turnforthenurse MSN, NP

ER, progressive care

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All Content by turnforthenurse

  1. turnforthenurse

    What is the nurse-patient ratio where you work?

    turnforthenurse replied to kaliRN's topic in Patient Safety Issues

    We assign patients according to acuity/total care, isolation and planned discharges. We also have a designated pediatric nurse and we make sure they do not get any other patients in isolation...then...
  2. turnforthenurse

    HHNK or HHNS

    turnforthenurse replied to transducen's topic in General Nursing

    It is possible to bring it down too fast...blood sugar should be decreased by ~75-100mg/dL/hr because any faster and you risk cerebral edema. It took 9.5 hours for this patient to go from a BS of 825...
  3. turnforthenurse

    Best ways to study and get work done?

    turnforthenurse replied to Dezy's topic in Nursing Student Assistance

    I am a visual learner, too, and I like doing many of the same things that Clovery mentioned. I also like to rewrite my notes...it's tedious but it helps me retain
  4. turnforthenurse

    Nursing: Then and Now

    turnforthenurse replied to tnbutterfly - Mary's topic in General Nursing

    We still have charge stickers, but only for certain things like dressing supplies (Aquacel, etc) or a foley cath...and they end up on my
  5. turnforthenurse

    random fact throwing: PCCN/CCRN edition

    turnforthenurse replied to turnforthenurse's topic in Critical Care

    systolic HF: pump problem, because in systole, the heart contracts and this is what is failing. You'll see an EF of diastolic HF: filling problem, because in diastole, the heart is supposed to relax...
  6. turnforthenurse

    random fact throwing: PCCN/CCRN edition

    turnforthenurse replied to turnforthenurse's topic in Critical Care

    Anyone? :) I plan on contributing more information
  7. turnforthenurse

    PCCN?

    turnforthenurse replied to turnforthenurse's topic in Critical Care

    Sorry, I just saw this now...but congratulations!!!! And thank you for the tips :) I'm still hoping to take the exam by the end of this year, but I still feel like I'm not
  8. turnforthenurse

    Staffing Ratios

    turnforthenurse replied to ChiTownRN5's topic in Patient Safety Issues

    I work on a progressive care unit, VERY similar to yours...24 bed unit, staffing ratio used to be 1:4 but it is now 1:5. We get one CNA if we have 13 patients and we usually always have a monitor...
  9. turnforthenurse

    Drug guide question

    turnforthenurse replied to MilliePieRN's topic in Patient Medications

    I agree, get a different drug guide because that information is very
  10. turnforthenurse

    Textbook or ebook......

    turnforthenurse replied to 7237dallas's topic in Pre-Nursing Students

    I personally prefer the feel of a textbook. Ebooks have their advantages because you can store them all on a device and that is much easier to carry...you can also search through them easier with...
  11. turnforthenurse

    A facility that allows patient smoking. Feedback and advice-guidance requested!!

    turnforthenurse replied to Lipsmack's topic in General Nursing

    Now supposedly, when a patient signs their admission packet forms, it is stated that they are automatically signed out AMA if they leave the floor to smoke because we are a non-smoking facility....
  12. turnforthenurse

    How much personal info do you share with pts?

    turnforthenurse replied to Bouncyball's topic in Patient, Colleague Relations

    You decide where to draw the line. I don't work on a psych floor. Most of the time I have no problem telling a patient I am married and don't have kids if they ask. We have a lot of patients who...
  13. turnforthenurse

    Wow, I really may need to get out of here.

    turnforthenurse replied to gloryfied's topic in Patient, Colleague Relations

    I&O is pretty important and needs to be documented...I would have been irritated too if I were that
  14. turnforthenurse

    Tell me about your unit's general attitude & morale...

    turnforthenurse replied to sofla98's topic in Patient, Colleague Relations

    I think morale is better now with new management compared to how it was with our old manager/director. It's okay. Turnover has been high because a majority of our employees are military spouses so...
  15. turnforthenurse

    sex in the work place...really?

    turnforthenurse replied to Mr. Evans's topic in Patient, Colleague Relations

    I guess it happens more often than we think...same with patients having
  16. turnforthenurse

    What are your favorite types of patients??

    turnforthenurse replied to ~Mi Vida Loca~RN's topic in Patient, Colleague Relations

    Pleasantly confused patients...or my pleasant elderly patients. I find that "younger" patients complain too much Then of course there are the sedated, ventilated, constipated and restrained
  17. turnforthenurse

    Torn between two nursing shoes. Which one?

    turnforthenurse replied to Yue09's topic in Scrubs, Uniforms, Gear

    I had the second pair and they were comfortable at first but quickly became
  18. turnforthenurse

    Where do you buy your scrubs?

    turnforthenurse replied to NursingStudentYaya's topic in Scrubs, Uniforms, Gear

    See if there are any uniform stores in your area. They typically offer a discount for both students and local employees (like 10%-15%). I have noticed differences in price among different stores....
  19. turnforthenurse

    Super awesome day today(L&D/Newborn)!

    turnforthenurse replied to Katie71275's topic in General Students

    What a great opportunity, good for you!!! In my program we were not allowed to do cervical
  20. turnforthenurse

    So, What help books did you use for Pharm?

    turnforthenurse replied to futuresctRN's topic in Nursing Student Assistance

    Pharm is pharm, the information wont' change except with more research and EBP, blah blah blah; however, WHAT you will be tested on will depend on your instructor. These books will just help...
  21. turnforthenurse

    So, What help books did you use for Pharm?

    turnforthenurse replied to futuresctRN's topic in Nursing Student Assistance

    Yes I agree, that whole series *IS* awesome! So is the "Made Incredibly Easy" series. I have several books in that series including Nursing Pharmacology and it really helped me with my pharm
  22. turnforthenurse

    So nervous! CCRN time!

    turnforthenurse replied to Maevish's topic in CCU, Coronary, Cardiac

    Search "CCRN" on iTunes and you should find podcast lectures of Cammy House-Fancher's CCRN series for FREE. Excellent
  23. turnforthenurse

    Best way to break into cardiac nursing

    turnforthenurse replied to sugarmagnoliaRN's topic in Cardiac

    Having had clinicals on a cardiac stepdown will help, imo. As PPs have stated it is hard to get onto a specialty unit as a new grad nowadays, but that doesn't mean it's impossible. I had my senior...
  24. turnforthenurse

    Interviewing as a new grad for Cardiac/Stroke unit

    turnforthenurse replied to Loving-and-Learning's topic in Cardiac

    As a new grad, they won't expect you to function at the level of an experienced nurse, so they won't really ask you questions regarding "medical knowledge." Be prepared for more situational...
  25. turnforthenurse

    BID strictly every 12h or just twice a day?

    turnforthenurse replied to krg8089's topic in First Year After Licensure

    BID is twice a day, or every 12 hours...but as PPs have mentioned, it depends on your hospital's policy. If a patient only has a PRN med ordered BID and they are still complaining of a lot of pain,...