P B and J

P B and J

Nursing Supervisor

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All Content by P B and J

  1. Question about BSN at WGU

    Racer15 is correct. My ADN program also did not require Stats or Chemistry. WGU added Stats and Biochem to my program as required classes. I definitely recommend checking out WGU, it was much faster and cheaper then alternatives for me, plus it works...
  2. Flexible acuity beds?

    We staff with our med-surg nurses (around half of them are trained), although sometimes it means our capacity isn't as high. The unit we place them on usually goes up to 20 patients. If for instance, we have 2 Adaptable Acuity patients (and no extra ...
  3. Flexible acuity beds?

    We recently implemented Adaptable Acuity beds in our hospital. These are on the med-surg unit and staffed by nurses with additional training. These nurses also have a reduced patient load. Our Adaptable Acuity beds are used for patients that don't qu...
  4. Pay renegotiation ideas needed

    I am the same way, I HATE confrontation, and don't want to come across as being disagreeable. I recently accepted a decent promotion, and when HR called to "officially" offer me the position, she offered me about $0.65 in raise. I (legitimately) paus...
  5. Calling them like you see them: Codes

    I actually called a code before the pt coded... I was talking with a pt and they seemed to suddenly act strange, my charge nurse happened to be walking by in the hall, and I asked her to call an RRT for me (rapid response team), (I didn't know what ...
  6. Jehovah witnesses and ADL'S

    I as well am unsure what you mean by affecting ADLs? JW's don't have dietary restrictions (unless health related or personal preference), and nothing else stands out to me other than the blood/blood products refusal. Can you elaborate on what exactl...
  7. How to be a polite patient/family member

    I work med-surg, and sometimes our aides have 12 patients each. Depends on the night, the floor, acuity, and lots of other things. But we appreciate when the call light is used. If someone stops me in the hall to ask for something, I feel like they ...
  8. Am I crazy for this?

    OK, I'll say it. Yep, you're crazy. Nosey sister-in-law not withstanding, you're 35... It's time to put your big girl panties on and grow up. Get a job, move out, support yourself, and then if you feel the yearning for further education go ahead and...
  9. Some questions for nurses?

    My only regret is that I didn't do it sooner. I was a stay at home mom of 4 for about 14 years before I decided to try nursing, but I was too scared. Bit the bullet and 1 year in, I am loving it, finding my place and my way, and feeling successful. I...
  10. Uncontrolled pain- how to approach the Doc?

    This. In my facility asking pharmacy for a pain consult is a nursing judgment. We call pharmacy, talk to them about pain management (or lack of) and they come do a thorough assessment, including gleaning info from the chart as far as current pain med...
  11. How is the night shift for a new nurse?

    Hello, I graduated last December as well, and have been on nights on the med-surg floor for about 6 months now. I love it :) If anyone tells you nights are easy, all the patients do is sleep, yada yada... tell 'em to kiss off... Night shift has issu...
  12. Negative Feedback from GN Interview - HELP!!!

    By the by... no feedback is negative if you learn from it!! :)
  13. Should I self report?

    I would think this would be a good question for your PCP, the one who has prescribed your methadone... or I guess I should ask where you're getting that from? You should self-report, and I think you think you should, or you wouldn't be asking. And p...
  14. Multidisciplinary rounds

    We do something similar at my hospital, only the nurses don't usually go to rounds. We report to our Clinical Leader (Charge Nurse), who then takes any outstanding issues to rounds. Sometimes the nurses do go too, mainly if the issue is complex and/o...
  15. Sadness after a child passes

    Devil's advocate here, It's not always "a fantasy" or unwillingness to accept reality... Sometimes it's "hope", and that hope is all they may have left.
  16. Math Question!

    Not going to give the answer but I would.... figure out how many mls of fluids the pt is getting per hour (oxytocin and mag combined), subtract that from 125, and there's my answer.
  17. reviews for MDF stethoscopes

    I bought one for nursing school, and thought it was good enough. Then one clinical day I needed it and had set it down who knows where and borrowed my nurses Littmann... no comparison!! For graduation I asked for a Littmann :) Hubby bought me a Littm...
  18. How to determine a Pt is incompetent?

    I learned about competency, or lack of, like this. Legally for someone to be competent there are several requirements: First, the person must have the treatment options explained to them in simple to understand terms (usually at a 5th grade level or ...
  19. Weekend shift premiums???

    $2.00 diff for nights $0.65 diff for weekends
  20. First semester over, and I survived to see next semester (although my GPA has taken a hit, I did my best and am proud of my grade!). Great feeling! We lost 2 people right off the bat, lost 3 more after grades were calculated, so it's pretty tough to ...
  21. Chemistry not required for nursing program?

    Just graduated nursing school... no chemistry for me, and I didn't take it in high school (even though that was almost 20 *gasp!* years ago). (Community college)
  22. Refusing to dissect in A&P or Microbiology?

    We came across this issue in my A&P II lab. One of the girls was a vegan, and wouldn't go anywhere near her groups table. We had fetal pigs in this lab. She'd have to take a phone call, need the restroom, gotta talk to so-and-so, anything but hel...
  23. leaving my job gave a 2 weeks manager very rude.

    The only thing no one addressed was the PTO... Since you can't cash it out, can't you use some of it before you go to get some of that time you need?
  24. Has anyone ever coded for you at clinical ?

    While I've never had a pt code, I will share an experience I had. At report, it was passed on that so-and-so in 15 was just a drug seeker. She had been post-op for 24 hours + and refused to ambulate farther than the bathroom, all she wanted was her p...
  25. Funny & Cute Things Our Demented Patients Say

    Just yesterday morning 2 of my classmates and I were doing vitals, and although we were told to wake anyone up that was sleeping, I saved the 1 that was sleeping for last. We knock, go in, tell her we need morning vitals, and says "I'm sleeping" whi...