All Content by MoisesRN
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Dialysis patient and IV fluid
This is not a yes or no question; the general principle is that you have to be careful on how much fluid to give to a patient who has an impaired kidney function and on Dialysis. They are at a higher risk of fluid overload with all the consequences related. But a patient with Acute Kidney Injury due to dehydration, infection or else need some fluid right the way to reset their kidney function; in this case fluid is critically important(do not stop it w/o Dr order), just count the patient' I & O's.
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Just said "yes" to a travel job and a prestigious hospital wants to hire me
What do you mean by prestigious hospital??
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Do Chiropractors Hires Nurses?
Some Chiro. are just a joke; I said some.
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private duty nurse
Sound like an easy job to me; the down side is that you loose your skills. Anyhow, who care about skills if you make your money!
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I just have to say this....
I have doubts about this post. It just too good to be tru; I hope I'm wrong. It's like one of those post to just create a discussion. I'd really like what part of the country this hospital is located... I know hospital makes money not by reducing patients-Nurse ratio, but by increasing it. If this is tru, then it's probably in western Europe.
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Mean Doctors....
I don't think you should worry about it right now. Your goal when you become a RN is not for MD to be nice to you. You'll be respected even by your peers when you know your job; reason as a scientist and present and project a professional appearance. In contrario if you want Drs to like you just because you show your curves and paint your lips, then you'll look unprofessional, stupid thus the door will be wide open to be yell at by MD's. I'm really not sure why Nurse always waorry about Drs attitude; they don't have to be nice to us...so long that they do their job. In my personnal experience, MD's that are portrayed to be "bad" are those that I end up liking the most because they usually ask pertinent questions before issuing an order and I like that.
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Digital/computerized charting...
I don't know any charting system that doesn't give you the option of making of your own comments. It's actually terrible and legally wrong to leave a particular section of the charting BLANK. Regarless of what unit the pt is admitted, a systeme by system pt's assessment is required. So, a pt may be admitted for a hip fracture, you still need his/her neuro, resp,...evaluation, not just a musculo skeletal or cardiovascular.
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Doctor wanted me to lie to patient...
It's great you well played your role as pt advocate. I just didn't understood the last part of your post; how the pt got Atarax? the same Dr prescribed it to him/her or was already in pt's med profile?
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FT job but travel nurse in summer?
It's almost impossible to have a summer of in my facility. As a matter of facts, when you take a leave of 2 weeks or more, you have to go through employee health for a physical just like any new hired. Employers loose money every time the let an emplyee go for an extended periode of time because the still paying benefits when he/she is on leave. It won't be a bad idea to have Nurses who choose to work only in the summer, allowing those who want to take summer off to do so. Just like "weekend options" Nurses, we could have "summer Nurses"...
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What does "+++" mean in narrative charting?
First, it's not part of the conventional med. vocabulary. However, in general interpretation, it means: a lot, more serious, bigger, ...etc for example: up with max assist you may see "up with assist ++++..." or confused++++ for a pt highly confused. You can go on and on. I must say that it's prohibited by JHACO
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Relocation Situation
I agree with sweetpea; ask the first job if the can give you more time to put everything together since you'll be moving then at the same time tell the 2nd job that you are more interested to join their organization even though you have an offer in hand.If you can convince the 2nd job to move up the interview, then you'll be able to make a better choice. Good luck to you. PS: I'd like to know the state as well; am not sure why you are keeping it a secret...