OldnurseRN

OldnurseRN

ED, Med-Surg, Psych, Oncology, Hospice

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All Content by OldnurseRN

  1. Survey...medication.

    OldnurseRN replied to LOLRN's topic in General Nursing

    I am on an anti-depressant as of 6 months ago. Have had the dosage raised 3 times and am I'm now more evwn keeled. I was having some real anger issues at changes at work and was tired of feeling that...

  2. Question about IVs

    OldnurseRN replied to Blackheartednurse's topic in General Nursing

    I sometimes prime my piggy-back by lowering the primary bag but only if the primary is saline. If it's D5 or LR, I don't. (LR and Rocephine are not compatible). I then program the pump for the...

  3. Ballad Of The Frequent Flier

    OldnurseRN replied to texicannc's topic in Emergency

    That was so funny!! And so

  4. HELP! the adon stealing out of the med cart?

    OldnurseRN replied to blondnursey's topic in General Nursing

    Having had to report a fellow nurse for diverting narcotics, I know it is hard. Your friend has a legal responsibility to make a report on this. She is legally responsible for the drugs in the cart if...

  5. is this a hippa violation??

    OldnurseRN replied to IHeartPeds87's topic in General Nursing

    In your position now you have no need to know. SHE is violating HIPAA. Every care provider knows

  6. How did you get your first nursing position

    OldnurseRN replied to Angeljho's topic in General Nursing

    I was hired to an oncology unit (Night Charge Position, no less) right from nursing school. I'd been a respiratory therapist from years before nursing school. There was nursing shortage then and the...

  7. Let's play I Remember When.....

    OldnurseRN replied to RNSue's topic in General Nursing

    I remember my starting pay was $8.65 an hour. I worked nights on a 15 bed oncology unit, with one LPN and sometimes a CNA, who could sleep standing up against the wall of a dark hallway, LOL. I...

  8. Morning assessments/charting/time mgt

    OldnurseRN replied to Lola77's topic in Medical-Surgical

    I neglected to add one last thing, most of our patient rooms don't have bathrooms, lol, so it's commodes or bedpans, carried down the hall to the dirty utility room. The rooms that DO have a bathroom...

  9. Frustrated RN returning to the field

    OldnurseRN replied to pbirdy's topic in General Nursing

    I know how you feel. I left for 7 years before going back. I went first to a state mental facility and then (I believe because I already had a job) I got a staff position on a med-surg floor in a...

  10. Hospital Changes Attendance Policy

    OldnurseRN replied to mcpkin's topic in General Nursing

    I'm wondering if a number of you didn't get the flu vaccines? We were mandated to get the seasonal vaccine and the H1N1 was voluntary. The catch is if you didn't get the H1N1 you have to wear a mask...

  11. Any advice on what else to do?

    OldnurseRN replied to Darknights's topic in Medical-Surgical

    Is your patient terminal? Maybe comfort cares are all you can offer. If he's not eating is he having bowel movements? Morphine can stay in the system longer by being reabsorbed from the moisture in...

  12. Has anyone figured out how to be in 6 places at the same time?

    OldnurseRN replied to Kittyfeet's topic in Medical-Surgical

    One way to look at it is, I'm an old nurse and you are a new nurse. Yes, I keep up on changes, meds and procedures but you, you're fresh, your idealistic (Thank Heavens) and you give your new fresh...

  13. Morning assessments/charting/time mgt

    OldnurseRN replied to Lola77's topic in Medical-Surgical

    Wow! To be able to chart on 6 patients in 20-25 minutes would be heaven. We use CPSI and if you have 4-5 patients then you have at least half your 12-hour shift in front of a computer. You've got...

  14. Doing Preceptorship on MedSurg/Tele Floor

    OldnurseRN replied to goodstudentnowRN's topic in Medical-Surgical

    Maybe you can ask your preceptor what her/his expectations are and as mentioned before, ask how they want to communicate their expectations. Is it expected you will follow then be assigned a patient...

  15. I have an assignment to interview two Nurses

    OldnurseRN replied to kcsmith27's topic in General Nursing

    What is your educational backround? I am an associate degree RN How many years have you been practicing and what are the various roles you have worked in? I have been practicing 23...

  16. Missed Orders; How do you do it where you work

    OldnurseRN replied to annmariern's topic in General Nursing

    We have 3 nurses per shift with a CNA and unit secretary on days. One nurse is "charge" and does the ED and out-pts and admissions/discharges. Orders are entered into the computer and signed as...

  17. Hospital Changes Attendance Policy

    OldnurseRN replied to mcpkin's topic in General Nursing

    Our hospital is quite similar, both in policy and census. They assign a point for each infraction including the mandatory attendence of nurses

  18. Rate your favorite Iowa hospitals

    OldnurseRN replied to S.N. Visit's topic in General Nursing

    Grundy Center, Vinton, Sumner hospitals use

  19. I've been an RN for 3 years and I just made my first medication error.

    OldnurseRN replied to mikeyswife's topic in Patient Safety Issues

    My philosophy is I can't achieve perfection but can aim for excellency. That being said, I'm surprised we don't have more errors when use one computor to look up the MAR (that computer isn't in the...

  20. Barcode Scanning

    OldnurseRN replied to jacquessyndia's topic in Patient Safety Issues

    We scan the patient's armband and then scan their medications. I don't think we have alot of med errors because all our meds are in the Pyxxis. Last place I worked only PRN, narcs and new med orders...

  21. Two Patient Identifiers

    OldnurseRN replied to pippy48's topic in Patient Safety Issues

    I should also have mentioned we scan the patient's armband and the medication before

  22. Two Patient Identifiers

    OldnurseRN replied to pippy48's topic in Patient Safety Issues

    Different hospitals I've worked at have different policies. The last one we had the patient state their name and DOB and compared it to their armband. Where I work now it's very unusual to have a...

  23. Dealing with an uncooperative patient?

    OldnurseRN replied to Lotte242's topic in Patient Education

    While I agree that patients have every right to refuse treatment I question (to myself) WHY are they here seeking treatment? I usually inform them them that this IS the treatment for their problem but...

  24. About patient confidentiality

    OldnurseRN replied to hyalophora09's topic in Patient Education

    Regarding the paper you signed that would have been a copy of their privacy policy, which IS mandated by law, to inform you that your personal information will NOT be made public, etc. The physician...

  25. A Nurse's Manifesto

    OldnurseRN replied to Hawaiian's topic in General Nursing

    Maybe the "swallow" seems passive to some but, to engage with these people saps one's positive energy and they then "own" a part of