rn undisclosed name

rn undisclosed name

Telemetry, Oncology, Progressive Care

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All Content by rn undisclosed name

  1. FYI. Medscape.com

    Medinfonow is kind pricey! Is there a way to get it for free? $89.00 for a year. Yowza!
  2. Written up for false documentation...

    I'm not so sure writing that you are afraid of losing your license is a very good idea. Why let them know that? It just gives them power over you. I have never worked at a LTC facility as a nurse. I would never do that from the numerous stories I ...
  3. Would you feel ok as a patient at your own hospital?

    I work at a wonderful hospital and I am torn on if I would want to be there as a patient. Within our whole network we have the highest ratings (patient/employee satisfaction). Most of our docs our wonderful and I know who I would NOT want taking ca...
  4. Being late to work...

    Where I work you need to clock in by 7:00 or that is considered a tardy. Not too many people on my unit show up late with that policy. I actually like to get to work 15 minutes b/f my shift begins so I can take a look at all the labs and orders. ...
  5. Shouldn't Nurses Have the Power to Isolate Patients?

    We have a list that we follow. For example, if we are ruling out c-diff they are placed in contact isolation. It is a nursing decision for the most part. We can't just start isolating all of our patients just to block beds. Our docs don't care if...
  6. Trying not to get frustrated with a new grad

    I am trying real hard not to lose my patience with a particular new grad. He's probably been on the floor 5 months and I remember what it was like to be a new grad and I've worked with quite a few but this particular one I am having a problem with I...
  7. Trying not to get frustrated with a new grad

    I have already gone to the nursing educator regarding the insulin issue. I do not know if anything has been said or not. I was told they are keeping a close eye but that was over a month ago. The educator was helping me that day on the pt who was ...
  8. St. James

    Is anyone familiar with St. James in either Chicago Heights or Olympia Fields? I was wondering if their was anything you could tell me about those hospitals as I am not familiar with them. Thanks in advance.
  9. Ortho nurse or transplant nurse?

    What kind of transplant are you talking about? Nevertheless I would choose transplant. I think it's fascinating no matter what kind of transplant you're talking about (stem cells, bone marrow, heart, kidney, liver). There's so much to learn about ...
  10. on call/ low census status

    Since you work for such a small hospital I don't think there's too much you can do. The smallest hospital I've been at was approximately 300 beds so not very comparable. At my current facility low census goes to the person with the least amount of ...
  11. Psych patients on medical floors

    I will start off by saying I don't like dealing with psych patients. If I like it I would work in psych. It's just not my cup of tea. In my experience psych nurses don't like dealing with medical issues. So, my question is how to deal with these p...
  12. "We want a nurse who speaks CLEAR English"

    I am assuming you are talking about being in the US. Since english is the "language" of our country I don't think it's out of line. I know others will disagree about english being the language here because so many areas cater to other cultures. I ...
  13. Got yelled at by MD today

    I love to talk with hospice and palliative care nurses. I always learn wonderful things from them. There are many things we do as nurses that actually interrupts the dying process. It was explained anything you do that is not necessary actually is...
  14. Psych patients on medical floors

    I encounter psych patients all the time. It's impossible to not come across someone with a psych background. Just because I don't like dealing with acute psych disorders does not mean I have the above attitude you stated I have. I do treat these pa...
  15. Advice for dealing with manipulative patients who are frequent flyers?

    The contract is a really good idea. In 5 years I've only seen it done once. You just have to keep setting limits. Keep the AMA form ready at all times. If they're that unhappy they are more than welcome to leave. If they're asking for something ...
  16. interview w advocate!!

    As far as being drop dead gorgeous - that is a total lie. I do work with some attractive people but I would say the majority probably are not. I also don't work with anyone who is drop dead gorgeous. I myself am definitely not drop dead gorgeous. ...
  17. Some perspective on nursing profession bashing

    Well, it has its good days and bad. Unfortunately, yesterday I had a bad day with a very manipulative patient. But, to balance that out I also took care of a double amputee pt who was very grateful for everything I did (pain management, fluid bolus...
  18. Psych patients on medical floors

    We take care of the medical problems which I have no problem doing. Once they are medically stable we wait for beds in psych and it still takes forever to transfer them to psych d/t a multitude of issues (not wanting to take report, sometimes there i...
  19. Use of cell phone apps on the job?

    I've used it in a patient's room. Usually the calculator. The patient's know what I'm doing. Where I work people are pretty good and I don't see cell phones out very often except in the break room. I've worked at other places where employees alwa...
  20. Patient's addicted to narcotics

    I had a pt the other day that was addicted to dilaudid. I'll also assume he was addicted to xanax since he does take that 4x/day. He also takes several other psych meds. He requested a pain management specialist see him in the hospital so I had th...
  21. Patient's addicted to narcotics

    I didn't say he wasn't in pain. I said he looked comfortable, but, the pt stated he was in pain. I was using my subjective/objective assessment of this pt.
  22. WOW! The public really doesn't like us, huh?

    Well, I suppose they are not that far off. To an outsider it may look like all we do is look at the computer screen. But, what is going on when we are looking at the computer screen? We are going into pt medical records and charting their assessme...
  23. Patient's addicted to narcotics

    I am sure they do. I just think there should be a better way to manage someone's pain than dilaudid since it is more of a short acting medication. I have talked with pain mgmt specialists and they say if you have to take breakthrough pain medicatio...
  24. Changing from nights to days

    I am having a hard time changing from night shift to days. I start my new job today and even had 1 week off in between. I was doing 3 12s. I only did it for 7 months. It's not like a was a long time night shifter. My sleep schedule is so messed up. I...
  25. treating hemolyzed potassium level...

    Like 2 others have said it isn't that high. But, it isnt that high ESPECIALLY for a dialysis patient. Dialysis patients can handle fluctuations in their K levels much better than a non dialysis patient. Aside from the fact that it was hemolyzed. ...