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Staffing Rant...
so- i work on a rehab floor in a medium size hospital. i do 2X16 qwkend and tomorrow morning we will have 2 nurses; 1 pca and 15 pts... mind you the charge I will be working with is "restricted" in physical labor due to "injuries" so I know she will be given me at least 9. called the supervisor and he bascially said well...we'll do what we can... staffing issues ...blah, blah, blah crap - I don't even want to come in tomorrow yet I need the $$ oh yeah - and while I am busting a$# with these amazingly needy pt's who don't get any PT or OT on the wkend I better keep our custumer service scores above 90% and check on my "adopted" room to make sure everything works and cross chart in a million stupid ways via computer and paper........... holy cow- I almost feel better. thanks for listening:uhoh3: Kate
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What is your least favorite kind of med-surg patient?
Anyone with allergies to Toradol, Demorol, Motrin, Codiene, Tylenol....etc and on the button every 1 hr 50 minutes for thier 2 mgs of IVP MSO4. Oh, and complain that the Ms. Dash didn't come with thier tray and can I have a diet coke, my bed needs to be changed, blah, blah, blah. The best is when I try to switch to IM MSO4 and they have a FIT! I used to do Detox so don't get me wrong- I am totally compassionate when it comes to someone trying to make it right - what I can't stand is that I might have up to 6 other pts and maybe a PD pt to boot - I just don't have the patience or the time for that matter to deal with such absolute neurosis. WHHHHHHAAAAAAAAAAAAAAAA! sorry, i guess i have had a little pent up frustration :uhoh21:
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Just cancelled contract-LPN-RN
with the college network - Call it buyer's remorse followed by some not so postive feedback. Well, that and 5400 for a bunch of study guides seemed absurd even with "guarantee". :uhoh21: I am looking for opinions :) regarding the best distance ed for an LPN-RN. I am open to whatever any of you have to offer. I am dealing with a bit of a time crunch and would like to be done in 12 months. I do have some college credit and have done dl through my community college w/o a problem. Thanks in advance - feeling shakey but motivated. Kate
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male labor and delivery nurses
Me too: 3 kids, homebirth, midwife - I controlled who saw my cootchie and when. There was a reaaaaaaaaaaaaaaally hot debate on this a couple of years ago on the board. A male LD nurse was part of the discussion. Look through the archives and see if you can't pull it up. Good luck daddy-o Kate
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"college network" lpn-rn
anyone?
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Lansing nurses:
Just wanted to tell you thanks for all the great information. Now time will tell. Kate
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"college network" lpn-rn
have any of you used them for their study guides? LPN - RN? what did you think? Thanks, Kate
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Britney demanding background checks for her L&D nurses..
the part about "serving" her is what really chaps my #@%. please - someone - kill me now.
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Lansing nurses:
We are thinking about relocating our family to Lansing. I suppose I am looking for general info regarding hopital nursing in Lansing: where you work, neighborhoods you like and why, cool things to do with the kiddos - really anything : ) Any help/advice you could provide would be a help in this huge process. Thanks in advance - Kate
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Med-Surg Topic of the Week .... Nurse to Patient Ratios
I think so... On our floor the most we get on days is 7 - and that can be insane if you have a patient on peritonial dialysis...or someone who needs suctioning or a really needy family... or a lot of diabetics... or a lot of pain meds.... The acuity level of pts on medical floors is way too high now. I think there could be some pt combos that I would 8 - but I don't see it happening too often - at least at my hospital. Good luck Kate PS: Also keep in mind that you will do orientation - ramp up your pt load etc.. You've taken care of a lot of pts before - your a good nurse. Just be sure you get a preceptor that really gives you what you need so that you feel confident when they turn you loose.
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Game: Name that smelly drug
Hands down - Mucomyst.... Man is that bad - it takes weeks to get it out of a room if the pt is getting regular nebs... I don't know how they take it PO - :uhoh21: juice just doesn't cut it.
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Room service anyone?
One thing on the plus side.... It would save me from the frequent flyer, handwritten menu, I need this now pt. Sometimes a couple of folks like this on a shift with a super busy aide can put me in the weeds.
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really worried........
As my midwife explained and showed me.... when you deliver a baby face up the presenting part of the head is not the crown it is the front of the forehead and the top of the skull...which is a bit in larger diameter - hence a 6 1/2 # baby "feels" like a 12.
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really worried........
Hi mama - My #3 baby was born posterior - at home in the water with a midwife. My first 2 were too fast - 4 and 3 hours, so it was actually a blessing. My midwife had to do a little internal pressure on my bottom to make a little extra room, but other than that it was a wonderful 11 hour - textbook buildup and peak labor. I second blue-eyes...watch your sugar and protien intake. Also there is a homeopathic remedy for turning a post baby....homeopathy Good luck, sending smooth labor vibes. :) Kate
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Blatant Nursing "No-No's"........what's your worst???
A nurse who worked on my floor (and had also been a nursing instructor) took a verbal order then administered Xopenex po as a gargle... She said that was how the MD rx'd it so ..... No-one would have known if another nurse hadn't seen the pt in the process of administering another "treatment" BWAAAAHAHA.