VANurse2010

VANurse2010

Member Nurse
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All Content by VANurse2010

  1. vitamin k po 10mg ?

    Typically the dose is 5mg po (I don't know where you got 2mg), but for an INR like that I wouldn't automatically question 10mg. Check your drug guide.
  2. ER rushing patients to the floor

    ER nurses have never transported any but vented patients anywhere I"ve worked. Nice try.
  3. What is a Cardiac Surgery Step Down Unit Like?

    The best person to answer these questions is your unit director, but in general... Telemetry and step-down are the same thing in some hospitals, and in others step-down is higher acuity with lower patient:nurse ratios. Step-down may take more and di...
  4. Staff Development Coordinator

    Your opinion that you're qualified for this job is objectively false.
  5. ER rushing patients to the floor

    Are you people serious? The floor nurse is supposed to leave her other 4-6 patients to go transport a patient from the ED? Does your director have a picture of the CNO with a goat? Utter BS.
  6. Nurses pulling rank on assignments

    Really? You triple the travelers and floats first - the ones who bail you out of staffing clusters? What a s show of a unit.
  7. Nurses pulling rank on assignments

    None of those are legitimate reason except perhaps the orientee. I am an experienced ICU nurse.
  8. Hoyer Lift Issue

    Inform them that an order to use equipment against safety guidelines is not a valid order and you won't be doing it. Document the date and time of the conversation. You'll get nailed if you lie in your charting just as quick as if a patient gets hu...
  9. Staff Development Coordinator

    You are throwing out the "insulting" and "rude" bits to distract from the substance of what's actually being said. Frankly, the "tone" is irrelevant, and you're still not qualified.
  10. Staff Development Coordinator

    Don't confuse your getting an interview or even getting hired with actually being qualified for the job. They aren't indicators for that and you're not qualified.
  11. Staff Development Coordinator

    You are not qualified for that job, irrespective of your masters and administrative positions. You have to have some clinical expertise or at least a lot of clinical exposure. You don't have it. The other comment may have bene overbearing, but I fi...
  12. Almost fired for med error

    I hope you enjoy your moral superiority on the unemployment line.
  13. Annoying words/behaviours during report

    That's all well and good but it's not a "medication error" if the doctor's order doesn't match what they take at home.
  14. Almost fired for med error

    Why did you write it up if the doctor changed the order? Why do people insist on hanging themselves?
  15. Denied PTO for my marriage

    I get that, but this is supposedly a professional job and management should be a bit more collaborative with solutions. I would expect this type of condescension from a retail or hospitality outfit, not from a so-called professional environment. ETA...
  16. Denied PTO for my marriage

    This is far enough in advance that you should just find a new job and quit. I'm a little put off by all the advocates for putting the unit before your life, but that's the lay of (some people's) land I guess.
  17. Annoying words/behaviours during report

    This is all valid and I get the frustration. However, legally the med. rec. is ultimately the physician's responsibility. It is his/her job to ensure the right meds are ordered. Community hospitals especially like to dump this on the RN because th...
  18. Incident reports - who deals with this situation?

    Your manager is full of s. This isn't some interpersonal conflict over a minor policy. This is a major health and safety issue that involves documentation and BON issues - not something you "work out" with the coworker. Manager needs to do her damn...
  19. Horribly under staffed unit. What can be done?

    I sort of agree, but to me a unit where the director is taking patients on the floor is not a functional unit. *that* is a big red flag to me.
  20. I'm a new grad nurse

  21. I'm a new grad nurse

    In the event that you're actually serious and not a troll - you're not actually qualified as a new grad to really know what is a dangerous, busy, or inappropriate environment. So there.
  22. Annoying preceptor advice wanted

    Neither of those two require 12 narrative notes. Most EMRs have checkbox functions for this BS.
  23. When to call doctor?

    Typically you would document why you're not calling this result. This is has been allowed in every hospital I've worked in. I would escalate it, personally. And... dinged by whom? TJC and CMS do allow for sensible paging policies. If it's your f...
  24. code signs

    Tell us your thoughts first and then we can provide more insight. What have you seen thus far?
  25. Recommended experience for first time travel assignment.

    It's not rude, at all. Not even remotely.