not now

not now RN

LTC, med-surg, critial care

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All Content by not now

  1. Common infectious disease in the ER

    It's actually quite common among the non-vaxing crowd. My boyfriend comes home with strep throat at least twice a year. Right when he's looking in the kids throat they cough. I never get it from him...
  2. Blood pressure meds..without parameters???

    What is your hospital policy on med administration? I was told by one nurse that I could not hold a med at any time unless I had an order (I had held a BP with no parameters on a patient with a...
  3. LTC question

    We had a little form we filled out where we listed each med and how many are remaining in the bubble pack before family took them home, this included narcs. The family signed the form when the took...
  4. Do Nurses STILL want to marry Doctors?

    The man is a physician assistant in the ED at my hospital and I'm perfectly happy with him. We were set up on a blind date back when I was an LVN at a LTC facility by a nurse friend of mine who worked...
  5. DKAs on the floor?

    We'd take insulin drips on my (old) floor along with our other 4-5 patients. I've had a patient on both an insulin and bumex drip along with 4 other patients. I've had five patients, two on insulin...
  6. Drinks in the nurses station...

    No drinks at the nurses station is hospital policy where I work. They don't care what JACHO or OSHA think, administration says it's a no. We also can't apply chap stick, eat or apply make-up (who does...
  7. I've never done a rotating shift. Gah, that would be horrible. I did two and a half years in LTC and only worked 3-11, never rotated. I did six months night shift in med/surg and transferred to days...
  8. 20 or 22. The 20's are longer than the 22's so if they have good veins that curve too much for a 20 I'll throw in a 22. I'm pretty new with IV's (I didn't put in IV's as an LVN) so I rarely try for...
  9. None, not even the
  10. Need Help with Blood Administration

    My hospital doesn't really want us using Y-tubing anymore, the only reason we can use it is to get rid of the rest of the stock. I think because if you give multiple units you have to toss the entire...
  11. What do you write on your pt's bulletin board?

    The NM on the floor I'm leaving wants us to write our numbers so our patients can "feel safe" because we're only a phone call away. She constantly talks about how it has reduced the number of call...
  12. What do you write on your pt's bulletin board?

    Date, RN: my name/extension, CNA: their name/extension and the room number all in big print with black ink. I write so big it takes up most of the board but some people need it that big so they can...
  13. Appearance at work

    Mineral make-up, hair in a ponytail. When my hair is really short I pull it half back with a clip, something about my hair in my face at work drives me
  14. We are assigned to audit one staff members charting. I think we have to do four charts every month on the same person (month after month) and go over any mistakes with them. It's "not mandatory but...
  15. Nsg care of hypotensive pt

    I recently had a patient with a BP of 70/40 manual. Couldn't take it on the other arm, he had a fresh faciotomy (sp?) from about mid forearm up most of his upper arm. I took his BP at 2100 for...
  16. Mandatory CNA!!!!

    I'm gonna guess that it saves time. If the entire class already knows how to make an occupied bed, use bedpan, help feed a patient, ect then less time is needed review these skills. Instead of two...
  17. Co-sign Insulin?

    I miss LTC and not needing another nurse to co-sign my insulin. With 53 beds on my side there was no way I could do a med pass and find someone to witness. Where I am now we co-sign both SQ insulin...
  18. What Was the DUMBEST Request Made By A Patient?

    A request for a new bed because the one she was on was "lumpy" it's the same one we have in all the rooms. If you push on it you can tell there's and egg crate type thing on it but it's sealed inside...
  19. What Patients do to make you mad!

    Depending on how fine the lines are and how many colors were involved most will look like big blobs. I"ll have a bunch of blue and green blobs (flowers) down my back and a ring of black dots around my...
  20. What Patients do to make you mad!

    When someone who has no problem getting up and walking around calls my phone asking if I can come to their room to shut their
  21. How does ISS know who's using the internet? We don't sign on to anything unless it's charting or intranet e-mail and I chart from multiple computers throughout the shift. I can use one computer to...
  22. My performance sucks.

    A lot of it is "How much can I do in one trip to the room?" I work nights on med/surg and although I don't get to chat much with my patients it's my personal mission to get out of there on time every...
  23. Meds you hate to give....

    If you roll the ativan vial between your palms it will warm up fine. Or if it's still viscous you can draw it up with an 18 gauge needle pretty easily. When I worked LTC the pharmacy would send six...
  24. Hands down it's geriatrics. I think they deserve so much respect that they don't get in this society. I'm so much more comfortable with them than with anyone else. In school I was always teased that...
  25. Will per diem count?

    I graduated from RN school in May and started on a ortho/neuro/med/surg overflow floor. I love what I'm learning, I loved my orientation and I love my co-workers. Recently the floor started taking on...