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How Is this handled at your workplace?
See if they need you. If not, you go home and get paid for 2 hours.
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Inserts for shoes?
I used Dr Scholl's gel insoles on my old shoes before and it worked well for me.
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HIPAA violation
Yes, as it still violates privacy.
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Port protectors and scrub the hub
We use a different brand in our hospital - Curos caps. It is advertised to disinfect in 3 minutes. We don't scrub the hubs anymore unless it is obviously soiled or if it has only been 3 mins. So far it works well in our hospital and no central line related infection in our unit.
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Warfarin and Lovenox
Just like the other comments, Lovenox is given until INR is therapeutic (bridging). Based on your meds' high dosages, I would assume that your patient's weight is on the heavy side. We had 1 patient before with a very heavy weight whose coumadin dose needed to go up to 15mg til the INR finally budged. Some patient on high doses may qualify for an INR monitoring machine for home use.
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white boards in patients room
Our whiteboards have a space for weights because we are a heart failure unit. It is a quick reference for patients and nurses to see how they are trending, and reinforces our heart failure education program.
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Advise on jobs offered
Some hospitals take a while before they call back. They usually give you a time frame on when they are going to make a decision after an interview, so follow up on them if they are past those dates already. In the mean time, keep on applying! Good luck! :)
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white boards in patients room
I wish the space for doctors' names is bigger in our unit's whiteboards, especially if there are more than 5 docs on the case. I do like that our new whiteboards has something like a glass cover on it. Our old whiteboards did go old over time, with the whiteboard film peeling off after years of use.
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Pros and cons of the shift
I posted this before on an old thread: Days: Pros: 1. Normal sleeping pattern 2. More adequately staffed (some hospital have different nurse/patient ratio for RNS and CNAs for days and nights) 3. More resources (you have the Admit nurse, SWAT nurse, IV nurse, wound nurse, MDs, case manager, social worker, PT, OT, etc.) 4. See number 1. Cons: 1. Most hospital activities happen during days (procedures, Doctors' rounds-which include new orders, Discharges, etc) 2. You also have to deal with patients' relatives (not that it's a bad thing, but some of them can give you a hard time) Nights: (Pretty much the opposite of days) Pros: 1. Night shift differential pay 2. Less procedures are done at night Cons: 1. Messed up sleeping pattern (very important if you have family/kids) 2. Less staff resources. 3. You need to call or sometimes wake up physicians to get an order. You cannot really address all patient problems unless it's urgent. 4. Depending on the hospital, some routines are done during nights --IV tubing change, IV site change, Routine lab draws (usually done early AM. Some patients are nurse draws. You also need to address abnormal lab results), chart audit, central line dressing change, foley catheter change, etc
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Screw up
We don't normally use flex pens, so I needed to check on their website for that. You were probably off by around 2 units or less on the actual delivered insulin. But like what the first comment said, learn from that mistake and move on. :)
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How do you give report?
The assignment printout sounds great, but I still prefer the report sheet that I made. It makes me more organized when getting/giving reports. I like just having a single sheet and my clipboard for all my patients. My handwriting is very small, I fit 4 patients in the front of the sheet, then if I fold it crosswise, I can add more patients at the back.
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Full vs part time scheduling rights
We do rotating groups on who does the self scheduling first, regardless if you're full time or part time.
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How can I teach a patient to do priming a line?
Priming the IV line basically means priming the tubing.
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can you get fire
I'm sorry to hear that about your friend. Unfortunately, yes, it is a violation since she was not directly involved in her son's care. Now it is up to her hospital policy if she will get fired, reported to the board, etc.
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No call No show but
I'm sorry to hear that. For the hospital I work with, 2 no call/no shows = termination, but it always depend on your hospital policy. It may seem unfair, but learn from it and do better on your next job.