OldnurseRN

OldnurseRN

ED, Med-Surg, Psych, Oncology, Hospice

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All Content by OldnurseRN

  1. I'm guilty of recapping needles everytime I use a filter needle to draw lido out of a lido amp. I need to put the smaller needle on the syringe for the doctor to inject that lido and I'm NOT going to...
  2. IPPB

    Having been a respiratory therapist in the 70's IPPB was what a respiratory treatment was. We used a Bird respirator, we set the pressure at 15 and the treatment lasted 20 minures. IPPB translate into...
  3. Employment question for experienced nurses

    Is the "small community hospital" a critical access hospital? That could be one of the deciding factors. Critical access hospitals, while they have acute patients, are mostly skilled beds for patients...
  4. Horrible 14 1/2 hr shift.

    Break open an ammonia amp and bring her around a time or two, lol. Some people really enjoy their illnesses ( my mother is one example ) and it's frustrating. I guess, difficult as it is to accept,...
  5. Educational nightmare

    We have a designated skills day, which is fine and dandy. We have on-going education at each nurses meeting. What I HATE is unannounced "mock codes". Nothing is worse than a team of management showing...
  6. Beginning Nursing Question

    Associate degree or bachelor degree ...both take the same nursing boards and both result in RN after your
  7. Would you have done this differently?

    In our hospital an incident report is a tool (yes it does make an error part of a record) but it's purpose is to teach and cause one to see what caused the error and more importantly, how to avoid it...
  8. I always reply my current employer can be contacted AFTER a job offer is
  9. If you have rec' d the H1N1 vaccine - please report

    Got the injection 2 weeks ago. No problem. Was sore for 4 hours. The regular flu shot was
  10. Ativan IM?

    I agree whispera. Trying to find that big muscle among the 10 to 12 RTAs holding that patient down got too be just too much and THAT is why I left the state mental
  11. We are also a rural Critical Access hospital. We use CPSI for inpatients and EMAP in the ED. I guess CPSI is
  12. Wow okankhe you are a most dedicated nurse. My hats off to you!! (Thank goodness hats are no longer required,
  13. Do You Wear Your Colors To Work?

    When I worked in the State mental hospital we wore street clothes because a study showed that patient finds staff in white to be more "unapproachable". Wonder if that includes medical patients or just...
  14. To use a headhunter or not?

    My one and only experience was 18 years ago and a disaster. I left my job of 11 years for a position that was NOT a good fit. He hard-sold me to them and vice versa. On my 90th day, I was let go and...
  15. We have RTs on the day shift weekdays only. If they have a scheduled sleep study then of course, they aren't there during the day and nurses do their work. I work the overnight shift and in the ED we...
  16. Do You Wear Your Colors To Work?

    We are required to wear white but lots of the nurses wear either a colored (or print) top or jacket. I wear red on Friday, regardless, in support of out
  17. wrong route phenergan?

    We never give phenergan IVP. It is always mixed in a 25 ml or 50 ml bag of NaCl and
  18. How often do EMS crews show up to your dept unannounced?

    From most of the posts it's easy to see that most of you are in big EDs. We are a critical access hospital with 2 ED beds and 2 PACU beds that we can fill and 1 procedure room. We have 3 nurses on...
  19. Transcription Policies

    One nurse transcribes our orders. A second nurse verifies they are entered correctly and the one verifying is the one who actually notes the
  20. "Star System"

    When I worked as a psych nurse at the State Mental institution we were subjected to mandatory overtime to cover the following shift for a nurse who called in. There was an actual rotation roster for...
  21. Heparin safety

    Our facility requires two signatures on heparin but only one has to be the RN. We don't always have a second RN but our LPNs can
  22. We routinely swab all newly opened vials, single use or multi-use. In fact, in the ED we don't ever use what remains in the multi-dose vials on anyone else. Not only was I taught this years ago our...
  23. Hourly Rounding

    We implemented the hourly rouding in our facility and it's a joke. The nurses who don't do it keep their "Sorry I Missed You" card by their computer, write the times in and drop the card off in the...