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NurseyBaby'05

NurseyBaby'05

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  1. NurseyBaby'05

    Night shift not charting until 0000?

    Everyone does an assessment at the beginning of his/her shift, even if it's only four hours long, at my facility. Now, if I'm working nights and the person I'm following is thorough, I have no problem charting "Agree with above assessment" and then noting IVs, central lines, wounds, dressings, etc. along with any changes as my initial assessment. Four hours of a shift is awfully long to leave unaccounted for. If it's an uneventful shift, I use our hourly rounds, MAR, and other flowsheets to account for the rest of the shift. If there's a lot going on, I chart as needed on the nurse's note. (Everytime I call the doctor to address something, whether or not I received orders, what time Chemo/Blood/IVIG was hung and how the pt is tolerating it, what time it was complete, when the pt goes off the floor, changes in condition, etc.) IMHO, those folks that wait until midnight are setting themselves up for a huge fall when the sh . . . . er . . . . .stuff hits the fan.
  2. NurseyBaby'05

    Targeted by psychotic, manipulative patient

    If she gets physical again, call the police and have her arrested. That aside, get another job. Unless you are in the military and on a combat mission or a police officer, the occasional assault is not part of the job.
  3. NurseyBaby'05

    Staying late without pay

    Don't do it. If something were to happen to you, where you would become injured or ill from something at work, you would have no recourse with workman's comp because you weren't on the clock. Not only that, but once your workplace sees that you are willing to do this, then they will expect it all the time. Your managers also need to take into consideration that fact that you are a new nurse. You are not going to have the time management skills of a wiley veteran. There is a learning curve and they just have to accept that. You also need to have them remove the write-ups from when you were on orientation. You were doing what your preceptor instructed you to do. They also shouldn't enact something today and punish you for occurances that happened before the policy was enacted.
  4. NurseyBaby'05

    The Hospital Robot

    We have it at where I work. IMHO it's only as good as the human working in central supply that day. Sometimes it's awesome b/c if there's only one person working down there, they can still get your equipment to you. If it's someone that's going to blow it off, then they're not going to load things on the TUG anymore than they would bring things to you if it means making an effort on their parts. So . . . . for the million plus price tag, I don't think it's worth it. That money plus whatever they pay for a service contract could be utilized better elsewhere.
  5. NurseyBaby'05

    Port a Cath for IV fluids

    I don't see why it couldn't be used on the floor. While in the OR you will probably wind-up with one or more peripheral IVs though. I know our ORs want at least two readily available IV's at the ready. So don't be surprised if you wake-up with more than when you went under.
  6. NurseyBaby'05

    Can I be licensed if iI have been involuntarily committed?

    Definitely check before applying to a program. It would be a shame to do all that work only to be unable to sit for the NCLEX. Good luck!
  7. NurseyBaby'05

    What I Know About: The PITA Patient

    Definitely a believer that spending an extra few minutes at the beginning of a shift goes a long way. I also found that being straightforward helps. People can tell when you're being fake or trying to feed them a load of bs. The other thing that has been a huge help; especially with the "clock watchers" is telling them that I plan to be back @ xyz time, but to please give me a little wiggle room. I usually tell them that if I'm not back about 10 minutes past the said time to please call me in case I got tied up. I also ask them if they want woken-up for PRN pain meds or if they just want me to leave them be. Then it puts the responsibility/choice back on the patient. Now, do I go wake the pt every time who wants the q2h dilaudid every two hours? No, but if it's been more than three to three and a half hours, I check with him/her. Admittedly, there are some people that there is just no pleasing. Someone mentioned borderlines as an example. Those ones I just do my job, be as straightforward as possible, and let them do what they're going to do anyway. Then I remind myself that the shift is only 12 hours of my life. Also, those patients are the ones we try to rotate. And if the pt asks why, I tell him/her. Nicely, of course, but the message gets across.
  8. NurseyBaby'05

    Back to work after a loss of pregnancy...

    Don't know about the work thing b/c I work Onc, but I just wanted to say I'm sorry. :kiss
  9. NurseyBaby'05

    Anyone with positive night shift stories with infants?

