case studies can really help develop critical thinking skills and IMO are really helpful at teaching you to "think like a nurse" because it's applying the knowledge that you have to a situation...
  20. Priming and spiking?

    Don't you just love how they do that? Last semester was my first and they were always using terms I didn't understand. Many of the other students already were CNAs or something similar and were also...
  21. How many patients do you have during clinicals?

    Our first semester we had 1 pt during each rotation. The last week we had
  22. Disclosing that I am on pain medication?

    In our program you are not allowed to miss any clinical days although they will usually allow 1 (and ONLY 1) if you can prove an acceptable reason. More than one and you fail the clinical component,...
  23. Disclosing that I am on pain medication?

    There shouldn't be a problem with disclosure but I am wondering why they would ask unless it's just stuff they are going to be expecting when they do their UA. I would think that if they refused you...
  24. What to study during the summer?

    Maybe you could just review your notes, especially in your weaker areas (fluids and electrolytes in my case). If you have an NCLEX book, you can answer questions for practice and read through the...
  25. New Nursing Student - can I do this?

    The first semester is always a struggle just to figure out what you're supposed to do. Try not to get behind again (I usually did not read the whole chapters, especially when lots of it was stuff I...