delilas

delilas

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All Content by delilas

  1. Acuity in patient assignments

    delilas replied to n1jmfn's topic in General Nursing

    I think we work on the same

  2. Which fields of nursing have the most stable clients

    delilas replied to JPN_RN's topic in General Nursing

    Corrections (well, generally. 95% of the time, they're all stable. When they're not, it's bad and you're a 1 or 2 nurse code team). School nursing (similar to corrections...it's all good until a kids...

  3. Patient Handoff Communication

    delilas replied to kevinsmithrn's topic in General Nursing

    In my hospital, I (floor nurse) receive the name of my admit from my charge. From there, I pull the patient up in the system, review notes, etc. the ED nurse then (should) call me and ask if I have...

  4. When will I quit feeling like a dumbass?

    delilas replied to Guest234's topic in General Nursing

    Reflection never stops - and that's a good thing! Stop beating yourself up, and don't be so hard on yourself (I know that's easier said than done!). One of my preceptors said it takes a minimum of two...

  5. Are RN's going to be a thing of the past?

    delilas replied to Emma_H's topic in Canada

    Our hospital is moving in the opposite direction. LPN's are no longer being hired at all, and those that are remaining are expected to have their RN within three years. The other two major hospital...

  6. The way we ask for someone's pain level?

    delilas replied to cmav8's topic in General Nursing

    I agree one hundred percent. I actually kind of have a personal thing with people who claim if it's real pain it will be reflected in vital signs; you don't know the physiology of their pain or how it...

  7. Question about starting a BsCN at age 24/25

    delilas replied to bswstudent's topic in General Nursing

    1) Is it true that most nurses find the discipline a "calling"? 2) Do you think there are any transferrable skills from social work to nursing? 3) Do you grow desensitized to the "gross" stuff? Vomit?...

  8. The way we ask for someone's pain level?

    delilas replied to cmav8's topic in General Nursing

    On my floor (renal), we can ask how they are feeling. I still have to ask them to rate their pain level by number a couple times a shift. But when I get a post-op patient, I don't avoid talking about...

  9. Do you use a DVT/PE Risk Assessment Tool?

    delilas replied to november17's topic in General Nursing

    Our admission orders require a doctor to choose a pharma or mechanical VTE prophylaxis (usually lovenox or SCDs or both), or document a reason why they aren't ordering it. It's a fairly recent change;...

  10. TB/PPD testing policies and my frustration

    delilas posted a topic in General Nursing

    I wrote out some incredibly long story about this drama over my TB test, but I decided to just give you a fast breakdown instead. Our hospital policy states employees must be TB tested once per year....

  11. TB/PPD testing policies and my frustration

    delilas replied to delilas's topic in General Nursing

    I thought that too, and when I brought up a CXR she just said it wasn't necessary...which I don't understand. It'd be a better way to rule out TB than having me fill out a form saying I have no...

  12. Administration vs nurses: priming lines with normal saline

    delilas posted a topic in General Nursing

    There is a huge blowup at my hospital lately about the practice of priming an antibiotic line with normal saline first. The nature of our EMR system automatically names some things - like Zosyn, Iron,...

  13. Administration vs nurses: priming lines with normal saline

    delilas replied to delilas's topic in General Nursing

    Thanks for all your responses. There are other silly protocols starting like the fact we can no longer carry flushes in our pockets...I'm searching for a new gig but I've only been here six months so...

  14. You are not my only patient

    delilas replied to anotherone's topic in Patient, Colleague Relations

    I've had a few patients call the patient advocate (on another nurse) for being 15 minutes late with pain medication. I seem to always get assigned to patient rooms needing "service recovery" for these...

  15. Tattoo question

    delilas replied to SmYle4PeDs's topic in General Nursing

    There was a recent court ruling in Kansas that hospitals can't force nurses to hide tattoos, much less not hire them for it. Ottawa Hospital told it can’t force nurses to hide tattoos, piercings |...

  16. Can a nurse working "swing" shifts do both a day and night shift assessment?

    delilas replied to Bruce_Wayne's topic in General Nursing

    I think it goes by your hospital protocol; on my floor, it only specifies that one be done by each nurse during their shift, and reassessed as necessary, IE, changing condition. Besides when covering...

  17. Working with a nurse who isn't allowed to admin narcotics?

    delilas replied to squatmunkie_RN's topic in Patient, Colleague Relations

    As much as I'm not one for snitching, I'd be mentioning to your NM that she can't supervise students. What happens if the school were to find out and those students weren't credited for time with her?...

  18. Mass exodus of staff

    delilas replied to beeker's topic in Patient, Colleague Relations

    Before quitting, consider PRN work. I know its different for every place, but here it's only required to work one shift every two weeks; you wouldn't burn a bridge during a difficult job search time...

  19. RE: Thanks for connecting with me. and is there hope for me?

    delilas replied to LovesnursingRN's topic in Nurses Rock

    Be honest with future employers. Don't badmouth the company that fired you, but tell the truth - you'd only been there four weeks, you were a new grad new hire, you don't feel you were given the time...

  20. Nursing program under warning

    delilas replied to cheriealexa8's topic in General Nursing

    The last thing you want to do is sign on to a school that could be closed in a few months. This happened at a school near mine - most of the current students frantically came to my school to try to...

  21. Witnessed unsterile procedure and feeling terrible about it

    delilas replied to cblake4293's topic in General Nursing

    You did the right thing, OP. There are a lot of cases where keeping your head down and your mouth quiet is a good choice; but anytime it interferes with patient safety, it is not and I'm a little...

  22. Necrotizing Fasciitis

    delilas replied to carl5480's topic in General Nursing

    My first case involved a woman who just had a lot of pain in her little finger, and came to an urgent care after only a day of pain - her finger finally began turning red and swollen. With her initial...

  23. Bed Baths & Other Nursing Arts Still Taught? (Speaking of Wet Wipe Baths)

    delilas replied to DoGoodThenGo's topic in General Students

    We most definitely were, but I can also say the students I work with today are, too. My RN students are expected to bathe the patient, change the bed, and straighten their rooms, as well as all I/O...

  24. Please be nice to your aides.

    delilas replied to IlliniHelper's topic in Patient, Colleague Relations

    It's a two way street. I try very hard to rarely ask my aides to do anything extra, but just yesterday, while in an isolation room and not wanting to get out of gown/glove/mask, I asked a passing aide...

  25. Am I Only one who is irritated by doctors and medical shows?

    delilas replied to Destiny'skid's topic in Patient, Colleague Relations

    I watched an episode of Grey's last week (I've never watched before). The show is in it's 8th season. She put her stethoscope in backwards. I turned off the television. The only show I've really ever...