Daliadreamer

Daliadreamer

Oncology, LTC

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All Content by Daliadreamer

  1. ANCC RN-BC Med/Surg Certification: How to Prepare

    Daliadreamer replied to rsmee001's topic in Medical-Surgical

    I was about to post this same question! I'm lucky that my hospital provides free certification review courses from a company called Ed4Nurses, so that is what I am using to study now. I plan on taking...

  2. Is it just me?

    Daliadreamer replied to mindlor's topic in Patient, Colleague Relations

    My dad and I had a discussion about this the other day....he said that he never fills out surveys that are "excellent" because he feels like that leaves them with no room to improve. My response to...

  3. Because that's the way we've always done it around here

    Daliadreamer replied to nurseprnRN's topic in Patient, Colleague Relations

    We are actually having a contest at the hospital I work at called "The Sacred Cow Contest". We are to think of things that we always do without any real evidence base, or something that we "have...

  4. Bed down close to the floor for safety

    Daliadreamer replied to Alnitak7's topic in Patient Safety Issues

    When I worked in LTC, we had special low beds for residents that were a high(er) fall risk than the others. We would also put mats down around the beds. The only problem with the beds that we had were...

  5. Aspirating air while checking for gastric residual

    Daliadreamer posted a topic in Gastroenterology

    Hi everyone, I took care of a patient that had a PEG replaced the day before because his previous PEG was leaking. Patient was post CVA a few months ago and in the hospital now for hypoxia, non...

  6. Know of a good afternoon workout for a new 7a-3p RN?

    Daliadreamer replied to itsdebraanne's topic in Health, Stress Management

    CrossFit! I feel like this gives me the biggest bang for my buck- it's usually a full body workout that you can do just one or two times a week in between your running schedule, and it does not take a...

  7. IV Toradol and Snack?

    Daliadreamer replied to Assailants's topic in Patient Medications

    I usually just flush .5 to 1 ml (if I remember!) after pushing an IV med because some of the med is still in the hub. If you don't flush, sometimes you can get precipitate with incompatible meds you...

  8. How to turn down an assignment

    Daliadreamer replied to CrystalSSA's topic in General Nursing

    This has happened at the facility I work at several times. I was surprised to hear, though, that your manager was not aware of the situation right away. Was the charge nurse taking on a full load as...

  9. Oncology & blood transfusions

    Daliadreamer replied to bsnanat2's topic in Oncology

    It REALLY depends on whether or not they are on active chemo, where they are in their regimen, and the type of ca but I guess a simple answer is

  10. Call light abuse. What to do???

    Daliadreamer replied to IBleedGreen's topic in Patient, Colleague Relations

    Get him a sitter for a shift. I know it goes against productivity, but at least you would find out if he was just lonely or playing

  11. Dry Hands

    Daliadreamer replied to puroticorico's topic in General Nursing

    I LOVE putting on L'Occitane hand cream before I go to bed, especially the lavender scent

  12. Dry Hands

    Daliadreamer replied to puroticorico's topic in General Nursing

    I use Lush Dream Cream...I bring it to work and leave it at the nurses station, and everyone uses it, even the MDs. A teeny tiny bit goes a long way, so the $20 it costs lasts forever, I have had it...

  13. Why do we do what we do?

    Daliadreamer replied to OhioCCRN's topic in General Nursing

    Don't you just love when that happens?? And it doesn't happen very often. I took care of a little confused lady yesterday...I had to irrigate her bladder several times, and it was extremely painful (I...

  14. Telemetry monitoring on wrong patient!

    Daliadreamer replied to bobs201's topic in General Nursing

    Just like the previous post, we also have to identify the tele box with the correct patient every shift, and enter it into the computer charting system so that this does not happen. I don't know how...

  15. advice for new charge nurse

    Daliadreamer replied to LouisVRN's topic in General Nursing

    This is the one issue that always gives me heartburn during the shift. I used to always take the patient if the nurses were busy, but then I was busy with this new patient for the remainder of the...

  16. When adults whine....

    Daliadreamer replied to Anna Flaxis's topic in Emergency

    One of our patients is constantly whining, very anxious and on his call light every 10 minutes. He has been with us for over a month now, so we keep rotating nurses that take care of him. For this...

  17. improving staff responsiveness

    Daliadreamer replied to idonthaveaphd's topic in General Nursing

    We have a "No Pass Zone" on our unit. If a light is on, you are not allowed to pass it up, you have to go into the room and at least find out what the patient needs. The nurse has her phone number...

  18. neupogen

    Daliadreamer replied to Susan Patterson's topic in Oncology

    We only give it SC; I was not even aware it could be given IV. Most of the time, if our patients are inpatient, we give neupagen. Neulasta is given IV as an outpatient in the Cancer Care Clinic. This...

  19. Facing a management position...

    Daliadreamer replied to notjustanurse's topic in General Nursing

    I was put in this situation...my manager was leaving and wanted me to step in as interim manager until the hospital found a replacement. I knew that I didn't want the postion permanantly though, as I...

  20. Power point mediport

    Daliadreamer replied to Mich0482's topic in General Nursing

    You can use a regular huber needle to access the port, but if the patient is to have any kind of CT scan, DO NOT USE IT. A power port needle is specifially made to withstand the pressure used to...

  21. Press Ganey Parody

    Daliadreamer replied to MarkonCRT's topic in General Nursing

    Awesome!!!! Now how about an HCAHPS

  22. Sigma pump recall - New pumps yet?

    Daliadreamer replied to MunoRN's topic in General Nursing

    Nope, it was a spectrum pump, not sigma.

  23. Sigma pump recall - New pumps yet?

    Daliadreamer replied to MunoRN's topic in General Nursing

    Now you have me thinking...I will have to go and check tomorrow when I go back to work. I have a pump locked up that I can look at when I get

  24. Sigma pump recall - New pumps yet?

    Daliadreamer replied to MunoRN's topic in General Nursing

    Ours are going to be going live on June 14th. We are going to be training the staff next week. The super users have already gone through training. I wasn't aware of any recall though. That's...

  25. Interim Manager to Manager?

    Daliadreamer replied to Daliadreamer's topic in Nurse Management

    I know that I will be taking a pay cut...but when I was thinking about going for the position I did ask myself to take the money issue out of the equation and then make my decision. I don't want to do...