not now

not now RN

LTC, med-surg, critial care

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All Content by not now

  1. Doesn't mean a pulse ox can't be used on it. We have some that clip on the earlobe and nose. I've done it on a toe. Just because the finger doesn't have a tip doesn't mean anything. The aide probably...
  2. What states allow RN's to pronounce death?

    I think in CA the doc has to write an order along the lines of "death is imminent, RN to pronounce" and one RN can do it on his/her own. At my facility you have to be certified by the facility to...
  3. My family can't believe nurses don't get breaks

    When I worked LTC and had 50+ residents as an LVN I always took my lunch break. When I worked a busy med/surg floor as an RN I always took my lunch break and my 15 min. Now, in ICCU, I always take...
  4. Bumex drip and lab draw

    I had a patient today on a continuous bumex drip at 2mg/hr. The hypokalemia and lab draw protocols were in place so I was able to order a K+ level whenever I wanted. Thing is, I'm not sure how often I...
  5. On my last unit the NM would post all the comments (good, bad and "neutral") in the break room for all the staff to see. We were also one of the worst scoring floors in the hospital. If you were...
  6. I saw it once on a physical assessment video in class but have never used it. I pretty much forgot about it to be perfectly honest. My preceptor in ICCU never brought it up. The video that I watched...
  7. Appearance at work

    Because I have blotchy skin that has been plagued with acne (hello red spots) since I became
  8. I always look at the ED record to see what was given no matter how busy I am. The ED only charts on the computer so everything is in the report. I ask patient or family member when the last time they...
  9. So how many pts do you have?????

    When I worked med/surg we had 36 beds and seven nurses. We all took patients on nights (even the lead) but days had a free team lead. We had five patients but one person had to take six because of the...
  10. RN's that used to be LPN's

    I'm updating my post. Ha! After six months on med/surg I went over to ICCU. At my interview the NM asked me "How long have you been a nurse? Count the LVN experience, I used to be an LVN." When I got...
  11. when can nurses touch ventilators

    I just transfered to the ICCU from med/surg. I won't touch a vent other than FiO2 and even then I'm pretty cautious. I feel like I don't know enough nor do I have enough experience to hange vent...
  12. Drug Calc. on the Job

    The pharmacy usually sets everything up for us. Even if I'm pulling out of a Pyxis (sp?) it will tell me to pull one pill or multiple pills or that the dose is less than what I'm pulling so I'll have...
  13. Ever have a patient comment on his lack of size?

    An experienced (think 20+ years) told me once "Show them the large but put on the small" when it came to using condom
  14. Ever have a patient comment on his lack of size?

    I had a patient ask me to cath him since all the morphine I was giving him was making it harder and harder to pee. He'd been in and out of the hospital so he knew this would happen. He told me that he...
  15. Is nursing hereditary?

    My Momma hates stepping foot in a hospital, the smell, the atmosphere, everything. My great-grandmother was a faith healer but that probably doesn't
  16. Weight nurses required to lift?

    50 lbs at my hospital. But we have a transport/lift team, it's mainly a bunch of young, big guys (a couple women) who do nothing but turn, lift, transfer and transport people. I don't have to move...
  17. Who pronounces the death?

    Here an RN can pronounce if the MD has charted that "death is imminent, RN to pronounce." If they are DNR and die the MD still has to come up and pronounce if "death is imminent" wasn't charted. When...
  18. Kardex ?

    We go over everything in report. My hospital was supposed to phase out Rand cards years ago but med/surg is clinging on to them for dear life. When I worked med/surg/ortho I didn't know this, then I...
  19. Gloving up?!?

    I only glove up if I'm a risk of coming in contact with body fluids. If I'm hanging a PB on fluids that are up and running I'm not putting on gloves. Why should I if I'm connecting the tubing to a...
  20. Bye Bye Discovery Health

    I've seen, uh, all of the shows that feature the Duggers. I'm an only child so I'm pretty much fascinated by them. They don't get "new" clothes/shoes, the whole family goes to a thrift store on the...
  21. Nursing and overtime

    I've been an RN for eight months yet and I still won't work OT. I love my floor, my job doesn't give me panic attacks. I just cherish my time off too much to bother with OT. Some nurses I work with...
  22. Overtime-Do you get it for over 8 or over 80?

    I get paid for anything over my 12 hour shift. This works for nights as well as
  23. Daycare when you have a 12 hr shift?

    The hospital I work at has daycare that is open from 0530 to 0700, Mon-Fri. Nurses start their shift at 6 AM/PM. The nice thing is even if you work nights you can drop your kid off after work so you...
  24. Diagnoses you never thought you'd see?

    Infected penile implant on a 87 year-old who had it placed when he was 77. There was an open area at the base of his member where you could see a tube and another large open area on his scrotum with a...
  25. What time does your shift begin? 7? 8?

    0600-1830