PediNurse3

PediNurse3

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  1. I am starting a new job tomorrow and and just started cleaning out my work bag...what a mess! I've carried the same huge Vera Bradley tote for a little over a year and it's filled to the brim with a bunch of old bills, lotion, carbon copies of PTO r...
  2. Allergies to toradol, morphine, ultram, reglan, and zofran...and phenergan and dilaudid cause itching so please give them with IV benadryl as well?
  3. If I were in LTC, I would be in pain, too. My experience with pain management in adults is limited to what I saw when I worked in the ER, and there was a lot of it. Was it chronic pain? Acute pain? Addiction? Drug seeking? Drug selling? Don't know. I...
  4. All Hospitals the same?

    I have worked at two different facilities and they couldn't be more different. It's definitely more than a difference in hospitals though, the units/floors are very different within the same facility. Good luck with your decision!
  5. written up

    I didn't really give a good report until I went to work in the PICU. I got to the point where I could give a report that included the following in about 5 minutes - Name -Age -ICU day -Vent day -Post op day -History -Diagnosis -Changes and events ove...
  6. Narcotic Descrepency!!!

    What a stressful thing to have to be carrying around on your shoulders! Why can't it be resolved before Monday? 12 missing pills is a big deal...ot something that facilities usually wait until the next business day to resovle. Do they not do a narcot...
  7. What to say when asked: "Tell me about yourself"?

    I start by talking about how I got into nursing and take it from there. It works well for me because I didn't go into nursing right out of college and I feel like it gives the interviewer what they are looking for - information about me. I have only ...
  8. Nurses writing Scripts for Doctors

    Are you saying that the nurses decide what the patient needs to be on and the dosage and has the doctor ok it at the end of the day? We are given physican delegation in our clinic so we are able to authorize refills without consulting the physican i...
  9. Giving a flu shot to patients without a signed consent?

    A flu vaccine and antibiotic are hardly the same thing. Antibiotics, beta blockers, diuretics, etc may be a necessary part of treatment. The flu shot isn't part of a patient's treatment plan, and it certainally is not medically necessary. We offer...
  10. How Long?

    I was hired two months before graduation. I started my first job about two weeks after graduating, worked as a GN about a week, took NCLEX, worked some more, and had results a couple days later. I guess that it varies by state, but it was pretty much...
  11. What do you do on the drive to work?

    My drive is fairly short now. When I drove 45 min to an hour, I would listen to books that I downloaded from iTunes.
  12. Drug error

    An incident report should be written. That is how we learn from mistakes and make changes to (hopefuly) keep them from happening again. And if you haven't, you should write one yourself so that when the incident is reviewed, whoever reviews them at ...
  13. Nurses and Dream Specialty?

    I wanted to work in the PICU when I went into nursing school. When the time rolled around to start applying for jobs (last semester of nursing school), it just was not an option. I was already working as a tech in the ER, and a lot of other people w...
  14. how much orientation did you receive as a new grad?

    My new grad internship in the ER was 12 weeks. There were tons of classes on top of the scheduled shifts.
  15. Pain meds IV push

    When I worked in adult ER, pain medication was given IV push, and it was really nurse discretion if it was diluted in NS or not and how quickly they wanted to give it. In the PICU, depending on the situation and the age of the child, it was given on...
  16. Preceptorship advice!!

    Ours was a 'Capstone'...I did mine in an ER. I also worked as a tech in a different ER, and already had a job in the ER internship where I was working. I thought that it would be good for me to get a head start on the nurse role. I don't know that I...
  17. Single moms and every 3rd weekend

    I feel your pain! Have you gotten clarification yet? HOpefully if your manager said that you could work every other weekend, she will keep her word- but I would not expect your preceptor to pick up extra weekends to accomidate child care needs, as mu...
  18. At what point do you say something?

    One of the nurses that I work with is flat out lazy and inherently unsafe. Not documenting appropriatly (or at all), documenting things that were "done" without actually doing them, making errors, authorizing things that should not be authorized, not...
  19. At what point do you say something?

    I understand what you're saying, and I know this because I sit next to her. We work in a clinic, and in pretty tight quarters, so it's not like we are on the unit in the hospital with our own patient assignments and I'm doing some sort of detective w...
  20. Why do docs do this?

    Maybe they do care. I wouldn't bother to talk to someone or ask them about their family if I didn't care...I would read a book or something. When I worked in the hospital, the doctors and NP's would only come into our break room to get coffee, to g...
  21. Uniform color by discipline

    I do agree that it "takes away freedom" to wear what you want, but those who feel strongly about it are free to work at a different facility. The first hospital that I worked at was color coded, and while I did hate being limited to royal blue and w...
  22. NO LUNCH??? NO BREAKS??? Is that common in nursing?????

    I have worked in a level I trauma center, the PICU, and now I'm in a clinic- and I can count the number of times that I've gone without lunch on one hand. I'm no good to anyone if I'm miserable so I have always made it a point to take care of myself-...
  23. EPIC Computer Program

    I used Epic when I worked in the ER and I felt like it was very user friendly and easy to navigate. I didn't appreciate it until I left that hospital and went to an organization that used a completely different program- absolutely horrible in compar...
  24. Toradol after abdominal surgery (in infants)

    When I worked in (adult) ER, we never had Toradol ordered for abdominal pain. Head pain, back pain, neck pain, knee pain, arm pain, etc- but I don't recall giving it much, if ever, for abdominal pain. This leads me to believe that it wouldn't be effe...
  25. 2 new grads in charge?

    Keep doing what you're doing. Look things up, question orders, give good care. Let her make fun of you...look at the source. Eventually, she will dig herself into a hole and find herself in a lot of trouble. Hopefully nobody is harmed in the meanti...