VANurse2010

VANurse2010

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All Content by VANurse2010

  1. What does TID PRN really mean?

    VANurse2010 replied to PolishGirlRN's topic in General Nursing

    Disagree with paragraph 2. TID scheduled means scheduled on a pre-determined TID schedule. TID prn isn't the

  2. New nurse in the CVICU at a level 1 trauma center

    VANurse2010 replied to smithRN16's topic in Critical Care

    Not all ICUs are inappropriate and immature like this. Seems to be more common behavior in SICU and

  3. What does TID PRN really mean?

    VANurse2010 replied to PolishGirlRN's topic in General Nursing

    TID does not mean q8H - it means three times a day - the doses don't have to be equally spaced out. As long as your *assessment* doesn't reveal a contraindication to giving the medication, go on and...

  4. charting times

    VANurse2010 replied to Mr. Murse's topic in General Nursing

    I'm ok with that kind of charting for hourly rounds, turns, minor assessments (IV patency etc.), VAP bundle etc. but I won't fudge my times for my actual physical

  5. How is it fair to put PRN nurses on call?

    VANurse2010 replied to sarabear44's topic in General Nursing

    Is it fair to cancel PRN nurses for low census? Absolutely. Is it fair to force a PRN nurse to take call? No. PRN nurses should only be on call if they choose to do so - otherwise, in my view, as...

  6. WHAT TO DO...Nurse is refusing to give PRN medication

    VANurse2010 replied to purplenurse1's topic in Geriatric, LTC

    Perhaps, but we really don't have enough information to judge that; either way, this patient needs a workup instead of having Zofran slapped on them q6h

  7. Abuse/ negligent med error?

    VANurse2010 replied to Gracia69's topic in General Nursing

    The nurse should have just given the med herself and the med tech reported to management for appropriate handling. Giving an 0800 med at 1130 is not a BON

  8. How is it fair to put PRN nurses on call?

    VANurse2010 replied to sarabear44's topic in General Nursing

    I don't have an issue with PRN nurses being cancelled for low census - that's how it should work. I don't agree with PRN being put "on call" unless you are given the option to take call or be...

  9. Going into the ICU as new grad

    VANurse2010 replied to NURSEJSS's topic in Nursing Career

    10 weeks is too short for a new grad. 10 weeks is roughly what an experienced floor nurse transitioning to ICU should get. At my hospital, new grads in critical care get 20 weeks, if that gives you...

  10. WHAT TO DO...Nurse is refusing to give PRN medication

    VANurse2010 replied to purplenurse1's topic in Geriatric, LTC

    I agree that the refusing nurse is jacked up, but it is not normal or appropriate to give anti-emetics q6H scheduled indefinitely based on subjective complaints. This patient needs a GI

  11. Medication Error: I feel stupid

    VANurse2010 replied to Smilie0809RN's topic in General Nursing

    I'm not seeing the medication

  12. How to Explain a Termination to Future Employers?

    VANurse2010 replied to RN_Erin's topic in General Nursing

    The fact that you self-reported for that ...

  13. California RN license by Endorsement Issues!

    VANurse2010 replied to Bagheera's topic in General Nursing

    I unfortunately have heard of this issue and frankly can't believe that California is allowed to do this. Full faith and credit clause and

  14. Verbal Hand-off Reports - Are they no longer necessary?

    VANurse2010 replied to yr.pedsnurse's topic in General Nursing

    Well, it's policy where you are. Where I am, sending a patient up w/o verbal report would get you fired - since we're throwing that word

  15. Verbal Hand-off Reports - Are they no longer necessary?

    VANurse2010 replied to yr.pedsnurse's topic in General Nursing

    Well, not for anything but you don't have any evidence/research that the report-less system you're advocating is safer

  16. Verbal Hand-off Reports - Are they no longer necessary?

    VANurse2010 replied to yr.pedsnurse's topic in General Nursing

    In this specific case, I would side with the acute dialysis nurses. There is no reason why a floor nurse should get a verbal report on a presumably stable floor patient who was able to leave the unit...

  17. Verbal Hand-off Reports - Are they no longer necessary?

    VANurse2010 replied to yr.pedsnurse's topic in General Nursing

    I've left a job largely because of this nonsense, and won't work somewhere that does it. Fortunately, it's anathema where I am now not to call and give

  18. New Grad in ICU feeling terrible...,

    VANurse2010 replied to janelicurn's topic in MICU, SICU

    I've seen too many new grads make mistakes and too many floor nurses do well in the to ever believe such a mindset is

  19. Average salary for experienced BSN in Atlanta, GA?

    VANurse2010 replied to DesertSky's topic in General Nursing

    You will earn more than a new grad - but think $1-2/hr more, not

  20. 1/16 What I learned this week: Siamese Twins be Pimpin'

    VANurse2010 replied to ixchel's topic in General Nursing

    This is anecdotal, but I've taken BPs on many a dysrhythmic patient, and have *never* found a clinically significant difference between automated and manual BPs - although the equipment I'm talking...

  21. Using Both Ports Of Central Line

    VANurse2010 replied to NurseQT's topic in General Nursing

    Just because you say it's ok, doesn't mean it is. Isn't this fun?

  22. RN to MSN financial aid

    VANurse2010 replied to LotusPetals82's topic in General Nursing

    You can still take federal loans (but not grants) for a second bachelors degree, such as a BSN. I know because I've done it. Typically you can finance an MSN with graduate loans, which are...

  23. Using Both Ports Of Central Line

    VANurse2010 replied to NurseQT's topic in General Nursing

    It's a device that releases IV medication at a controlled rate. It's for home care patients so they don't have to become competent with an IV

  24. Using Both Ports Of Central Line

    VANurse2010 replied to NurseQT's topic in General Nursing

    I've seen people have immediate reactions to IV antibiotics, and just because your facilities don't ban it, doesn't make it good

  25. Using Both Ports Of Central Line

    VANurse2010 replied to NurseQT's topic in General Nursing

    Personally, I think it's bad practice to give them together unless you have lack of time or lack of lines (usually the former is related to the latter) - but to each his