HeySis BSN, RN

PACU

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All Content by HeySis

  1. HeySis

    New nurses without clear career goals

    I don't think there is any harm in not wanting a specific path in nursing... I think a lot of people that want a certain dream job are surprised when they finally get it that it's not everything they...
  2. HeySis

    Will this affect my future career as an RN?

    I had quite a few people in my nursing class that already had jobs lined up after graduation because they were internal candidates....It was a bit harder for those not already working in the hospital...
  3. HeySis

    How has nursing changed you?

    I agree ^^^^ (and I should be more wary of excess sugar... enough that I stop eating it!!) I do think that nursing has allowed me to see into "windows" of others lives that I would otherwise never...
  4. HeySis

    Is this a legal/privacy issue?

    I'm not sure what DOC stands for, but CNA's need to be supervised by a nurse, not everyday... and Assisted Living Facilities rules defer by state on how often an RN needs to be at the facility. But...
  5. HeySis

    ACLS skills session - any insight

    Not sure what to look for in the online skills session... mainly due to not knowing if you'll be with a group of people or not. When we do ACLS in person in a group, we run the mock code as a group...
  6. HeySis

    This is not what I thought it was

    My Store has a spot where they actually watch you walk and run... the squat down so they see the way your lifting your feet and putting them down along with knee alignment. They have you do one footed...
  7. HeySis

    Best route to PACU/Outpatient Work

    MY PACU hours are the most inconsistent hours I have ever worked in 25 years of nursing. Suppose to come in at 7 and then the first surgeries are all long ones so get pushed back to 8. Suppose to go...
  8. HeySis

    When is cardiac clearance needed?

    I know there are certain diagnosis and medications that flag our pre-op nurses to order certain labs and or EKG. Any diuretic the patient has to have a K+ drawn. Anticoag's = PT, INR & PTT ( even...
  9. HeySis

    online PALS

    I would check the listing in your area, some will say PALS, or ACLS required.. but for some areas those certifications won't help you as an LPN because you are not able to push IV medications, so...
  10. HeySis

    Senior Preceptorship in Pediatric PACU

    OP, have you started yet? The PACU is a wonderful environment to learn so much. Make sure you have set goals and ask your preceptor to look them over, tell you what is reasonable and what other goals...
  11. We raise the head of the bed as high as the patient will tolerate and place ice lightly on the bridge of the nose. I will often use an eye mask ice bag, not overly stuffed, because they have a strap...
  12. HeySis

    Ambulating post op day zero

    So many of these laparoscopic surgeries go home the same day (lap choley, lap appy, tubal ligation done laparoscopically, Lap hernia repairs). And they have to get up and walk before they are...
  13. HeySis

    Many nurses do not chart?

    I rarely have to write a nurses note anymore.. when I started in nursing it was all SOAPIER notes written in a specific color ink to show which shift you were. The charing system I use now looks like...
  14. HeySis

    Considering PACU job after postpartum maternal/newborn

    I agree not an "imposter", but new to PACU. Great thing about PACU training is that it's an open room (all the ones I have seen are, may have curtains.. but still pretty open) and even after your...
  15. It would certainly depend on the patient.... If they are not awake and all vitals are stable I don't even try until I have completed my first assessment and charted it. I also stay at bedside during...
  16. I give phone report to the floor (from PACU) before I move the patient up there. I will report behaviors such as Pt pulling at lines, if family is not up to the challenge will want to call in...
  17. HeySis

    too many post-ops?

    I actually think those are pretty good ratios and manageable. It will certainly keep you busy, but as you get into the swing of things you will find that a lot of your tasks, assessments and charting...
  18. Some of my best instructors were the ones that were still working at the bedside, why? Because they had practical experience and the stories of those experiences that helped us learn why we do those...
  19. So many people have pointed out really good stuff here, (advocating, listening, grief counseling, competency.....ect.) so rather then repeat I want to add two things. 1. Yes, please do medicate pain...
  20. HeySis

    Nursing School Needs Repair (And Why I Quit)

    I have never heard someone talk about their nursing program being extremely organized, my LPN program was more organized then my RN program. in the RN and BSN program a lot of the instructors are...
  21. HeySis

    What's your best 'Nurse Hack'?

    Yaunkeer hooked up to suction for people who say "I'm feeling sick". I suction vomit right from the mouth... so much better then having to clean up a bed and change gowns... I was surprised when I...
  22. HeySis

    Help me choose the days I work/schedule

    Seems like you've made decision and really don't need our help picking your days. Tips for 12 hour shifts. Plan your meals ahead. Plan on errands and shopping on one of your days off each week. Prep...
  23. HeySis

    Nurses with children always go home early?

    If you work in the US.... 1. It is illegal for your employers to not pay you for the time spent on the clock. 2. It is illegal to work off of the clock. This should be addressed with your employer...
  24. HeySis

    8 hour shifts?

    When I started in nursing it was all 8 hour shifts (and each shift wrote their nurses notes in a different color ink so you could easily look and deliniate each 24 hour period). Going to 12's was hard...
  25. HeySis

    I'm TERRIFIED to start working again!

    First of all remember that being scared of something new is pretty normal for most people. Don't beat yourself up about that. Second, get a date to sit for your test to be a CNA, then when you...