AprilRNurse

AprilRNurse

Med/surg, rural CCU

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All Content by AprilRNurse

  1. CNA issue

    Benefit of the doubt.... maybe she doesn't know how she's comming across? Next time- I'd calmly explain the rationale... and then nicely let her know how she's comming across to the
  2. What's your favorite lip product for work?

    I use Nivea Lip moisturizer. (it comes in a peach color tube) I am addicted to lip balms...but found this is my favorite for work. I've bought 4 tubes. If I change purses and forget it- I stop on...
  3. ER. A Clinic?

    I had a friend recently vent to me that she had to wait 10 hours in the ER when she was there for heavy menstrual bleeding. It's very hard to tell your friend that if the nurse didn't feel her life...
  4. Need Advice

    As a new grad they don't expect you to know everything, and they certainly won't be expecting the best time management from you yet. But- I guarantee every co-worker you have DOES expect you to help...
  5. Cancelled repeatedly - is this normal?

    We are union too... but our contract allows them to put us on call for 2 days per pay period... up to 15 per year. Most of our nurses meet their max by early summer. I work CCU night shift so I...
  6. Time management issues

    Wow- I'm sure you want to keep your job but it exhausted me to read your post. The reason you can't get out on time? Because you're having 7 patient's in a shift! I can't imagine that- though I know...
  7. RN switching to Lactation Consultant??

    Around here it isn't a "switch" it's just a certification the RN's get on top of their RN lisence. We have LR's at the hospital. They work L&D, but help with lactation as well. They get paid...
  8. Not sure how safe??

    I think 7 patient's is unsafe. It leaves barely an hour per patient. What if they actually need their nurse? And if they don't...what are they doing in a
  9. Wondering how other hospitals are.

    I love my job, and am reminded when I read posts like this. I work med/surg and CCU in a rural hospital. Med surg it's usually 3:1 on days and evenings (sometimes 4:1 if the 4th admission is after...
  10. Reality vs. Classroom

    That'll happen. The shivering- unacceptable. Same towel- normal. As long as it's front to back- it's fine. Do you use two towels to dry your bottom?? Choices, talking, etc.... it depends on the...
  11. Essential equipment a luxury?!

    I can't imagine working under those conditions. I'm lucky to always have what we need. Our hospital just approved VS machines in every patient room- that data validate to the computer system. I can't...
  12. Nitro drips

    No, because weight is not a factor with nitro. We titrate heparin based on weight, but not
  13. Nitro drips

    The above- though I've never gone over 65. At that point the MD said try something else- it's prabably not cardiac. (oops, wrong call doc... pt transfered in the am for stents) Our pumps are...
  14. Change of shift- acute patient issues?

    Chest pain is ALWAYS cardiac until rulled out by a doctor. Did patient have an order for nitro? There is no corrolation between BP and chest pain. I've had cardiac patients with low BP, and with...
  15. ADN OR BSN

    In my opinion BSN. I have my ADN, and have been told that with the huge number of nurses being turned out by nursing schools that most hospitals are hiring mostly BSN's. Even my care coordinator (35...
  16. What to say?

    What the above poster said. I had that happend. Right out of school I accepted a position. Then I got a job offer at the job I REALLY wanted. I called and said that I appreciate their offer, but I...
  17. Missed diagnosis - just a vent

    That is very odd, though classic PE symptoms are clear lungs with resp distress. Good call! It's hard as a nurse to balance sticking up for yourself, and being paranoid. You made the right
  18. Missed diagnosis - just a vent

    She did have an u/s to
  19. New Grad with no experience feels like being discriminated

    How would that be
  20. No, they cannot fire her for being pregnant....but if they are irritated that she did not give them adequate time to prepare for her absense...they may not give her a job when she returns. They do not...
  21. Bayada Nurses-Getting Started?!

    BTW- they will do an interview quiz... some basic information. Is it for a peds patient or adult home
  22. Bayada Nurses-Getting Started?!

    Bayada is a WONDERFUL company to work for. I took a casual job with them and was impressed. Unfortunately- I ended up resigning after 6 months because my regular job was able to increase my hours. I...
  23. FMLA is a federal thing, it doesn't qualify you until a year, but it should be more than 30 days. I thought it was 3
  24. You have to be an employee for 1 year to qualify for FMLA. I would tell them- but also tell them you plan to return to work, and plan to work hard both before and after delivery of your
  25. When i was a CNA I had a resident who was on pyridium (medication for bladder spasms, turns urine dark orange, and stains).. he went home for the day, and wore these skinny jeans...and a leg bag....