psu_213 BSN, RN

Emergency, Telemetry, Transplant

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All Content by psu_213

  1. psu_213

    Miserable nurses

    psu_213 replied to FutureNurse0201's topic in General Nursing

    In this case is it the entire hospital or just this particular unit? Any chance this nurse was pulled to this unit? Just curious, as this can put nurses in negative mood faster than
  2. psu_213

    First patient fall...

    psu_213 replied to Shawn4455's topic in General Nursing

    As others have said falls happen. Learn from it, try to prevent them in the future....but realize that they will still occur even with almost every possible intervention. Also, I want to second the...
  3. psu_213

    How long should you be a nurse before becoming a preceptor?

    psu_213 replied to nurse_kitkat1014's topic in General Nursing

    To echo the PP, it depends on the type of unit, the level of experience of the orientee (experienced RN vs. new RN vs. student), and the nature of the precepting (for example, shadowing vs....
  4. psu_213

    Gloves required for ALL oral meds.

    psu_213 replied to Leonardos's topic in Patient Medications

    I totally agree. Unfortunately, one pt puts "the nurse gave me my pills when she/he didn't have gloves on!" on their Press Ganey survey, and another senseless policy is born. I have seen that exact...
  5. psu_213

    Gloves required for ALL oral meds.

    psu_213 replied to Leonardos's topic in Patient Medications

    We refer to the closest psych facility by the shortened form of its name or by its initials. To me "mental hospital" has a bit of a negative connotation to it, but that is just my opinion...not that...
  6. psu_213

    Medication instructions

    psu_213 replied to marguerette123's topic in Patient Medications

    SN? As in student nurse? Did the SN advise the pt to restart the BP meds? As an outpatient? I would have talked to the doctor first to make sure he/she knows about the pt's noncompliance. Also,...
  7. psu_213

    Gloves required for ALL oral meds.

    psu_213 replied to Leonardos's topic in Patient Medications

    Just because a pt prefers it does not mean nurses should do it. I had a patient who demanded everyone who enters the room to be wearing an isolation gown. She was not on any isolation precautions,...
  8. psu_213

    Does anyone ever get tired of people thinking Nursing is easy?

    psu_213 replied to Nsco2018's topic in General Nursing

    I saw a family feud episode and then 'question' was "name something a nurse is good at doing." Amongst other things, people said "taking a temperature" and "putting someone on the bed pan." Neither...
  9. psu_213

    Use of cellphones while at work

    psu_213 replied to givxnchy's topic in General Nursing

    Just curious, what does this
  10. psu_213

    Interview Attire?

    psu_213 replied to supergirlnurse's topic in Scrubs, Uniforms, Gear

    I interviewed someone wearing a black leather jacket--no studs or anything--it was part of her outfit, it looked nice, I didn't think much of it. Well, during the interview, it squeaked and creaked...
  11. psu_213

    Nurse transition

    psu_213 replied to opi555's topic in General Nursing

    It really is a supply/demand issue. If there are lots of jobs for new grad RNs out there, you will be fine. If there are not, you, and many of your classmates, are going to have difficulty finding...
  12. psu_213

    Waking your patient when coming on shift?

    psu_213 replied to Gardeninggirl's topic in General Nursing

    You might not have meant it as such, but an ironic choice given the news of the real world over the past 24-ish hour. I do know what is not an SE of
  13. psu_213

    Needle stick badly handled

    psu_213 replied to MurseMan123's topic in General Nursing

    Is this a new regulation? In every ER I've been in, employees being evaluated S/P needle stick are registered under their names; their names appear on the tracking board, on the lab labels, on the...
  14. psu_213

    Help me pick a surgery to observe!!

    psu_213 replied to Sbhayes09's topic in General Students

    Do you know what your OR rotation will consist of? Not to be a downer, but my "rotation" consisted of standing in the corner of room for 2 surgeries. One was a hernia repair, the other a lap...
  15. psu_213

    Interview Attire?

    psu_213 replied to supergirlnurse's topic in Scrubs, Uniforms, Gear

    I agree with you. All I know is that every time I have sat in or heard comments from an interview, someone has commented on the applicants professional attire (or lack there of). I'm not exactly...
  16. psu_213

    Waking your patient when coming on shift?

    psu_213 replied to Gardeninggirl's topic in General Nursing

    Generally I think it should be up to the nurses clinical judgment to decide if he/she must wake the pt up for a routine assessment. If the doctor order is for q4h neurochecks, and the 4 hour mark is...
  17. psu_213

    Can you give a lesser dose than prescribed without an order?

    psu_213 replied to Faith1234567's topic in General Nursing

    They may not, and it may have been an overreaction by my hospital (shocker!), but this comment by the surveyor lead to 6 weeks of my staying late to complete pain med (and pain score) audits. Maybe...
  18. psu_213

    Treating Dehydration DT Physical Exertion

    psu_213 replied to NurseNurseNurseNurse's topic in General Nursing

    What is really unfair is that schools teach nursing students all of this. Then students are sent into EDs and other settings to learn real world nursing in their independent studies. And then?...
  19. psu_213

    Treating Dehydration DT Physical Exertion

    psu_213 replied to NurseNurseNurseNurse's topic in General Nursing

    My ED brain kicked in when I read the original question. In my mind, a man comes in via EMS after having a syncopal episode while mowing his lawn on a hot day. During the recent fluid shortage, he...
  20. psu_213

    Does it look bad to request to go prn from part time when just starting a job?

    psu_213 replied to mzsuccess's topic in General Nursing

    They might. On the other hand, they might just be happen with a PRN person who appears to be reliable. There is no real right answer, and only you know what is best for you. If you feel that the tx...
  21. psu_213

    The right thing

    psu_213 replied to garciadiego's topic in General Nursing

    I agree with others. If you testify, it has be to 100% factual, observed information. You could say "Nurse Sally [another nurse] did they same thing, and she and she never got in trouble, but [your...
  22. psu_213

    Is it better to have one preceptor or multiple preceptors in training?

    psu_213 replied to Roberta123's topic in General Nursing

    In one ED where I worked, the educator had a rule of 3...i.e., keeps the number of preceptors for any orientee to 3 or fewer. Personally, I see the advantage to having more than 1 preceptor. For...
  23. psu_213

    Treating Dehydration DT Physical Exertion

    psu_213 replied to NurseNurseNurseNurse's topic in General Nursing

    What other choices were there? Was NS an option? In my experience, almost every ED pt is rehydrated with
  24. psu_213

    Can you give a lesser dose than prescribed without an order?

    psu_213 replied to Faith1234567's topic in General Nursing

    My last hospital got "dinged" during TJC visit because the pt had orders: "Percocet 1 tab PRN for pain 3-6" and "Percocet 2 tabs PRN for pain 7-10." The nurse charted a pain score of 8 and then gave...
  25. psu_213

    Waking your patient when coming on shift?

    psu_213 replied to Gardeninggirl's topic in General Nursing

    If I am not mistaken, there was a thread here on AN a few years ago about whether or not a pt should be woken up to do a pain reassessment. After a long discussion, there was no consensus. For me, it...