nurse42long

nurse42long RN

L&D, OR, ICU, Management, QA-UR, HHC

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All Content by nurse42long

  1. hiring older nurses

    Several years back I was hired into a smallish Labor and Delivery Department at the age of 57. Every nurse that I met was eager to work with a "very seasoned" L&D nurse except our one doctor. When...
  2. What thrills you/what terrifies you?

    Thrilling - seeing the crowning head emerge with each push Terrifying - not seeing the rest of the baby emerge, due to shoulder
  3. I had a moment!

    This is how it's supposed to feel. You did good. Store this one away in your data bank for the day when it doesn't work out so well. I love that your charge nurse said "you've arrived". Soon you'll...
  4. Most Ridiculous Med Order

    Had an elderly physician who covered nights in rural small OB. Not sure who thought that was a good idea. But he was quite the horticulturist. He grew award winning roses and Africian violets. Anyway...
  5. Switching to day shift blues

    If you have been on nights for over two years and you love it. Stay there. If you can sleep during the day and feel good physically, stay on nights. I've worked everything there is in 40 years and...
  6. When to have the patient sign consent

    I usually get the paperwork done first. I think it is easier to establish a rapport with the patient and family to ask the non-personal questions first, insurance etc. Also talk about what the agency...
  7. thinking of quitting nursing

    Take an art class through the community or at a local art museum, then take another. Maybe find a part-time job at a gallery or some other area in a creative field. Even if it's just answering phones...
  8. I hate it when parents use nurses, doctors, etc. to threaten their children to behave. For instance, "if you're bad, that nurse will give you a shot". Not good. Well, now I've heard it all. I got to...
  9. I've been a nurse since.....(fill in the blank)

    I've been a nurse since temperatures were taken with glass/mercury thermometers. We had fifty that we kept in a metal pan in Cidex solution and went from one end of the floor putting them under...
  10. That person

    When my daughter-in-law was in labor, my son made sure everyone knew I was a labor and delivery nurse and that the other grandma was a lawyer. I don't know which one of us was the most intimidating,...
  11. Hanging It Up

    I hear you. After 39 years of nursing, it has finally beat me as well. I've done L&D, NICU, OR, ER, LTC, etc. I did some great work but I can't take the "customer service" approach anymore. Doing...
  12. How does increased access to healthcare affect nursing?

    You could also look at it as more patient access to care may be great for hospital nursing. For example, patients who waited until condition was so bad that it required emergency care and...
  13. Homemade Saline?

    Medicare and some insurances will pay for Home Health wound care supplies, but in most states Medicaid will not. If patients can't afford wound care supplies, we have to sometimes "MacGyver" it....
  14. Lesson Learned!!!!!

    I think this could be the future considering all the fuss about Press-Gainey scores. The patient "prefers" applesauce with her meds even though is NPO. Nurses who know better let the patient have her...
  15. I have a question and a concern. There is a nurse where I work that calls in prescriptions to the local pharmacies for anyone that wants one. Not for narcotics or anything like that but if someone...
  16. Nurse Calling In Scripts to Pharmacy Illegally

    Again to all who have commented, thank you. As the comments have been split as to what to do and are so heartfelt it has made it harder to decide what to do. I did talk with the Nurse Manager earlier...
  17. Nurse Calling In Scripts to Pharmacy Illegally

    Thanks to all for your advice. I wanted to hear from nurses but in an anonymous way. And I appreciate all the comments. I have since talked with a few friends and family (psychologist,...
  18. Nurse Calling In Scripts to Pharmacy Illegally

    How do I report this to BON? Anyone know the procedure? I'm new at this job, less than two months and this nurse has been here 24 years. The Nurse Manager is aware of many things this nurse has done....
  19. Is this burnout?

    You may need to change hospitals. It's possible the patient mix at your facility is skewed to what your seeing. Maybe you can find a private hospital in a more affluent neighborhood, where the mix is...
  20. Do you take your work wherever you go?

    Nah, I've been doing this for almost 40 years and "back in the day" we didn't wear gloves to do anything but sterile procedures and lady partsl exams. I've never (so far) taken anything home. I just...
  21. Funniest Things Doctors say!

    Years ago I accompanied a very distinguished OB doc to do a vag exam on a grand multip (her 11th baby) also this patient was rather large. Outside it was a raging thunderstorm, just as the doc started...
  22. Do Nurses Have to Make Their Home Addresses Public?

    I have nothing to hide from the "general public" but some may be in hiding from abusive ex-spouses or stalkers. The public doesn't need to look up individual nurses, or access their information. If...
  23. Hourly rounding logs

    Whoa, at the LTC where I work I have 50 (count 'em 50) residents at night with the supposed staffing of me, and three STNA's, though usually only two. Since I'm the only RN in the building I also...
  24. Scrubs or Street Clothes

    What do you all wear for visits? Scrubs or Street clothes? Lab coats? Lately I've been wearing long underwear under jeans and
  25. Frustrated preceptor

    I haven't oriented anyone lately, (been away from bedside nursing) but it seems from reading various threads that orientation is more basic education than it used to be. In my day (oops, there I go)...