tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    Injury reports

    tyvin replied to flymomrn's topic in General Nursing

    Exactly! Why is this person falling all the time? Figure it out before you know who comes in to inspect ... anyway; fill out every time no matter how small. Please don't anticipate your medical needs...
  2. tyvin

    Can a RN...

    tyvin replied to SRT1115's topic in General Nursing

    Yes but be careful; you will be held to the standards of your
  3. tyvin

    Help please

    tyvin replied to Cheekylpn's topic in General Nursing

    Each state's BON differs so much it's extraordinary. Don't' worry; just write the letter and send it in. They cannot deny your license with that type of youthful offender offense on your record. And...
  4. tyvin

    I'm glad I listened to my instinct.

    tyvin replied to payang0722's topic in General Nursing

    What was the outcome. One thing I would like to teach you is that many older residents will have lung sounds without a disease process. That's why a baseline is always good to have. That's probably...
  5. tyvin

    G tube to gravity drainage

    tyvin replied to Vtachy1's topic in General Nursing

    If someone could answer that they would be a millionaire. An experienced hospice nurse can make determinations based on the patient, the patient's disease process, activity, the existing data, etc......
  6. tyvin

    Narcotic Counts

    tyvin replied to harry1814's topic in General Nursing

    It looks like you might have to trust each other ...
  7. tyvin

    Turning down overtime....

    tyvin replied to OgopogoLPN's topic in General Nursing

    I always turn down overtime due to the taxes they're taking from me. My checks are actually smaller with overtime because it causes me to be pushed into a different tax bracket. Depends upon how much...
  8. tyvin

    how hard is the math in nursing programs? how about the HESI exam?

    tyvin replied to codyiscool's topic in General Students

    It really depends on if you're planning on going into a BSN program; if you are then the university I went to required college level algebra in order to be able to take the probability and statistics...
  9. tyvin

    Describe your biggest failure and what did you learn.

    tyvin replied to nynewrn's topic in Nursing Career

    Several years ago an older women who was wealthy with lots of family was admitted to the very ritzy LTC facility I was working at. An aid caused the women to fall (the aid later admitted to me). As a...
  10. tyvin

    Offensive Nursing Behavior

    tyvin replied to carbaminohemoglobin's topic in Geriatric, LTC

    Are you actually filling out incident reports when this type of behavior is occurring? That's what needs to be done for documentation reasons for an investigation for outside sources since no one...
  11. tyvin

    Proper Skin DX

    tyvin replied to txdon's topic in Geriatric, LTC

    When we take verbal orders over the phone the doc tells us what the Dx is. We as nurses cannot diagnose and contact dermatitis is a Dx. There fore documentation should show compromised area blah blah,...
  12. tyvin

    failed lift test, may have lost job offer..

    tyvin replied to lovescapeRN's topic in Job Search, Interview, Resume

    This is not new. The job descriptions always have a caveat of x amount of whatever for so much a length etc... It appears many places are now implementing the policies. I was in an accident at work...
  13. tyvin

    medication error and got fired..what to do now?

    tyvin replied to efRN's topic in International Nursing

    Where are you from? I don't know about the steps the nurses in NZ take when an error is recognized but as you say the other nurse didn't receive such harsh treatment. It sounds outrageous to me....
  14. tyvin

    Rn license renewal incomplete

    tyvin replied to ode2BeRN's topic in General Nursing

    Where I live you can apply for renewal online but the fingerprint thing ... it was the employer who did that and the BON has never asked me for any fingerprint check. Are you saying where you are the...
  15. tyvin

    A Nurses Responsibility: Report Possible Narcotic Diversion

    tyvin replied to clebius's topic in General Nursing

    Well written response Bhavana; I see much compassion in your reply. I must agree with most of what you
  16. tyvin

    pre enployment drug test hospital

    tyvin replied to cas5anova's topic in General Nursing

    I don't know; only read the story on a news feed a few years back. It only shows how desperate some people wll become
  17. tyvin

    pre enployment drug test hospital

    tyvin replied to cas5anova's topic in General Nursing

    No, they don't watch you. They have temperature strips on the cups that are highly sophisticated and if it's off or even looks like it was hotter then normal and then cooled you do it over. There was...
  18. tyvin

    Nursing Student Lifetime Lifting Restriction?

    tyvin replied to Lynn52's topic in General Nursing

    The nursing jobs always come with a detailed job description. My last job one requirement was that a person be able to walk fifty feet carrying 25 lbs. No matter where you will be nursing they will...
  19. tyvin

    Documentation

    tyvin replied to curley64's topic in Geriatric, LTC

    Your place should have behaviour sheets to monitor patients who start or are admitted with behaviours. Where I worked when ever we wanted to track behavior for possible psych, Dx, eval or request meds...
  20. tyvin

    What Is It About The Number "Ten" and Dosage Errors?

    tyvin replied to DoGoodThenGo's topic in General Nursing

    I believe we're talking about mg per ml ratios. With my experience it's been done with the multi-dose liquid draw bottles of morphine that come in multiple doses ranging anywhere from 10mg per ml to...
  21. tyvin

    What to do now? Failed for the 2nd time! Help!

    tyvin replied to BSNRN15's topic in NCLEX Exam, Programs

    Get ready and do it again. You remind me of my friend; she finally passed on her 5th attempt. I can't imagine the stress but I applaud you for your effort. I know everyone tells you this but relax, it...
  22. tyvin

    Ativan...do i hold or give?

    tyvin replied to payang0722's topic in General Nursing

    You can hold the med for reasons you stated; just circle it and chart why you held it. Get the med changed to a PRN since you may still want it. When opiate free people go on the patch they will snow...
  23. tyvin

    STATE PSYCHIATRIC HOSPITAL..place for New Grad RN?

    tyvin replied to yikib38's topic in General Nursing

    State psych hospitals can be ... rough depending. I worked in one and was shocked at the behaviour and attitude toward the patients. I changed many things and it got really ugly but I know that place...
  24. tyvin

    Reapply a Fentanyl Patch?

    tyvin replied to wifeandmomoftwo's topic in Patient Medications

    Well sounds like the facility is supercalafragilistic uptight when it comes to the narcs. Like others, secure with clear drsg or change it. The changes are reflected in the narc count therefore...
  25. tyvin

    confused.

    tyvin replied to learning&yearning's topic in General Nursing

    Second interviews are common these