turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    Nursing progress notes

    On my home floor (progressive care) we need to chart assessments Q4H. We do computer charting, so for the first shift assessment I chart everything and click everything that applies...for my next...
  2. turnforthenurse

    A word of advice for a strange question?

  3. turnforthenurse

    Extremely BAD night...

    I'm so sorry for your rough night, OP. do you have debriefing available through EAP or someone at work you can talk to? Journaling can help, too. *hugs* Sent from my iPhone using
  4. turnforthenurse

    What do you do?

    We would sit and talk, or I would read a book on my Kindle....or read my newest issues of AJCC or CCN Sometimes we would watch videos....we have a TV in a little waiting area so sometimes we would...
  5. turnforthenurse

    do i need to perfect the nclex exam in order to pass?

    I'm confused as to what exactly you are asking. You need to successfully pass the NCLEX in order to become an LVN or
  6. turnforthenurse

    Coreg med and no heart rate parameters?

    I was always taught to hold a beta blocker if the HR is When in doubt, call the MD, unless there are specific parameters
  7. turnforthenurse

    Bedrest post angio?

    As for the period of bed rest, I think it's just based on physician preference. Some cardiologists will order 4 hours of bed rest once hemostasis is achieved after sheath removal while others will...
  8. turnforthenurse

    How much experience before being charge nurse

    Where I work, the charge nurse on nights always takes a full load of patients, sometimes 1 less but that rarely happens. We are responsible for making the assignments, assigning admits/transfers to...
  9. I would go with the Classic II S.E. for the reasons mentioned above. I had a Classic II in nursing school and it was great. I upgraded to a Cardiology III since then, but still use my Classic II as...
  10. turnforthenurse

    What degree is better for an RN?

    There are a lot of hospitals that now prefer a BSN over an ADN. As far as pay goes, I have seen no difference in pay between having an ADN and having your BSN. Pay goes by the amount of experience...
  11. CO = HR x SV, and there are three determinants of SV. What are
  12. turnforthenurse

    Change of Mindset

    Any tips on getting better at "moving the meat?" lol. I think I have a problem with that "floor nurse mindset" regarding patients being discharged even if they are still having pain, etc. I had a...
  13. turnforthenurse

    Priorities

    Now, this is from a floor RN's perspective....but it becomes futile when you have a patient using an e-cig after their admitting physician told them it was okay for them to use it while they're in the...
  14. turnforthenurse

    Triage complaints- the good, the bad, and the shocking.

    Patient came in by EMS, told them he wasn't feeling well, but when I went to do his triage and asked what brought him to the ER today, patient stated, "they (EMS) just wanted me to get checked out and...
  15. turnforthenurse

    Ever have a patient work your very last nerve?

    I had a patient whom the moment you walked into his room, he started complaining. After about 10 minutes into the shift, I wanted to shoot myself. The nurse before me warned me of this, but I didn't...
  16. I think CNAs will NEVER make enough for the amount of work they do. They truly are the backbone of the nursing team and I agree, I, too, could not be a good nurse without
  17. turnforthenurse

    How do you get information out to your staff?

    We have monthly staff meetings and billboards/posters. Our staff meeting minutes are e-mailed to us and a more detailed version is posted in this huge 3-ring binder for us to look at. If there are...
  18. turnforthenurse

    define break...lol

    We can write our times in a book...such as if we are in charge that night (because we get paid a whopping extra $1/hr ) or if we float, get put on call or whatever. If we do not get a break, we can...
  19. turnforthenurse

    What do you like most?

    * Fewer family members. * Less turnover of patients, however there have been times where a bunch of patients get discharged between 1800-1900 and then we get slammed with admits (that isn't fun!)...
  20. turnforthenurse

    How do I prepare to be a PCU nurse

    * know your cardiac rhythms and treatments for each * you will be administering a wide variety of medications, but look up your cardiac meds and gtts. Not all PCUs are equal, but common gtts on my...
  21. turnforthenurse

    Certified Nurses Day excluding people

    My hospital doesn't recognize Certified Nurses
  22. What the heck is D25A8? As for the catheter....TPN should always be given through a central line, whether it's a PICC, subclavian, internal jugular, port...it needs to a central line. TPN is...
  23. turnforthenurse

    define break...lol

    We're allowed 30 minutes but I don't always get that...sometimes my "break" is whatever food I can scarf down in 5-10 minutes, even if it means eating it cold. There have been times where I tell...
  24. turnforthenurse

    What is the correct title?

    First names are fine. I would feel weird if someone referred to me as "Nurse Mary." No one has ever done that me, though. They either call me by my first name or if someone is trying to flag me...
  25. turnforthenurse

    Stuck in Med-Surg

    Being an ICU nurse is still a bedside nurse. You have less patients, but oftentimes there is so much going on with them that it can feel like you have the 4-6 patients you are used to on your current...