Mandychelle79

As I was in psych then went to med surg I usually get hey we made sure room 4 was in your assignment

Basically since it says you have 1000 mL you will pour out 90 and mix with 110 for the total of 200 like you had posted.

I work nights. I hate to wake people up unexpectedly. I combine as many of my med passes as I can at one time. When I'm doing my assessment I tell them about what times I will need to bug them. At the same time letting them know if they need something before that just to call. So I may say Mr. Smith I will be back in about an hour with your bedtime pills and I will be in at 11 to empty your drain. Good news is that I then can leave you rest until 5 am when I have your antibiotic, and it's IV so if you make sure I can scan your band and access your iv site I barely have to bother you. if you need your pain meds or anything though please call out. If there pain has been not well controlled I offer to wake someone when the PRN is avaible to try to get them to the point that they don't need the breakthrough medication.

As a nurse, I medicate per pt rating and my facility uses numeric scale. I tend to increase the scale if I walk in the room, look at the patient and say I can see you're in pain, how bad is it, because I typically get a 6. As a patient I have found saying I'd rather give birth without an epidural again (I was having a gallbladder attack) was a way to accurately describe the pain because 6 baseline 8 when in a spasm wasn't being understood.

I only care when the LBM is if they are being admitted for something like lower abdominal pain, illeus, etc. most of the time I'm asking people not to read me the computer screen. Give me he basics because this is most likely not my only admit of the night.

Honestly, by nature I'm a snarky individual who can be very blunt and apparently has a deamenor that warns others to not even try. I've had patients and families "warn" me that they were demanding patients and were going to make my night hell. My typical response is I worked in psych for 7 yrs so it takes a lot. That alone (especially those who have been on bu before) usually curbs most behaviors. I also don't get into a power struggle... you don't want scds, fine, here's the possible consequence. I use empathy and tell patients the truth... I don't mind calling your pcp regarding pain, however they gave deferred all pain medications changes to chronic pain service who has not been here to see you yet, has noted this, etc.

I would have waited an hour, called in as Ali, said luckily my plane had a lay over, and rescheduled. But I call places as my mom all the time (with her permission/ asking me to) since my hours allow me to do so.

Yes it is overtime (or should be) but I don't think it's considered like being Mandated is

I only work nights... 1:6is normal ratio... days is 1:4-6 with charge with no assignment to help

Coming from someone who addiction has been forefront the majority of my adult life (friends, family) I find this shirt to be the kick in the gut some parents need. One of my uncles would make comments basically saying how his kids would never get into that. Two of my cousins had known addictions. One of them is clean, raising a family, and is doing well. The other one died from sepsis while starting her recovery journey, leaving behind a daughter. She was the child of my uncle who swore up and down his kids would never.

i could see how self scheduling could reduce calloffs. Depending on the units policies. At my last place of employment when I was hired we were allowed to request it's less than 3 days per year. Now where I am we are allowed to request 7 days off every 6 weeks and we have "self scheduling" I have that in quotes because the higher ups can change/deny my schedule requests. If I want more than those 7 requests I purposefully schedule myself off the days that I would like (I say my requests for drs appointments and things that are a need off vs a want). If my request off was denied, I couldn't find a person to switch and couldn't change/find a family member to help, I'd be calling off.

We get back/neck surgeries, falls, and yeah everything else

Honestly other than the weird chronic things my kids have going and need to see specialists for my kids miss very little school due to illness.

What shift?

I'm sorry you experienced that. I used to think it was only mental health that was broken but after just 5 months of med surg I guess it's across the boards. Pts admitted because PCP can't get them in in a reasonable amount of time. It's frustrating.