november17

november17 ASN, RN

Ortho, Case Management, blabla

Member

All Content by november17

  1. Training before becoming a Nurse

    I recommend the PCT/NCA/CNA route. It will help you learn good time management skills and lots of
  2. Pseudo-seizures

    "At 1200, I need my dilaudid. At 1210 I will require my phenergan IV push. At 1220 I need my valium. At 1230 I will require zofran. At 1240 I'd like my oxy pill. At 1250 I'll state my pain at a five,...
  3. I just instinctively said no and I wasn't going to argue about it. It just didn't seem like a good idea. I asked her to step out in the hall with me for a moment....within sight of the patient but...
  4. The sitter was an aide that got pulled from one of the cardiac floors I believe. No, it isn't a lockdown/psych unit - just med-surg. The pt had ingested a large amount of something toxic and was a...
  5. Pseudo-seizures

    One time we had a pt with a current DX of pseudo-seizures. I think this may have been the only one I've seen so far. One morning one of the physicians came around and the pt started having a...
  6. If it is med/surg/ortho I'd be willing to bet that you'll get slammed with admits and discharges everyday. Given the hours they're offering, that's my guess. If you're one of those people (like me)...
  7. Avoiding burn out

    Wow, you need to read a good book,watch a movie,play tennis, knit some socks, ride a skateboard, or whatever you like to do instead of
  8. Professionalism on the floor.....

    When I started taking the charge nurse position I picked up this book called "Managing Difficult People" by Marilyn Pincus. It has been really helpful (I heard about it on this website). Anyways, it...
  9. Charge Nurse

    I got thrown into it. I watched the other charge nurses do it a lot though. I'm a good monkey. Yes, I/we have a full group of patients (although we have 1 or 2 less when
  10. My wife is 5'5" and weighed 95 lbs when we first started dating (now she's 110 after 3 kids). At the time it was all lean mass. Many years of training in martial arts. She looked pretty healthy, and...
  11. Remove lunch plate.
  12. poor people get poor tx?

    That's when you need to page the doc and tell them that the pain medication IS NOT working. Be firm about it. insist on something stronger. It helps if you say, "Hey doc this lortab q4 isn't working...
  13. Renting vs Buying a home while in a BSN program.

    That's true. For example; if your hot water heater dies when you rent, the owner will get you a new one. If you own the home, you are SOL - unless you have the money or credit to go out and buy a new...
  14. Do you hold TPN for PICC blood draws?

    yea, checking your hospital's policy about this seems like a good idea. Usually they'll spell out the procedure for
  15. Renting vs Buying a home while in a BSN program.

    Taking out a loan to pay another loan doesn't seem like a very good idea to
  16. Do you hold TPN for PICC blood draws?

    dopamine, dobutamine,
  17. I'm in my last semester, and I have a few weeks to go. Specifically, I have a more shifts managing a 6 patient load. So far, I've completed 14 days. I work on a Neuro Med-Surg floor. My question lies...
  18. Interprete Lab/Tests resutls to patients

    No, only when people bug me about their test results. That being said, I say it jokingly and not seriously...people realize that...if I was ever your nurse you'd soon realize that I try to inject a...
  19. When I went through nursing school I did it with three kids. My wife worked (I owe her, big time). Partly because we were too cheap to spend money on childcare, so I went to school full time and took...
  20. ACLS vs. BLS

    I agree with this. I've always thought that's why the AHA had the oneup on the Red Cross. Most people take the AHA course because they only have to recert every 2 years instead of annually. If you...
  21. Interprete Lab/Tests resutls to patients

    I actually have a "canned" response for this situation because it happens quite often. If a patient asks and is insistent, I say to the patient, "I'd love to tell you what it says, but I don't really...
  22. Funnes areas to work in nursing?

    I've heard the PACU is the happiest place in the hospital. From what I've seen, I think it certainly is. I'm waiting for a position to open there because I'd like to give it a try. It really depends...
  23. Written test before being hired?

    I had to take a pharm, math, and basic nursing test prior to being hired. It was pretty basic stuff and not that difficult at all. The pharm questions were mostly related to critical medications. The...
  24. ACLS vs. BLS

    Don't some of the costs of taking the course revert back to the AHA? Seems like a good cause to me (to take two seperate courses and pay for them both). Plus you have to consider that some people that...
  25. Crap, I should've paged the MD.

    I'm not an expert seasoned nurse, but here's what I would have done; Passed it on to the night shift nurse, and then documented the conversation with the family member and the fact that you mentioned...