JSBoston

JSBoston

Med/Surg/Onc, LTAC

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All Content by JSBoston

  1. Nursing Certs: CEU's, Contact Hours, Credit Hours...

    JSBoston replied to JSBoston's topic in Pain Management

    I know there are a lot of certified nurses out there, who must have figured this one out

  2. How to medicate chronic pain

    JSBoston replied to prettyinblu's topic in Pain Management

    Hmmm... sounds like he needs a pain consult! Maybe a fentanyl patch would be appropriate for him, if he can't have long acting PO

  3. How to medicate chronic pain

    JSBoston replied to prettyinblu's topic in Pain Management

    What kind of pain is this for?? What are all his pain medications? Any alternative ways to decrease pain being used? Has the family or pt mentioned any type of med/dose that has worked for them in the...

  4. How to medicate chronic pain

    JSBoston replied to prettyinblu's topic in Pain Management

    If a patient has used all of their PRN medications and still has pain rated 10/10, that would be a time to talk to the MD and see about something long acting, or increasing it... assuming you know...

  5. "We don't clean patients, we are a procedural area"

    JSBoston replied to Tait's topic in General Nursing

    At my facility, hemodialysis does NOT turn patients, or clean them up. I understand calling us for a prn pain medication, but it's usually the NURSES (not the CNA's) that are called to clean a pt up...

  6. Advice on Choosing Capstone

    JSBoston replied to Roskarin's topic in General Nursing

    I'm sure others will have different opinions, and could be better than mine :) But here's what I would do... I'd go for a capstone in L&D. It'll be easier to get into medsurg as a new grad than...

  7. Cost for your MSN degree vs. Salary increase

    JSBoston posted a topic in Post Graduate Students

    Hi Everyone, I've been looking into MSN programs (most likely CNS, maybe NP) in the area (Boston) and it's just a bit discouraging on the cost. Also getting my husband to be more enthusiastic about...

  8. Hospital LOST the blood of a pt I was infected with?!

    JSBoston replied to squatmunkie_RN's topic in General Nursing

    I'm sure if you asked the hospital to contact the pt to return for a blood draw to keep YOU safe, they would. If the hospital won't... well then I'd be contacting everyone I know... including lawyers...

  9. Clinic nurses: If 1 million people join this group....

    JSBoston replied to LaughingRN's topic in General Nursing

    I am not a clinic nurse, but maybe someday! Allnurses should be ashamed for shooting you down. Get to work and make another section for them

  10. Help me with self scheduling ideas!

    JSBoston replied to MeTheRN's topic in General Nursing

    Doing 12's can be tiring, but I used to do my weekend (we had to do every other with 12's)... Thurs, Fri, Sat, Sun... two off... Then Wed, Thurs... and then OFF until the following Thurs. It was...

  11. I Quit!! What do I say?

    JSBoston replied to Sl1011's topic in General Nursing

    I just did this recently and I googled "nurse resignation letter" there are many options. There is nothing wrong with being offered a new job. Keep it simple, positive, and grateful, and thankful. You...

  12. Moving to a new state with a CNS or NP license

    JSBoston posted a topic in Post Graduate Students

    I've been trying to look into things, but it's been a little difficult finding all the information I need. I'm interested in possibly going to school in MA (Boston area) for a CNS or NP degree, maybe...

  13. asking for meds?

    JSBoston replied to backatit2's topic in General Nursing

    The whole seeing if a patient needs a prn thing also completely depends on the patient! Is it a patient with s/s pain, or an out cold sleeping patient who loves to be asked in the middle of the...

  14. Light therapy for night shifters?

    JSBoston replied to TemperStripe's topic in General Nursing

    Oh, I've also heard Valerian Root helps too, I tried taking the liquid, but it was pretty nasty. I believe it comes in pill form, but I'm not

  15. Light therapy for night shifters?

    JSBoston replied to TemperStripe's topic in General Nursing

    I started out taking melatonin, and I'll take 3-9mg on my first day sleeping (after the first night shift) of a stretch, and then my first night sleeping when I want to flip back after working my...

  16. Pet Peeve: Poor Grammar by Nurses

    JSBoston replied to FireStarterRN's topic in General Nursing

    Ohhh Yikes! Thanks Talaxandra LOL Plural... Pleural... haha it's a funny word mistake by a nurse

  17. Pet Peeve: Poor Grammar by Nurses

    JSBoston replied to FireStarterRN's topic in General Nursing

    THESE ONES...... THOSE ONES..... kills me!!!! There's no pleural "ones" LOL I hear the most educated say that constantly! All we need to say are "Would you like that one?", "No, those." END of...

  18. Leaving Meds at the Bedside?

    JSBoston replied to joanna73's topic in Patient Medications

    I seem to have every alert and oriented (or not oriented) independent pt who drops their pills. If I'm giving a controlled med, I am ALWAYS standing over them and I will not stop watching them until...

  19. Is that even legal?

    JSBoston replied to BettyBoop01's topic in General Nursing

    You should so pitch that idea

  20. Orienting an experienced RN

    JSBoston replied to SunDazed's topic in General Nursing

    Kcmylorn- Simmer down a little bit.... Maybe try rereading a few of the posts. The OP is NOT bashing older RN's. She admitted her years of experience and that it's her first time precepting, and that...

  21. I want to continue on with school... but which route?

    JSBoston posted a topic in Clinical Nurse Specialists, CNS

    Hi everyone, thank you to those who respond with their input! I want to go back to school (grad school, I have my BSN), I'm an RN with 3 years experience, I currently work in a rehab/sub-acute...

  22. medication time regulations

    JSBoston replied to KittykeeperRN's topic in General Nursing

    We have people who want to go to bed very early (I work nights)... if someone wants their 2100 meds at 2000, of course that's fine, but sometimes there are 2200 colace, vitamin C and other meds like...

  23. If you could create the visitors policy....

    JSBoston replied to happy2learn's topic in General Nursing

    UGH! That's the worst! "I'm SO sorry your dad's condom catheter is leaking at the change of shift, really I am, and I have 6 patients to check on with one cna for the floor for 12 pts. I apologize but...

  24. I'm allergic to.....(laundry list)!

    JSBoston replied to AOx1's topic in General Nursing

    I've had a pt allergic to cocaine and crest tooth paste before... also city

  25. Have you ever had to nurse through a water shutdown?

    JSBoston replied to JeanettePNP's topic in General Nursing

    In the Boston area we had water issues for at least a few days, and we could use water for bathing, but only bottled for consuming/cooking etc. Most are tube feed (trach/vent) patients, so it wasn't...