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chemdawg MSN

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chemdawg's Latest Activity

  1. CNN is all I needed to see.
  2. chemdawg


    Thanks for the feedback. There is always verbal consent on everything we do, if it is feasible. I am looking to hear how others are doing it to determine if it is worth looking into a possible policy change down the line. I have only been at this system a year, the previous place I mentioned was in another state 8 years ago. Basically in 10 years of nursing, I have yet to give it , but recently had a patient needing it.
  3. chemdawg


    Currently at our facility there is not a need to obtain a consent for IVIG. As this is made from over a 1000 seperate donor's blood products, and has a potential in causing a reaction in up to 30% of the population, is this current practice? I distinctly remember there being a place on the Blood Administration Consent for Immunoglobulin (IVIG), that you could select. Thanks for any input, most of the information I am finding is for other countries.
  4. chemdawg

    Insulin Administration

    Thanks for the input!
  5. chemdawg

    VA proficiency nurse III frustration & appeal

    If possible @ chemdawgg@aol.com. I understand the frustration with trying to make changes, but I am getting the hang of it!
  6. chemdawg

    Insulin Administration

    Nursing Students reported that a nurse drawing insulin for a client, had removed one unit too much, therefore they re injected the needle into the vial and returned it. I am trying to link to a site or article that shows best practice. Our conversation did talk about the possibility of cross-contamination, how insulin should be properly disposed of, and the dulling of the needle. As this is only one unit and I have seen nurses just eject it out of the syringe (not place it back into the vial). How have you seen it done at your facility for 1,3,or 5 units? Is it written in a hospital policy. I will reference the CDC's drawing up medication policy when we revisit this topic.
  7. chemdawg

    Caption This Cartoon Nurses Week Contest

    Are you sure they are gonna be ok with the side rails down?
  8. chemdawg

    VA proficiency nurse III frustration & appeal

    Definitely interested if you could send to chemdawgg@aol.com.
  9. chemdawg

    VA proficiency nurse III frustration & appeal

    Would you be willing to share your proficiency with me
  10. chemdawg

    Gloves? Is this acceptable?

    I put on gloves with the majority of my med passes because I know I'll be emptying urinals, hats, throwing away tissues, sputum cups etc. as soon as I finish the med pass.
  11. chemdawg

    Did you leave bedside nursing?

    I am still bedside and love it. It definitely is taking a toll on my body as I get closer to 50. I will soon have my MSN in education and know that I will take a cut in pay once I leave bedside due to the differentials. While bedside for some may be an entry level position, many new grads I know did not land a job in acute care, at the bedside, when they first started out. It is competitive and difficult work, physically and mentally. For now I enjoy the fact that I get to have time with patients and make a very good living for my family.
  12. chemdawg

    Does a 0.7 FTE at the VA accrue benefits?

    Thanks for the reply. I currently hold a 1.0 FTE but asked if there are any part time positions. I got the email over the weekend that stated there was an opening but I will not have management there till Monday to ask specifics. I was hoping to know a little more beforehand perhaps concerning PTO etc, but as I mulled over the idea there are so many additional questions relating to time vested etc.
  13. I am interested in accepting a 0.7 FTE at my current VA. I was wondering if any RN's currently work that FTE and if they still get PTO, paid holidays etc, even if at a lower rate.
  14. chemdawg

    ICU with a toxic environment

    Where I currently work there is a "culture" similar to what you propose here. I am not a new grad but work on a medical surgical unit in which the differing shifts look to tear down the other. You can walk into report and have 4 to 5 people from the oncoming shift not acknowledge or even make eye contact with you. Even after you have said good morning. I have to admit that it is very to be in that environment. Thank goodness it is only for 30 minutes physically but the constant CYA is there in the back of your mind as several look to bring attention to any perceived mistake you might have made to each other and the management. I am currently looking for ways to bless these, help them find joy and not let them steal mine. I look to the charge as a great resource and look for ways to help my comrades out.
  15. chemdawg

    Waiting for local Army Hospital

    Thanks! I have not done enough post to reply to messages but I appreciate the feedback. I would not mind a longer wait to start employment due to summer plans but I am willing to compromise to get started. My past experience I have been an SNT at a larger VA hospital and loved the population and even the nurses. Reading thru older post I have seen that some had the tentative offer rescinded due to the position being cut etc. I am hoping to be able to sign the dotted line in the next few months.
  16. chemdawg

    Waiting for local Army Hospital

    Thanks for the comments, just to update, my resume was forwarded to HR from the manager that wanted to hire me April 15th and I got the call May 1st with a tentative offer May 4th. I don't mind that it takes awhile just grateful to hear something back.

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