Sunnysidegirl replied to nickel78's topic in Med-Surg
Thanks for your reply Ivana and congratulations on passing your exam! I am taking the ANCC test too.Do you remember the title and author of the Med/Surg review book you used? Thanks!!
Sunnysidegirl replied to trottytotty90's topic in Med-Surg
I like it because It helps the pt be more involved in their care and reiterates the plan of care for them.I was a pt once and had my nurses done bedside report I would not have been so confused as to why one nurses plan of care was so opposite from t...
Sunnysidegirl replied to VegRN's topic in Medications
We all need to use critical thinking and nursing judgment based on fact not just because the order is there and the pt insists.Those reasons alone will not hold up in court if something should happen to the pt. The pt obviously had received a hefty ...
Sunnysidegirl replied to C-lion's topic in Med-Surg
I started on evening shift.Which, for my floor is the busiest shift.I now work 12 hour days and like it.It is busy but time goes by quick and like the post above M.D.'s are available and most of the time you can talk with them in person when they mak...
Sunnysidegirl replied to RnCaldwell's topic in Med-Surg
I work on a medical floor but do see some pt's with drains, chest tubes,and wounds that have been surgically debrided.My advice would be similar to the comment above.However, I would add that you should be familiar with pain and nausea meds because y...
Sunnysidegirl replied to summerscoopy26's topic in Med-Surg
Our shifts overlap as well by 1/2 an hour.I was told we need to chart by exception using SBAR and hand off's should be no longer that 2 minutes! Yet there are those times when nurses will give extraneous info that eats up precious time.I am probably ...
Sunnysidegirl replied to luckynurse_1234's topic in Med-Surg
I don't think giving 8mg of Zofran IVP is too much as long as you give it slowly.I get orders all the time on a med surg floor that read 4-8mg Zofran Q 6 or Q 8.Usually I start with 4mg then give another if the pt is still nauseated. The pt with Canc...
I became very anxious taking nursing exams.So I always brought lavender oil to the classroom and doted the sides of my nose with the stuff and took deep breaths. Obviously you must have taken some exams to get where you are now so you are capable. Do...
Sunnysidegirl replied to wendysu84_LPN's topic in New Nurse
Yep, I am a new grad too (1yr) with two errors: one med(no harm to pt) and one charting.And yes I have felt exactly the way you do.Horrible!I agree with the previous posts.We can't beat ourselves up.I remind myself that it is about the pt (not me) an...
This question is regarding the proper administration of Glargine.If a patient has 10-20 units of glargine ordered as a sheduled med.,the patient is not eating well,but is getting D5 in IVF,Blood sugar is below 140 but above 120,should the Glargine be...
Sunnysidegirl replied to nursinggurl's topic in Safety
I think it is my worst fear to be judged by others.I think people are aware when they are not being supported and when those around them are whispering and watching them like a hawk. As a fairly new grad and being a nurse for 11 months I am grateful ...
Sunnysidegirl replied to ScoopsPerson's topic in Med-Surg
I work 3-11 and we get alot of DC's and admits too. We are assigned 4 pts OR 5 pts with a cna.We have float nurses if they are not busy to admit the patient to the data base( i believe we have 24 hrs to do this). The rest like all the orders and ases...
Sunnysidegirl replied to sasha2lady's topic in Safety
If you try everything and get nowhere in the matter, report it to the state.It's anonymous and there is no action they can take against you even if they suspect it was you. This person so far has no reason to change infact she is being enabled to be ...
Sunnysidegirl replied to pugmom3's topic in Med-Surg
The unit I work on admits alot of IV drug users. First we have the pt searched by security.It is amazing what is found!Secondly a Health care agreement (HCA) is given to the pt by the DR. and the pt must sign it. One statement in the HCA is that the ...
Sunnysidegirl replied to JMoney's topic in Stress 101
I personally like Danskos because they have great arch support. My feet used to hurt working 12 hour shifts before I got these shoes.I also had a friend who's knees hurt after hiking and was told his hiking days may be over.However, he got a second o...
Sunnysidegirl replied to NurseHotFlash's topic in Med-Surg
Where I work we have a wound nurse that does a wound consult.She then writes a note about her findings and gives specific instructions on what to dress a wound with.If the wound is deep we usually clean the wound with NS and pack it with gauze soaked...
Sunnysidegirl replied to srknurse's topic in Med-Surg
I definately recommend a good DRUG book like Davis's drug guide and 2010 Intravenous Medications.I stash these books in the med room (too big to carry around)and they are both extremely handy.I also find carrying a little highlighter pen useful.It wo...
Sunnysidegirl replied to BonnieSc's topic in Med-Surg
I understand your utter frustration.We have CNA's on our floor that do the bare minimum.Incontinent patients will lay in whatever for hours if I don't keep on top of it. I usually end up doing everything myself because otherwise I have to run around ...
I am a fairly new nurse and have a Question regarding the proper administration of Glargine.If a patient has 10-20 units of glargine ordered as a sheduled HS med.,the patient is not eating well,but is getting D5 in IVF,Blood sugar is below 140 but ab...
Sunnysidegirl replied to gardenia09's topic in New Nurse
I am a fairly new nurse (the possibility of making a med error scares the crap out of me!)and during my orientation I gave a full dose of po phenergan 50mg instead of 25mg.I didn't cut the pill.I noticed the correct dose as I was charting.My heart sa...