felineRN

Just to clarify. I was not going to administer Lasix without an order. I was just stating that the order was in the works to silence the peanut gallery shouting Lasix! Lasix! A little background on the GI pt might be helpful. The pt had a stable h/h...

Thank you kindly! I'm actually starting in the ER in less than a week. I know the root of my problem lies in moving to a specialty with more "autonomy" or standing orders etc.. :) I do have interest in the ICU setting, but I am a bit of an adrenaline...

I firmly believe that most of my coworkers are not lazy and are not intentionally trying to be dangerous. It's just that training we get on the floor and the culture of the floor is such that we are rewarded for accomplishing a myriad of "tasks" in a...

Kool-aide: I'm not entirely certain, but isn't vaseline petroleum based and therefore a combustible material when combined with O2? I think that may be the reasoning. I'm looking it up as we speak!

Point taken. I guess that's why I'm asking for feedback. The other thing I should point out is that the actions I took in regards to fluids are not necessarily rule breaking as the MD put in an order to cover me. The other thing I'll bring up is tha...

http://www.skillstat.com/ecg_sim_demo.html In terms of tx. Any current ACLS manual has extensive info. You could even just purchase the quick algorithm pamphlet for simple and straight forward info without all the fluff. And ask if you are responsib...

(1): I hate to start off rather blunt, but here goes: Don't call in sick repeatedly. Do not fear bodily fluids. Have integrity, if you couldn't turn Mrs. Smith, be honest about it (on that same note, if we ask something of you that you can't complete...

I hath finally escaped from the floor and landed a job in the ED at a Level 1 Trauma Center! I've read up on the links for recommended reading, but what supplies do I need to purchase aside from trauma sheers? Anything you guys would suggest? Ive go...

Like others have said, mention it now! I had my daughter in nursing school. I had her (with an unplanned c-section nonetheless!) and was back in class 4 days later. It was rough, but it can be done! I understand you are planning to be done before the...

Lake Region State College: Devil's Lake, ND. They have dorms on campus and a lot of student life activities. Plus there is little to be distracted by in that town It's super cheap too even out of state,=.

(1) A good manager is one who can see the forest for the trees or see things in context: So you didn't have a stellar night last night...A good manager would take note you had 7 pts, one care partner, and a repeat ams offender continually trying to ...

-Colace STAT... Trust me, it was non-emergent. -I love the MDs who order a Vanco loading dose stat and then put in orders for blood cultures an hour later... -We had an MD who kept putting in STAT urine C&S on a pt who was anuric w/ ESRD. And t...

I'm not sure of the cost to an individual. However, our non profit uses CE Direct which allows us to get hours on our own time and I've accrued quite a bit whilst in my PJs watching some mindless non-sense in the background. I really do like CE direc...

Situations like this bother me to no end. I hate feeling helpless as to intervene and waiting for the almighty MD to call back with orders that I was already anticipating. I hate being at the mercy of an MD for simple little things like this. Many of...

Thanks for all of the replies! In terms of PDA software: I am currently using Pepid RN Pro at the moment. I have to say it was very useful before micromedex came out with a free app. However, now that I have this information free of charge, it's hard...

Good Evening Ladies and Gents, I am interviewing for a position on floor 5A at SNGH. Any inside information would be great in regards to the floor itself. Thanks, BA

Big Brother is Watching YOU :chair::chair::chair::chair:

The ONLY times I say "sorry..." is if (1) I have to call for something ridiculous like a critical value which is better than the previous critical value 4 hours ago (we already knew about it) but I'm still required to call. (2) I'm calling 'again' d...

As said before, when you're getting > 10 reports on pts its tedious. We also have a "challenging" pt population where families/pts will interrupt to ask for ice/blankets/pain meds etc etc... There are other times where one must be delicate with he...

One thing I BEG of preceptors or those appointing preceptors: PUHlease delegate the task of precepting to those who like to teach! My preceptor clearly did not like to teach! She was under the assumption that nurses come out of nursing school fully a...

Ladies and Gents, Per your lovely suggestions , I'm bringing this up in the next staff meeting and have a little working proposal written. I also have chatted with some of the senior nurses who plan to back my suggestions. I also have taken to talk...

Be forewarned, this is half rant and half wanting some sort of advice or suggestion as to how to address this problem: I work on a very busy/heavy stepdown/med-surg unit on the night shift. Our unit is comprised of two long hallways with 14 room...

Thanks Ladies/Gents for your replies! I fear that one of the reasons our CNAs don't have phones is due to financial constraints. But hell, for my sanity, I'll donate a paycheck for the purchase of said phones! (Seriously!) I'm going to bounce my con...

Lets all grab our pitchforks and torches and throw her/him to the wolves! Sheesh, some of you people take 'The Internets' far too seriously. Notice how this topic snowballed before the OP had time to clarify. Retract the claws people!

My advice is dependent on whether your system is set up the same way in your facility: For head to toe, I generally hover over what the last shift documented (in doc flowsheets) and for each pertinent category (if nothing has changed or I concur with...