We are moving to Epic documentation later this year with computerized physician order entry. I have been practicing real-time charting for about a month now and it is challenging. I am looking for some tips to become more successful. Currently we do...
DalmatiaRN replied to Gratefulprn's topic in General Nursing
When I was a new grad I took a position on a unit that was poorly managed, had ridiculously high turnover (see training 25 plus new nurses a year), and poor morale. Although I learned an incredible amount and enjoyed the patient population, I was abs...
DalmatiaRN replied to estrogen's topic in Med-Surg
I work with an amazing group of hospitalists. Whenever I have an issue that arises with a patient they are quick to respond and will also check back to see if any intervention they ordered is working. Often times when a primary care doc is the atten...
DalmatiaRN replied to RainMom's topic in Orthopaedic
I'm on a surgical ortho floor and love it! I have a great team and I love the surgical population. For pain control we use scheduled oxycontin 10-20mg typically and then for PRN we usually have available percocet, norco, and toradol. I have to say T...
DalmatiaRN replied to Work in Progress's topic in New Nurse
I read that post and it felt like I wrote it! We have the same thing happening and it's ridiculous. I cannot make any plans because I never know when I am working. The schedule is NEVER ready until that a week before it starts and I am never working ...
DalmatiaRN replied to NoblePath's topic in New Nurse
I have these dreams too. Usually I'm trying to see all my patients and in the dream state I just can't make it to their room. Odd I know. I will try some of the suggestions above. I really think it is robbing me of my deep sleep.
On my unit we deal with a lot of backsurgery - which means PCA's, epidurals, and LOTS of pain management. In addition to this constant flow we also get ICU transfers such as crani's, bleeds and such. When we have open beds then we will take medical o...
DalmatiaRN replied to Flying ICU RN's topic in General Nursing
I have this same issue. All of these calls from random "friends" and "family". I have no way of knowing whom I am speaking with and the questions are always , "How is X doing?" Then this always leads to " Have there been any test results?" What has t...
I work on a neurosurgical floor. Our population usually will have a back brace or a cervical collar (soft or hard) fitted for use post-op. It is added to the chart whether or not the brace is in the room for the patient. Rather than saying hard cervi...
I arrived early Thursday morning nervous, anxious, and excited to finally take my test. After all the fingerprinting and photo taking I was finally led into the testing room. I glanced at the screen and realized that my first name was accurate, but t...
While I agree that there are other routes to dealing with the need to "vent" about work, and as a new grad myself that has had excellent preceptors, my understanding as that this thread is asking new grads not to vent about a common experience, prece...
All of the tips listed are excellent, used many of them myself (especially the fan). One thing I noticed from working nights was my mood. I was rather short and snippy with people and that just made things more difficult for all of us. Being aware o...
DalmatiaRN replied to Work in Progress's topic in General Nursing
What a great post topic! I also had a preceptor that was fantastic. At the end of the semester I took the time to write a letter to the administration about how amazing and fantastic she was during the semester. She will now be receiving an award bas...
DalmatiaRN replied to ctoedeb4's topic in Job Hunt
What can you contribute to the unit? Why did you choose this organization? Why did you choose nursing? What are your strengths/weaknesses? In your clinical or work experience tell me about a time when. . . . . ? ...you had a "difficult" patient. . ....
I recently had a discussion regarding nurse-patient communication, I have witnessed nurses being direct and candid with patients about their situations and possible outcomes and I have also witnessed instances where the information given is rather va...