OldnurseRN

OldnurseRN

ED, Med-Surg, Psych, Oncology, Hospice

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All Content by OldnurseRN

  1. Emergency Department 23 hr Observation Patients

    OldnurseRN replied to Rickbos's topic in Emergency

    We keep our ED patients ( R/O MI, hydration, pain relief) that will eventually be discharged, in the ED. Any patient that needs 23 hr observation is admitted to M/S Obs. Problem with that is those Obs...

  2. Consistency across the nursing spectrum

    OldnurseRN replied to pgaillard's topic in General Nursing

    Curious that we all pick up on the "butt-wiping" expression and ignore the essence of the response. Obviously, I know there is more to nursing than cleaning bottoms. My point is a floor nurse is a...

  3. 370$ to renew my annual nursing license! AHHH

    OldnurseRN replied to Iggy123's topic in General Nursing

    Iowa RN renewal is $99 for 3

  4. Consistency across the nursing spectrum

    OldnurseRN replied to pgaillard's topic in General Nursing

    ALL RNs take the same boards. If you are in administration or advanced practice then I'd expect you to be in administration or a postion to use all your credentials behind your name. If you are a...

  5. Just so tired of blame shifting

    OldnurseRN replied to Scrubby's topic in General Nursing

    Wouldn't taking responsibility mean YOU said "wait...I poured full strength, did you dilute it?"

  6. Drug seekers: where's the compassion?

    OldnurseRN replied to Born2BWild's topic in General Nursing

    I've been a nurse for more years than I care to recall. I've worked in many areas and have given many pain meds. I've had oncology patients on morphine drips at 150 mg/hr, receiving scheduled...

  7. Request information for CPSI Implementation

    OldnurseRN replied to djbaker73's topic in General Nursing

    I know I have sent a few PMs on this but let me clarify. CPSI was already in place when I started the facility so, to me, it was a totally new program to learn and it was not difficult at all. In the...

  8. Uniforms and dress codes

    OldnurseRN replied to inkedRN's topic in General Nursing

    Our facility "requires" nurses to wear white. Most wear white pants only and whatever they want on top, t-shirts with hospital logo, print scrubs, colored scrubs. I always wear white; pants, tops,...

  9. Having another nurse check insulin doses & other med Qs

    OldnurseRN replied to Plagueis's topic in General Nursing

    This is pretty much our procedure for ALL isulins, lovenox, heparin, and coumadin. It's just something we do. All the other nurses are in the general vicinity getting their own meds so there is...

  10. Things you'd LOVE to be able to tell patients, and get away with it.

    OldnurseRN replied to AngelfireRN's topic in Patient, Colleague Relations

    We ALL get gas pains from time to time and you will need to deal with it like we all do. EVERYTHING cannot be

  11. what do nurses hate about doctors?

    OldnurseRN replied to futureMD's topic in General Nursing

    We have one doctor who doesn't allow nurses to round with him. This severely limits my ability to my job ...advocate for the patient. I feel it is my responsibility to hear what the doctor is saying...

  12. Snow- at what point do you call out?

    OldnurseRN replied to EMSnut45's topic in General Nursing

    I have never called in due to weather in any of the facilities I've worked. I am close enough to walk to work, if necessary, now. What bothers me is our hospital's policy is that unless the roads are...

  13. How To Document Sleeping On Night Shift

    OldnurseRN replied to Iggy123's topic in General Nursing

    At one time or another I have probably charted nearly everything cited on these posts. Fact is, I can tell if someone is sleeping and I will chart that. We don't say chest is rising, we are capable of...

  14. Can a DNR order be a TO

    OldnurseRN replied to Bug Out's topic in General Nursing

    We, too get family members who want everything done though Momma or Daddy expressed wishes to the contrary. I hope my family never loves me that much. To ensure that, I have a friend, who WILL NOT...

  15. They've Gotten Rid of All Their LPNs...

    OldnurseRN replied to iluvdetroit's topic in General Nursing

    I understand the reasoning with all nurse cares but is it really possible to meet all the needs and to go beyond? There is no CNA on my 12-hour shift. The problem is that our population is elderly and...

  16. Why do LPN's get so disrespected?

    OldnurseRN replied to Health-Nut's topic in LPN, LVN Corner

    I have 2 LPNs who work me, where I am the only RN. We are small hospital and we cover it all, in-pts, registration, respiratory therapy and ED. I sometimes have a 2nd RN and only LPN. I wouldn't trade...

  17. Spider bites...

    OldnurseRN replied to Blackheartednurse's topic in General Nursing

    I agree with the "spider bites" ending up MRSA. We had a real run on these last year ... traced to dirty wrestling mats at high school. Prisons seem to have a lot of "spider bites" leading to...

  18. At what point is it not worth it?

    OldnurseRN replied to ONCRN84's topic in General Nursing

    I worked at a job like that. The nurses were just horrible to me. ( I was not a new, inexperienced nurse). I'd sometimes cry all the way home on my 40 minute commute. After 6 months I resigned and...

  19. how do you give morphine on a pump bedside?

    OldnurseRN replied to ivy2009's topic in General Nursing

    After many years as an oncology/hospice nurse we ALWAYS had patients on morphine drips running on infusion pumps. No way would a PCA provide the dosages these patients required. We mixed our own...

  20. Emergency Department Ambulatory Access

    OldnurseRN replied to Rickbos's topic in Emergency

    We have a camera and when someone comes to the door we buzz them in via the overhead door. We are a critical access hospital and only have 3 staff total in our facility at night. We assume the person...

  21. Need Advice/Help

    OldnurseRN replied to JackieD5's topic in General Nursing

    I've been reading of this more and more. I took a hiatus from nursing for 7 years so lapsed my malpractice insurance but I have just purchased it, again. I've been back in nursing for 4 years and I'm...

  22. BNP-question for ED nurse

    OldnurseRN replied to oramar's topic in Emergency

    :imbar

  23. BNP-question for ED nurse

    OldnurseRN replied to oramar's topic in Emergency

    BNP and chest xray is what we do. Haven't heard of anything

  24. Survey...medication.

    OldnurseRN replied to LOLRN's topic in General Nursing

    I personally take Zoloft. I'm more angry than depressed. Or was .... I'm better

  25. Do you think working with a knee walker would be possible?

    OldnurseRN replied to beachgirl17's topic in General Nursing

    I am sorry for your situation. I find myself in the same position, needing surgery but unable to afford the recovery time without a paycheck. Our facility will not allow anyone to work with...