turnforthenurse MSN, NP

ER, progressive care

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What is the nurse-patient ratio where you work?

turnforthenurse replied to kaliRN's topic in Patient Safety Issues

Where I work, they will "sometimes" send someone to function solely as the admission nurse. But it isn't consistent. It helps the floor nurses out SO much and I wish they would do it all of the...
Is it possible to get the holidays off?

turnforthenurse replied to Joe V's topic in Nursing Humor

I work at a facility where we are required to work three out of the six major holidays that are observed each year. We do not have a rotating holiday schedule. Last year I really lucked out and was...
How do you pronounce "centimeter" ???

turnforthenurse replied to shermrn's topic in General Nursing

I say "cen-ti-meter." Some say sontimeter. Kind of like poTAYto, poTAHto, toMAYto,
Medication question (not a hw question)?

turnforthenurse replied to bleu_tote's topic in General Students

It really depends but oftentimes patients will go home on more meds. Polypharmacy is such a problem, especially in the older adult
Do you know of anyone who has been thrown of of nursing school/program? And why?

turnforthenurse replied to Laurenslovely's topic in General Students

A student drew up insulin in a non-insulin syringe. Another student ended up giving a bunch of meds that were meant for a patient in "Bed A" to "Bed
PCT BEFORE RN???

turnforthenurse replied to COMPLEXBeautyy's topic in Pre-Nursing Students

It really depends on the hospital because they are all different. If you can secure a job as a PCT, however, then by all means do it! The experience you gain will be very valuable to your future...
insulin per sliding scale

turnforthenurse replied to kirschbalb's topic in Medical-Surgical

Metformin can interact with contrast dye, leading to lactic acidosis. Oral hypoglycemics are typically always suspended when a patient is in the hospital, even if that is all they take at home. I...
New Nurse 1 year in...should I change floors?

turnforthenurse replied to freespyryt's topic in Oncology

Do you have the option to float to the other floor you are considering? If you're able to float and work a few shifts there, it may give you an idea on how the unit runs, how the nurses are and if...
New Grad in Intermediate Care?

turnforthenurse replied to bewitched's topic in MICU, SICU

Intermediate care is an excellent place to start, especially since iCU nursing is one of your interests. You get your cardiac stuff on a stepdown (and get exposed to the different arrhythmias,...
I think I made a mistake

turnforthenurse replied to RNikkiF's topic in General Nursing

Exactly. and let me add that if a patient is dehydrated, that can worsen the hypertension. I would have asked the MD for hydralazine or Lopressor IV which would have worked a lot faster than PO. For...
Assessments every shift?

turnforthenurse replied to Ntheboat2's topic in General Nursing

Always do your own assessments and don't trust the nurse before you. I always look at pupils/assess (and continue to especially if the patient is a neuro patient), listen to heart/lungs/abdomen,...
Sucide lies: is it CYA or blaming?

turnforthenurse replied to Tiffanybaybay's topic in Emergency

Agreed. If there is a 1:1 ordered, especially if the patient is suicidal, that 1:1 does not leave the room. Big safety issue. If a patient is on a 1:1 for suicide precautions we can't just put them...
random fact throwing: PCCN/CCRN edition

turnforthenurse replied to turnforthenurse's topic in Critical Care

HIT: heparin-induced thrombocytopenia * typically occurs 4-10 days after initiating heparin therapy * acquired allergy to heparin * see a drop in platelet count (~50% from baseline) * some patients...
random fact throwing: PCCN/CCRN edition

turnforthenurse replied to turnforthenurse's topic in Critical Care

The oxyhemoglobin dissociation curve affects AFFINITY of oxygen to hemoglobin. Left shift = LOCKED and is bad for the patient. Shift to the left is caused by: * alkalosis * hypothermia * low 2-3 DPG...
insulin per sliding scale

turnforthenurse replied to kirschbalb's topic in Medical-Surgical

Look at your hospital's policy and talk with the physician. Where I work if a patient is NPO, sliding scale typically isn't held. The patient may also have a dextrose solution hanging as well. If...
How to get into a specialty area like ER w/o experience?

turnforthenurse replied to TCrozierRN's topic in Emergency

Some hospitals offer fellowships which is basically an internship for a nurse with experience. If your local hospitals do not, apply anyway! You won't know until you apply. And I know it isn't the...
Is the first semester really the hardest?

turnforthenurse replied to leekaye's topic in General Students

It gets harder, but that "awkwardness" associated with your first clinical goes away so that aspect becomes
How would you treat abnormal vital signs?

turnforthenurse replied to bleu_tote's topic in Nursing Student Assistance

And take off those blankets!!! Keep a sheet on them but please please please take off those 15 blankets! And make sure the family isn't putting them back on after you leave. Educate the family and...
Whats your biggest pet peeve working in the ED?

turnforthenurse replied to Whts_Ur_Emergency?'s topic in Emergency

Patients who think they are entitled to EVERYTHING. Nevermind the STEMI in cardiac 1 who is now coding...the patient complaining of a nosebleed is definitely more
Select all that apply questions

turnforthenurse replied to kathieb66's topic in NCLEX Exam, Programs

I had problems with the SATA questions, too. I took an NCLEX review course and they said the SATA questions are "higher level thinking" questions...so in essence, if you get a lot of them, that means...
Has anyone tried team nursing? Opinions?

turnforthenurse replied to circularstaircase's topic in Medical-Surgical

I don't know if I would like team nursing...seems like it would have their faults. More responsibility on the RN, more likely for stuff to get missed, less staff to keep an eye on patients who are...
These two idiots need to have their nursing licenses revoked

turnforthenurse replied to guest416560's topic in General Nursing

Disgusting. That poor
Chest Pain and DNR status

turnforthenurse replied to MissRN7's topic in Geriatric, LTC

DNR does not mean "do not treat." If the patient is having chest pain, you treat the chest
Too much medications

turnforthenurse replied to FirstLadyRN's topic in Patient Medications

What previous posters said. Dilaudid may not be effective in managing her headaches, though. Sounds like the patient is suffering from migraines...A lot of our docs prescribe Fioricet...
Facebook while on the clock?

turnforthenurse replied to maureen924's topic in Nursing Professionalism

Social networking sites are blocked at work, but I just use my phone. I check e-mails, use social media, text, etc from time to time at work, but it doesn't impede the care I give to my

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