All_Smiles_RN

Can you give me an idea of how a typical day might go for someone who is a hospice case manager? The setting would be visiting pts in various nursing homes. Any info at all would be appreciated. Thanks.

I'm used to calling docs for orders and asking for certain things, etc etc. Being in the family member role is challenging for me. My toddler is being referred for a CT head with contrast as an outpatient. I inquired about a baseline creatinine level...

I recently transferred from a large teaching hospital to a small town one. One of their "rules" is that night shift must call the nursing supervisor after 2200 to get permission to call the dr. What kind of baloney is this?? I'm not one to follow rid...

I've heard they are doing away with techs and going to primary care nursing. There are also some floors that do team nursing. Not sure about the pay though.

Can you give me an idea of how a typical day might go for someone who is a hospice case manager? The setting would be visiting pts in various nursing homes. Any info at all would be appreciated. Thanks.

I wouldn't say necessarily med-surg. Telemetry, PCU, cardiac step-down, etc would be better options in my opinion. Good luck in whatever you decide.

The other night during a code, someone asked me to try and get in touch with the family. What exactly are you supposed to say to them when you call?

If no one speaks the truth, how are things ever going to change?

So maybe that is your reality. Why subject yourself to an abusive employer like that? Why do employers continue to understaff? Because people allow it by continuing to work for those abusive employers. I hope you choose to move on to a safer environm...

For starters, for all those people who replied and said they manage 20+ patients normally, I think they're blowing smoke. That is by far not the norm. Please don't think it is. In my most overworked, dumped on days as a tech, the most pts I ever had...

Not an ED nurse here, but I just wanted to pass along some empathy and disgust. ;-) You guys are just way too busy to stop and write a little love note every 30 minutes. Come on now management, if you want us to have time to care for our patients, qu...

I know all about the dry chapped cracked hands... I avoid using the alcohol sanitizer in the doorway and opt for good old fashioned hand washing at work ;-) At home I use hand soap with moisturizers (like Dove) and moisurize frequently (Eucerin is my...

They are very similar devices. You get sent home with one for a few weeks up to one month to monitor for arrythmias. You wear a loop monitor continuously other than showering. When you feel lightheaded, dizzy, etc, you press a button and the unit wil...

On my PCU floor, we take set gtts and titratable gtts for rhythm and rate control. If titration is needed for BP though, they go to one of the units.

My teenage brother and my school age child are both cardiac patients. Both see a pediatric cardiologist. Do you have any childrens' hospitals in your area? Nurses specialize in the field as well. Good luck to you and your son.

After I completed my first semester of the RN program, I was able to be hired as a PCT. No testing required, just proof of schooling. You learn most the skills you need for tech work in your first semester. Then I oriented with an experienced tech fo...

A good orientation with classroom style learning with time set aside for the new nurses to talk about different experiences they are having on the floors and where others can offer insight as to what they might do next time, etc. Having workshops, su...

How long before you get the results? I'm hoping for the best for you!

If she really stole the meds, I highly doubt she would pursue anything that would draw more attention to her behaviors. My advice though, seek advice from an attorney.

I think most people in your situation would benefit from waiting until they have more experience under their belt. Besides that, everyone needs some time of to "decompress" from work. Don't run head first into burnout.

You infused blood and had fluids running. I'd say it's a risk for fluid volume overload. In time, you'll figure it out ;-)

We have this new initiative called Take 5. It is part of our job duties to spend 5 minutes of face to face time with our each of our pts. Is this a necessary rule? Um, I don't know about you, but I spend alot more than 5 minutes speaking with each of...

Just a side note to comment on something you said earlier... Please don't pull out a med and save it for later. This practice creates room for errors.

Teach them the importance of daily weights and how this simple measure may avoid hospitalizations.

Tell me about a time when you didn't see eye to eye with your manager. How did you resolve the situation? Tell me about a time when you recognized signs that a pt was deteriorating. What was your course of action? Tell me about a time.... you get the...