tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    Fired because they "can't afford me"...now what?

    tyvin replied to AngelfireRN's topic in General Nursing

    OK; file for the unemployment right away, get a reference from him and carry on. Don't burn your bridges in any way as it will only come back to bite you. I know it's hard but you have to look at it...
  2. tyvin

    Discharge instructions

    tyvin replied to leejmac's topic in General Nursing

    All discharge instructions these days are written out usually in detail so the nurse and the patient can go over it and both sign. As a nurse never sign off unless you're sure the patient understands...
  3. tyvin

    Intramuscular injection technique tips

    tyvin replied to dedicate's topic in Patient Medications

    By trial and error you will develop you own technique. I've hit bone with an small frail elderly person's deltoid once. Before you shoot look at the arm and access; is there much muscle, are they...
  4. tyvin

    So where are RN jobs right now...

    tyvin replied to neophyte's topic in General Nursing

    http://www.staradvertiser.com/business/20101003_Nurses_in_ample_supply.html
  5. tyvin

    Ever hear of such a thing?

    tyvin replied to LatinGirl's topic in General Nursing

    Something like that shouldn't fly where you are; at least I've never heard of such a thing. The MAR is a "legal document" and is treated as such. That means there's no erasing and it should be in...
  6. tyvin

    Experience Nurses

    tyvin replied to ttpurtee's topic in General Nursing

    It is my opinion that Obama care will be the end of the RN as a in-demand source. It has been happening for the last 15 years for cost containment that CNA's, med techs, etc... are being skilled in...
  7. tyvin

    Which job should I pursue?

    tyvin replied to pickwicksyndrome's topic in General Nursing

    ER; they're always open and in
  8. tyvin

    RN--TO LPN

    tyvin replied to shynurse's topic in General Nursing

    I took a CNA position to start when I was a new RN grad. I had waited and no one was hiring an RN that had no experience. I found an agency that would hire me and got the CNA certification which was...
  9. tyvin

    Would you (an experienced nurse) help me? Please?

    tyvin replied to amara827's topic in General Nursing

    What type of program are you in? What type of prerequisite English composition courses did you take for the program? Can you take from multiple sources or are you suppose to have an interview with one...
  10. tyvin

    Lost and need some direction.......

    tyvin replied to awise0003's topic in General Nursing

    You better strap on some thicker skin and rock the boat if you're going to be a
  11. tyvin

    Choking in LTC

    tyvin replied to NurseSuzann's topic in Geriatric, LTC

    Resolving choking is considered a comfort measure and should absolutely be done. DNR's are very specific as to what measures should not be instituted meaning when they stop breathing you let them go...
  12. tyvin

    Waiting to hear today if I get a 2nd interview...

    tyvin replied to winter_green's topic in General Nursing

    Congratulations! Don't start second guessing yourself now; wear something similar to what you wore the first time and as far as brushing up did they give you a general nursing knowledge test on the...
  13. tyvin

    A Word to the Wise

    tyvin replied to KateRN1's topic in General Nursing

    Oh yes; this age of modern technology is awesome but at the same time anyone can look. When I post I don't use my real name as the screen name and I don't divulge private client information. Nothing...
  14. tyvin

    Leaving issues for daylight shift

    tyvin replied to rnto?'s topic in Geriatric, LTC

    In addition to my other comment when or if you are going to call a doc outside of his office hours when you call have all pertinent info available to you. Sometimes they don't remember the patient or...
  15. tyvin

    Waiting to hear today if I get a 2nd interview...

    tyvin replied to winter_green's topic in General Nursing

    Well I hope everything works out but be prepared for them not to call at all. Some places even with the best intentions don't get to everyone that applied and will send a letter for denial. Did they...
  16. tyvin

    LPN practicing outside of scope

    tyvin replied to Anonymous7118's topic in General Nursing

    In Hawaii LPN's cannot hang blood as last I knew. I don't know about your state but as said previously it is your duty to report if this is indeed not something an LPN can do in your state. I have a...
  17. tyvin

    Leaving issues for daylight shift

    tyvin replied to rnto?'s topic in Geriatric, LTC

    Have you been calling the docs at the wee hours of the morning for non-emergency concerns? Well where I am from we definitely don't do that. As an RN you should be able to decide when to call and when...
  18. tyvin

    Death and taxes...

    tyvin replied to Barras's topic in General Nursing

    Oh I would love to see your face when you get the first check. I suffer bi-monthly from sticker shock syndrome. It's when you get your check and look at all the state, federal, medicare, social...
  19. tyvin

    How do you teach students on the floor?

    tyvin replied to darcicat's topic in General Nursing

    I hear you. My thing is when I had students I would make sure the "teacher" was on sight and involved. It's been awhile since I've trained anyone but don't their instructors come with them and don't...
  20. tyvin

    i am not crazy

    tyvin replied to nsaids_nurse420's topic in General Nursing

    Remember assume has the awful reputation of ASSuming and when you do it makes an a s s out of you. Anyway; what happened to you is not unusual with the short staffing in places not being resolved by...
  21. tyvin

    tired RN venting

    tyvin replied to AndieWoke's topic in General Nursing

    Unfortunately since confrontation is what some people thrive on it's a part of nursing as well. Get some skin going and don't let that person keep running you over. Everyone needs to know that it's...
  22. tyvin

    CNA straight cathing and giving suppository?????????

    tyvin replied to Stone06's topic in General Nursing

    CNA's and the like accept this ever increasing responsibility of patient care. It's done because of cost issues. Employers aren't about to compensate CNA's the way a licensed nurse is. The whole idea...
  23. tyvin

    Question on urinary incontinence.

    tyvin replied to dudette10's topic in General Nursing

    She could be assessed for OAB and the medication from that decreases night trips to the bathroom. Also I know of one case similar to this where the person was put in a one piece jumpsuit type pajamas...
  24. tyvin

    Toradol/ketorolac for major trauma pts

    tyvin replied to back2bRN's topic in Emergency

    That would be a no. The doc is probably one of those that doesn't like to use narcs so goes for the high-end NSAIDs like Toradol. So what happened? In this case I would've brought the matter to the...
  25. tyvin

    Why such a difference in pay????

    tyvin replied to Sl1011's topic in General Nursing

    Sounds like they're already playing games. Your concern is you don't have much to negotiate with; meaning you have no experience. BTW; it is most places rule that staff do not share what they make. I...