turnforthenurse MSN, NP

ER, progressive care

Member
  • Content

    3,364
  • Visitors

    40,490
  • Followers

    0
  • Likes

    117

All Content by turnforthenurse

  1. turnforthenurse

    Patient sitter?

    Before I was a nurse, I was an aide/nurse tech...there were aides who were strictly hired for the sitter pool but oftentimes our own staff is used, or an aide/tech is pulled from another floor to come...
  2. turnforthenurse

    Nursing Fundamentals

    This is very true. So don't sell your books! I'm even regretting selling my OB and peds textbooks because once in a great while they will float me to mother-baby and we also have peds on my unit...
  3. turnforthenurse

    Saline bolus for high HR?

    Tachycardia is one of the first signs of dehydration but a HR in the 180's is kind of high for dehydration to be a cause, imo. Was this a gradual change in HR or did the patient suddenly jump into...
  4. turnforthenurse

    How much do nurses make?

    My salary was actually more than I expected. I started out at $23.50 as a new grad in central Texas. With shift differentials, I was making $28/hr. Now I'm at $30/hr with differentials with my OT...
  5. turnforthenurse

    what makes a good/great nurse?

    Also adaptability. You will be exposed to a lot of different situations in your nursing career and they may make you float to unfamiliar areas....so you will need to learn to adapt to those...
  6. turnforthenurse

    Not allowed to choose senior practicum

    We were allowed to choose our practicums, but if we scored below the recommended 850 on the med-surg HESI we were either stuck on a stepdown floor or med-surg floor. I wanted ICU more than anything...
  7. turnforthenurse

    Who do nurses make more than?

    I am married. No kids. My husband is military so sadly I don't think we'll own a house for awhile until I know we're going to settle down for awhile somewhere, but as of now it seems like we will be...
  8. turnforthenurse

    Be careful with FACEBOOK

    Even with having the most privacy settings, employers can still look you up on Facebook and view all of your information, posts, etc. This happened to a friend of mine. She had all of the privacy...
  9. turnforthenurse

    med surge vs ICU

    ICU nurses typically have 2 patients, some are 1:1s, though..such as those on ECMO or CVVH. Those one or two ICU patients can be the equivalent to 6 or 7 patients on a med-surg floor - ICU patients...
  10. turnforthenurse

    Thank You Treat for Staff

    When I was a student we always brought a thank you card and usually some donuts or a large fruit & veggie
  11. turnforthenurse

    Nursing Externships

    I did not do any externships but I went to school with a couple of individuals who had and they said the experience they gained was invaluable. Definitely try to swing one if you
  12. turnforthenurse

    Passing meds already "prepared "??

    I do not work in LTC but I can say I hope this isn't a common practice anywhere. I don't care if it is done to "save time" - it is BAD practice and can result in errors and potential harm to a...
  13. turnforthenurse

    Giving iv meds through running line

    Yes, yes, that too.
  14. turnforthenurse

    Has this happened to you

    Sounds like there are some issues at your facility that really need to get worked out, brenda. I've never heard of a facility holding off on a discharge because of a high INR. Was that high INR...
  15. turnforthenurse

    Overtime

    Depends on the unit. Some of our units always have shifts available so it's easy to pick up OT there. Lately though, we have been experiencing a decrease in patient census so a lot of us are having...
  16. turnforthenurse

    Scheduling conflicts

    We used to do self-scheduling. A blank spreadsheet would be printed and we had to pencil in our days we wanted to work and the days we wanted off. We're required to work at least four weekend...
  17. turnforthenurse

    RN with BSN and feeling stupid

    Having a BSN gives you an advantage although it may not seem like it right now. Some areas of nursing require a BSN, such as public health positions or if you decide to join the armed forces and do...
  18. turnforthenurse

    Passing meds prepared by someone else

    No way. Never ever give a med that you didn't prepare yourself. As Meriwhen stated, if the meds were still in their blister packs then I would give the meds because you can know which one is which....
  19. turnforthenurse

    Giving iv meds through running line

    It just depends on your facility. Where I work we are not supposed to give Phenergan IV under any circumstances. If the MD demands it, then the MD needs to administer it. It doesn't matter how much...
  20. I'm not religious by any means and not very spiritual, either...and I am a good nurse. I also work for a faith-based organization. Am I sensitive to a patient's religious/spiritual needs?...
  21. turnforthenurse

    Variable staffing based on patient acuity & census in ICU

    Our ICU is staffed based on acuity. Most of the time the assignments are 2:1 unless a 1:1 is needed. In an extreme circumstance, the nurses will take up to 3 patients if they are short staffed....
  22. turnforthenurse

    Asked to get Consent

    You actually are not supposed to even get a signed consent until after the provider has explained everything to the patient. It seems to be the other way around. MD says patient is going for a...
  23. turnforthenurse

    PRN confusion

    A majority of hospitals require 2-3 years of experience in order to work PRN. Are you PT now? Are you eligible for overtime at your facility? Places typically won't allow you to pick up overtime...
  24. turnforthenurse

    New to night shift

    Try to stay up as late as you can the night before when switching to your night shift schedule. I take something to help me sleep during the day, too. Melatonin is nice because (for me) it works...
  25. turnforthenurse

    HHNK or HHNS

    Then perhaps you should bring it up to management so that you can implement a protocol One other thing I forgot to mention about too rapid of a drop in blood sugar...remember that insulin drives...