    I was able to do it when we just had one. But when he got closer to two and the second one was born, it didn't work anymore. He figured out how to unlock and open the front door. I live in the city so the front door was about a sidewalk width plus 5 feet away. He could also undo the "child proof" locks. Even before that, I would doze off for a short while and wake-up with misc. objects piled on me. (With no memory of it happening . . . .btw) My system when I had the first one was to nap when he did. The afternoon before the first night, we took a nap together. I may have been up by 4pm, but in the morning at least I hadn't been up for 20+ hours straight. I would come home, nurse the baby, hand him off to Daddy (I worked every weekend) so I could sleep. He would bring him up every so often to eat. We all took a nap in the afternoon. That day I would try to sleep until the last minute b/c I knew I couldn't go to bed right away the next day. The morning after that was usually Monday. I would pick him up from MIL, hang there for 30-45 minutes to get a second wind and be safe to drive home. We would just have an day spent eating and sleeping after that. His morning nap as a newborn was about an hour. Wake-up, feed him, get something to eat and drink. Fight to stay awake for another hour or so and put him down for the afternoon around noon. Usually his afternoon nap was between 1 and 2, but not on those days. Dh was working 05:30a-02:00p, so sometimes he would join us for an hour when he got home. Then he would get up with the baby while I slept for another hour or so. I made sure not to sleep later than that though or I would never sleep that night. At about 6-8 months or so, his morning nap went by the wayside. Then I would just tough it out until 11 or 12 and just lay him down early for his afternoon nap. The one good thing about losing the morning nap was that he slept longer in the afternoon. I could usually get a solid three hours. Occasionally I couldn't wait until the afternoon and then Austin Powers: the Spy Who Shagged Me became my salvation. If I just couldn't stay awake, I would put him in his crib and put that on TV. For some reason he loved it. I think it was the music and all the wild colors. But that way if I dozed off, I knew he was safe and happy. That would get me an hour or so. Then I could hold him without feeling like I had a case of the dropsies. There's no good way to do it. You always feel like you're behind the 8 ball, but at least for me, it's been worth it. Now that I have two kids and the older one (the one who unlocks and opens doors) doesn't nap, I can't do any of that. They spend Monday mornings with my sil and their cousin. Dh drops them off before work. I come home eat breakfast and go to bed. I usually pick them up after lunch. We come home and I put dd down for a nap and ds in his room for some quiet time. Sometimes he falls asleep and I get to as well, but those days are rare. But at least I'm safe enough to take care them until dh gets home. I go to bed for the night after I put them down between 7 and 8. We pay sil approx $250 month. I consider it money well spent. My kids are safe and happy. I'm tired, but not a crazed lunatic. They get to grow-up close with their cousins. And I don't have to leave them with strangers. I know how she's raising her daughter and feel totally comfortable leaving my kids there.
  10. West Penn hospital consolidation to cost 1,500 jobs Tuesday, June 29, 2010 By Steve Twedt, Pittsburgh Post-Gazette Robin Rombach/Post-Gazette Dr. Christopher T. Olivia, WPAHS president and CEO, discussed the changes at a press conference. The jobs of up to 1,500 West Penn Allegheny Health System employees will be lost when its two city-based acute-care hospitals are consolidated, officials announced this morning at a press conference. Read more: http://www.post-gazette.com/pg/10180/1069090-100.stm#ixzz0sGWeeCH7
  11. NurseyBaby'05

    SCARED!

    If you feel like you know what you're doing from the beginning, you're probably not going to be a safe practitioner. A small dose of healty fear/respect is a good thing. You won't feel like you know what you're doing for awhile and that's a good thing. Nervewracking for you, but a good thing.
  12. NurseyBaby'05

    Will you add your patient in facebook?

    I'm not even friends with people I work with, let alone with a patient. Not that I've done it yet, but if I have a shift where I just need to pop off about something, I want to feel free to do so. Most of the people at work that are friends with each other are the b----y/cliquey types and I want as much distance from drama as I can. It's bad enough to deal with their crap at work. That's one of the things I dislike most about my job. Why would I let that seep into the rest of my life? I agree with the other posters too. It's just a boundry that shouldn't be crossed.
  13. NurseyBaby'05

    'Ignored' patient sues Las Vegas hospitals

    Right, but even just from some of the posts in this thread from people in the healthcare field, those words can so easily be misconstrued as the couple is looking for a payday. People reading about it in that area are potential jurors. Many of them without inside knoweldge of how tirage and hospitals work. His profession requires him to carefully choose his words and I think he dropped the ball.
  14. NurseyBaby'05

    'Ignored' patient sues Las Vegas hospitals

    their lawyer, jacob hafter, said the couple had hoped to reach a financial settlement with the hospitals. now, hafter said, they want to take their case to a u.s. district court jury in las vegas." their lawyer didn't do them any favors with that statement. even if they have a legitimate case, what that putz said is just going to be fodder to be twisted in the hospitals' favor. time for better representation. any legitimate reason they may have had to sue is going to be tainted.
  15. As long as you stay where you're at, no, you won't get a break. What you will get is into a dangerous situation where your license is on the line and an employer that won't give a sh, . . .um, er . . . .hoot. You've only been a nurse for two months?!?!?!?!? Get. Out. Quickly!!!! Not only is the situation bad, it's dangerous for you and more importantly for your patients. To quote Bruce Dickinson" . . . . .Run to the hills! . . . . . ."
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