anon456 BSN, RN

Member

All Content by anon456

  1. anon456

    thinking about going into pediatrics

    anon456 replied to katynurs22's topic in Pediatric

    See if you can get a seasonal or PRN position at the children's hospital to get your foot in the door. If they like you there may be positions available by the end of the season. You can also try for...
  2. anon456

    You know you are going to have an interesting day when you get report that . . .

    anon456 replied to anon456's topic in Patient, Colleague Relations

    Basically if it's like 0.67 of a tablet, I crush the whole thing and mix it with 10mL water in a syringe, then push out all but 0.67 mL. The patient was tube-fed so that
  3. anon456

    Disciplinary actions and results

    anon456 replied to chinadoll1's topic in General Nursing

    Ours is on the Board of Nursing website. They list the minutes of past meetings, and part of those minutes include RNs and CNAs that have to appear before the board and explain or defend themselves,...
  4. anon456

    pediatric assessment: whole or by exception

    anon456 replied to Pediatricjo's topic in Pediatric

    We do full head to to assessments every 4 hours. We have to put either WDL or state what is an exception on every body part and system, to show that we looked at them in all those ways. It takes a...
  5. anon456

    Routine PIV changes

    anon456 replied to KelRN215's topic in Pediatric

    We also leave PIVs in for as long as needed, as long as they still work and look good. I had one patient's PIV that was in their AC and it lasted nearly 3 weeks!! It was redressed several times, but...
  6. anon456

    Patient refusing to leave

    anon456 posted a topic in Patient, Colleague Relations

    We sometimes get patients who leave AMA, and since it's peds, sometimes police or CPS has to get involved if the MD feels the patient is in danger and unstable. However we had a strange situation the...
  7. anon456

    Unit Design Blamed for Increase in Falls

    anon456 replied to abundantgrace's topic in Patient Safety Issues

    I agree it's the design of the building combined with not having enough staff. I work on a unit almost exactly like the one you describe. We have 24 beds on our side, it's rectangle shaped with no...
  8. anon456

    Judging when to suction trach

    anon456 replied to Maddy_Rose's topic in Pulmonary

    Of course if you can visibly see secretions, or if they are coughing they most likely are bringing up secretions and need to be suctioned. You learn to get an ear for when they need suctioning. You...
  9. anon456

    TPN order I'm confused on if this is too much or too little for this patient

    anon456 replied to ren09's topic in Patient Education

    I agree-- the MD should decide whether or not the patient needs TPN, how much, etc. This is NOT a nursing decision. However I might question the strength of the dextrose with a possible risk for...
  10. anon456

    Nurses who go on breaks during report

    anon456 replied to cleback's topic in General Nursing

    Aren't they then clocking out way late?? I wonder why management has not spoken to them about that aspect of
  11. anon456

    What exactly do physicians do again?

    anon456 replied to wanderlustgirl's topic in Patient, Colleague Relations

    Wow, that sounds like very bad situations! Usually when we call a rapid response we have more MD's and other staff that can fit into the room, there within 30
  12. anon456

    Confused on inline catheters when suctioning

    anon456 replied to dblpn's topic in Pediatric

    You can correctly measure the suction length by using a spare or old trach. Put a regular catheter down the trach until just the very tiny part of the tip is at the end of the trach. We teach this to...
  13. anon456

    what specialties do new grads typically start out in?

    anon456 replied to mee9mee9's topic in First Year After Licensure

    I started out Peds ICU- decided it was not where I was meant to be- switched to peds pulmonary/cardiac/step-down and love it. Mostly I love it because of great co-workers. It took me 5 mos to get a...
  14. anon456

    How many hours per week (avg) do you work these days?

    anon456 replied to Brian's topic in Nurses Rock

    We are always short and have to bring in nurses from the float pool. Just hired 8 more for our
  15. anon456

    Long shifts = Higher levels of burnout

    anon456 replied to Brian's topic in Nurses Rock

    I just switched to part time because the 12 hour shifts have been very hard on my body and mind. I work nights so I was tired of spending half my life either sleeping or feeling like a zombie. Even if...
  16. anon456

    What is the typical hospital schedule?

    anon456 replied to ssalulu's topic in General Nursing

    In my hospital nurses work 7-7 shifts for the most part, with a requirement to work every third weekend. There is one unit where they work 8 hour shifts if requested and approved. I just went to 2...
  17. anon456

    When did nursing caps go extinct in the wild?

    anon456 replied to RNperdiem's topic in General Nursing

    Just to add to how informal the uniforms are now, our hospital allows the RNs to wear t-shirts as long as they have the hospital logo on them (which are sold in the gift shop), or the ones that are...
  18. anon456

    When did nursing caps go extinct in the wild?

    anon456 replied to RNperdiem's topic in General Nursing

    there is a nurse's aid at my hospital who wears a long skirt for religious reasons. She wears a regular scrub top and a head covering. I was thinking about trying to find a white dress to wear for...
  19. anon456

    When did nursing caps go extinct in the wild?

    anon456 replied to RNperdiem's topic in General Nursing

    Believe it or not there is a heart hospital that my dad went to, and about half the nurses still wear caps!! He was getting some vein work done outpatient. All of the RNs wore white, and about half of...
  20. anon456

    Infected Needlestick

    anon456 replied to blessedRN29's topic in General Nursing

    I am so glad you were negative for everything!! I can't imagine your worry through all of this. I just had an exposure of blood in my eye, but the patient tested negative, so I am not as concerned....
  21. anon456

    Stethoscope and Superbugs

    anon456 replied to rumwynnieRN's topic in General Nursing

    I almost never use my stethoscope anymore . . . I work on a peds pulmonary unit and most of my patients have bad bugs, and many of them are chronically infected with MRSA and/or psuedomonas. The...
  22. anon456

    Double Fluid mess ups

    anon456 posted a topic in First Year After Licensure

    I just wanted to post this for all the newer nurses, but also to remind people who don't run into this on a daily basis on your units. I work peds and we have a lot of patients who are tube-fed...
  23. anon456

    Double Fluid mess ups

    anon456 replied to anon456's topic in First Year After Licensure

    In my facility we are limited to setting it for 2 hours at a time, and we have to visibly check the PIV site ever hour. I feel horrible for sometimes needing to dig in the blankets for the IV site...
  24. anon456

    Double Fluid mess ups

    anon456 replied to anon456's topic in First Year After Licensure

    Can you give some examples and explain? I guess I just assumed that no one should run excessive amts of fluids beyond what is appropriate for their size/condition. Not talking about boluses-- that's a...
  25. anon456

    It really annoys me when nurses say they are going to go to med school...

    anon456 replied to megank5183's topic in General Nursing

    I work with a doctor who started out as a nurse's aide and worked her way through part of med school. She's a great doctor. Also work with two NP who started out as RN's of course. They are as...