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50 Things New Nurses Need to Know About Calling Doctors and Other Providers
You should report this, not the nurse calling, but the situation itself. My facility has a policy that I must call all critical labs within 30 minutes of the lab reporting it as critical.
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Transport
The RN always comes to the floor with PACU patients where I work. The RN will call the charge and let them know that they are rolling. When the RN leaves from PACU another nurse watches their other pt until they return. It works just fine.
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Most annoying reason for admission?
I had one for "fever". Her temp was 100.0 Also had another for "weakness and diarrhea" for a 60yo. Really? Take some Imodium and drink fluids! He wasn't even dehydrated...
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How do you feel about professors locking the door?
Honestly, in your situation, I would have pecked on the door. I would gradually excelled to a knock. It would have become very distracting to hear someone knocking every 30 seconds. I would have gotten my stuff and left when they got tired of their door being banged on.
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What's your dress code at work?
The facility I work for is color coded. Nurses must buy navy blue and have the facilities' name with "Nursing" embroidered on each top or lab coat. We buy the scrubs out of pocket and then must have the damn things embroidered out of pocket as well.
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Does your facility ask you to sleep over when it snows?
The hospital I work for encourages us to stay so that we can make it in. If you call out for weather, it's a write up. No excuses or reasons are valid unless someone has died!
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Atheist at Catholic hospital
I work for a Catholic hospital and I have co workers who are Atheist. No one cares. If the hospital wanted only Catholics, they would not have enough staff to keep the doors open. I wouldn't worry about it.
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Graduated with high honors - is there any point in saying so on my resume?
I listed my deans list designation on my resume and a unit manager brought it up in my interview and was impressed. Put it on there!
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Lessons on why not to "Assume" things.
Holy hell! That poor patient. You did a wonderful job!
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What are the stress level ranking for these units?
I would hope that the ICU would be more stressful. I work in Ortho and it is not a cake walk. We have surgery days where we crank out about 25 fresh post ops to the floor. I have come on at 7p and had to deal with receiving 9 patients within an hour (to several nurses) as charge. On days you could discharge 5 patients and get 5 fresh post ops all before your 12 shift is up. Every 2 hours your ice packs need to be changed on those new post ops. Our patients can not be toileted alone; someone has to stand with the patient the entire time. Our unit is to never use a bedpan unless it's a hip fracture or pelvic fracture on bed rest. Patients look at me like I've grown a second head when I tell them they have to get up and use the bsc right after sx. If you have a pt on traction, it must be released q2h to check for neuro and skin integ status. PRN pain meds are given around the clock (sometime even q1h). These people are in a lot of pain. All the cervical fusions must be checked q2h for tracheal shift, difficulty breathing/swallowing...I give a lot of blood on my unit. When hanging the unit you must stay at the bedside for at least 15min to assess for adverse reaction and of course this doesn't include the time with paperwork, getting blood from lab, prep etc. All pt must get oob day of sx or at least dangle at beside. I am constantly bladder scanning and straight catching patients. We receive patients from pacu a lot who are barely stable to come to the floor and end up transferring a lot to ICU later for symptomatic hypotension that just doesn't improve. I have patients faint often, go into afib with rvr etc. You must always assess for compartment syndrome in all patients. Fractures like to throw fat emboli from time to time. Over sedation happens. DVTs/PEs happen. I have to walk the joint replacements q1h until 8p. It's physically, mentally and emotionally draining. I could go and on...
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How Is Your Census?
Our census is high because everyone has their deductible paid (elective ortho surgeries). It's awful, but I'm getting OT like crazy.
- Flushing IV line
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Flushing IV line
My facility requires at least 15ml. Each facility should have a protocol I'm place.
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Doing away with Scrubs
NO WAY I'm going to change an incontinent pt in my business clothes. Pffff, what are they thinking?!
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Need a Nurse to Interview
Call a local hospital and ask to speak with a nurse in infection control. Every hospital will have an infection control dept. Sorry, but I would not feel comfortable doing this without my employers permission, and even them I would provide my name and credentials.