smartynurse

smartynurse

neuro, trauma, med-surg

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All Content by smartynurse

  1. About TB

    if you have been exposed to tb and have a positive ppd that does not mean you can no longer work in a healthcare facility! You may have to take abx treatment, and will be followed by the health department. So, number three is wrong! TRUE or FALSE ...
  2. tb isolation-forgot to put up sign

    the patient wore a mask up to the floor. Once he was in the room it was removed, the negative pressure was ordered/started. this particular room has an "ante"room, so no cart in the hall. thanks everyone, I have moved on from this, the hospital can k...
  3. tb isolation-forgot to put up sign

    hi, I have lost sleep last night worrying about something that happened at work. I am an agency nurse. A few weeks ago I cared for a patient who came up from the ED. The patient was being admitted because he had a cough for one month and the day of...
  4. Nurses who are deaf, partial hearing loss?

    cardionics has an electronic stethescope which can be used by hard of hearing and those with cochlear implants. It costs about 400 dollars. You may be able to get help with the cost through the department of rehabilitative services (if there is a dep...
  5. tb isolation-forgot to put up sign

    sorry, I knew that!!! and thanks everyone for your kind responses!
  6. Commuting to DC

    It depends on the time of day you will be driving...it should not be too bad if it is early or late..meaning if you need to be there at 0700, you will be early enough to beat the traffic. Night shift could be a problem. Randallstown is about midway u...
  7. Do patients and families affect your morale? Have you encountered situations which left you feeling demoralized, insecure or denigrated? For example, how many of you have had family members write down everything you do, from the moment you come in to...
  8. agency pay rate not stated

    Hi all, I am feeling a bit insecure about how I handled a situation today. I recently was hired by a per diem agency, have just moved to this area in northern va.. I was told (multiple times, very clearly) by the recruiter, including when I went i...
  9. Dangerous Unit?

  10. Potomac Hospital

    well, there is more agency there than i could believe. the system is antiquated (in my book, i'm used to computerized orders, etc;). The doctors run the roost, you have to call attendings for everything, they have intensivists for their ICUs, I don't...
  11. Med Error Question

    this was a benign error...i have made mistakes too..i also was penalized for it very harshly, even though i did all the right things...just learn from it and pick your battles...if you make a major mistake, own up to it, but i'm sorry, if it was that...
  12. know your policies and procedures, such as when you are giving an IV drug for any blood pressure or cardiac issue, especially if you are on a med-surg unit. do not let the doctor try and slip something by you. Also, the first thing you do when you st...
  13. I Would Like Your Opinion

    do you think you have an ethical responsibility to report this nurse? is there someone you could above and beyond the managers you have spoken to? I just wonder if you should, as it does affect other patients...if something happened to one of her pat...
  14. shootings and mental health

    Interesting that you mention that...I guess in my experiences and what I have learned in reading is that the South Korean culture is very closed to mental illness. That was something I thought of right away when it turned out that he was a child of a...
  15. shootings and mental health

    I agree, that mental health issues in particular are still not addressed well here in the U.S. But I wonder if they are addressed well in other countries and cultures around the world. We are a pretty open society, all considering. Your personal sto...
  16. shootings and mental health

    They didn't fail, because you or I could voluntary commit ourselves to an inpt. psych unit for depression at a low point in our lives. If the law did as you say it should, we then would not be able to buy any gun for ever. Also, the mental health c...
  17. I need some help please!!

    What type of unit do you work on ? Think of various activities/interventions that you do there: are there any that could benefit from EVB? An example would be: if you work with trach patients, do you use saline irrigation? There is EVB out there that...
  18. Potomac Hospital

    are you a new grad? I am moving to NOVA and decided to sign with an agency-contemporary nursing solutions in springfield,va. They said I can have as many hours as I want at Potomac and the pay is great! If you have experience you may want to call the...
  19. shootings and mental health

    I am not so sure this could NOT have been prevented. It will be interesting to see exactly how this ends up. Questions: once Cho was sent to mental health facility and subsequently released, was he followed by university officials? Was there any tie ...
  20. nailbed pressure

    Still was being done at the trauma unit I worked in in Baltimore 12 years ago!
  21. I can't get a job, i'm so sad.

    I agree, well said. I would like to add that perhaps you could continue to work as a nursing assistant, and meanwhile find a place that assists non-native english speakers with language issues. I know at the school of education at univ.of virginia, t...
  22. Is it just me or is this offensive?

    Well, it doesn't have to be...that is why there is a Center for Nursing Advocacy (nursingadvocacy.org), why nurses need to respond to those comments personally and publicly with thoughtful, intelligent answers! Education!!!
  23. HELP I am freaking out!!!!

    do you need benefits? how about doing float pool or per diem? Then you could make more money and work less hours...or, the chances of you working on days/evenings could be better...what type of work experience do you have? There are other places you ...
  24. Another 'nursing burnout' thread

    This is an interesting thread, because nurses aren't allowed to be irritated with families!!! Why, they are our customers! And customers are always right, right? Anyway, American Chai mentioned something about support systems for families! In my hosp...
  25. What in the world does the ANA do?

    many of the active participants in state nursing organizations are nurse executives (read chief nursing officers, directors of nursing, etc.). There is a lot of politics in the ANA/state orgs. They really are much more enthusiastic about educating mo...