november17

november17 ASN, RN

Ortho, Case Management, blabla

Member

All Content by november17

  1. A&O - orientated or oriented?

    sometimes i wonder if some of the nurses i work with are
  2. I love the night life

    I love the hustle and bustle of day shift. I also enjoy the nightshift because it gives me more time to analyze what's going on with my patients. I work both at the moment. I work night shift at one...
  3. No kidding! The constant mandatory inservices (which we get no contact hours for) and staff meetings that are always scheduled at horrible times! Last week I had to come in on my day off; at noon,...
  4. Does Anyone From Your LTC/SNF Meet Patients Prior To Admission?

    I don't work at an LTC, but I'll just chime in that there is one facility in the area here where the admitting physician from the SNF actually shows up and evaluates the patient (really oldschool)....
  5. vent about nurse at work

    Nurse
  6. Skull Indentations...Normal?

    My wife is a massage therapist and she mentioned that it could have something to do with muscle tension. Without palpating it myself I don't
  7. which comes first ?report or counting narcs

    we generally do report and then count. of course, the next shift is supposed to show up exactly 9 minutes before the shift change hour. So we have plenty of time since we don't get out until 23...
  8. Kid fell off bike: what would you anticipate?

    I'm not an ER nurse, I work on the floor so I'm used to the messed up people that get admitted. I rarely deal with the light injuries (if this is indeed one) Good point
  9. Kid fell off bike: what would you anticipate?

    I'll pick #3 Neuro exam is a no brainer. Head CT for concussion (?) IV just because its a good idea to have an open line just in
  10. No they dont sorry
  11. Things you don't want to hear your Aide say

    Ahaha yea try asking a few people who report 18 how long they count for I guarantee they'll say 15 seconds. And yea I really call them liars (I do in my head) Don't take things so literally. But I...
  12. Or the exact opposite - I've shut people down in the same exact way. "Oh, you're a nurse!" Then I turn my attention back to the patient, "Well aren't you lucky to have them here?!?" Then I immediately...
  13. How long should I work before taking ACLS?

    How long should you work? Well, if you're proficient at reading telemetry then there's no time limit. I got ACLS certified 1 year after I graduated. I'd recommend ACLS for everybody, not just to run a...
  14. Things you don't want to hear your Aide say

    even worse are the ones that write "18" i'm not stupid, 18 isn't divisible by four. you count for 15 seconds, you get 18, you're a liar! i work with an aide that apologizes for people's vital signs,...
  15. OK, What Else Could I have Done?

    One time I was on my way to work and I saw a car in a ditch. I turned around and stopped. I got out of the car and there was an elderly gentleman stretched out on the ground next to his car. I had no...
  16. Lost my Job

    the way i learned was to try no matter how impossible it appeared. now everyone asks me to do them for them! if they'd just try they'd probably be decent at it too. i still have my off days now and...
  17. Education vs Experience

    Why would you need all that clinical time if you had already been a nurse for a year or
  18. Education vs Experience

    From the consumer point of view: I go to a pediatrician for my kids. He employs an NP - she's awesome for sick visits. However, lets say she quit, and he hired a new one. A new grad. Given the...
  19. Haldol... Med Error??

    I had something similar happen to me. I had a patient that was in a similar situation. I gave haldol IM, since the patient was fighting us, pulled out all her lines, was spitting on us, bit me several...
  20. Another male idiot, asking stupid questions.....

    Not that in shape. But you definitely need to have the stamina to be able to handle 8-12 hours constantly on your feet and moving. But that's one of those things that you can whip yourself into after...
  21. CNA went missing....

    I read this really good book - http://www.amazon.com/Managing-Difficult-People-Survival-Handling/dp/1593371861 I generally don't recommend books, but it might give you some
  22. How would you handle this?

    One of my coworkers walked in on a female patient and her girlfriend doing the nasty...the patient had a broken leg too...crazy stuff. My coworker was very upset. I was charge and I had to go tell...
  23. Auto blood pressures?

    I think its interesting that whenever someone's vital signs are high/low with an automatic we do a manual. However when they are fine with an automatic we just accept them as is. That's always bugged...
  24. Sick of core measures

    We do the core measures. Generally the assistant unit manager (clinician) takes care of making sure everything on the core measures list is completed. And yes, it is generally stuff that is more...
  25. This would be a better question to pose to an insurance agent. Read your policy carefully. Sometimes they will help with