Morainey BSN, RN

Orthopedic, LTC, STR, Med-Surg, Tele

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All Content by Morainey

  1. Morainey

    Admissions during change of shift

    Morainey replied to brokenroads27's topic in General Nursing

    It's so aggravating when PACU or ER or whoever is trying to call report during shift change, but it happens. I try to get everything done that I can *before* the patient arrives, such as acknowledge...
  2. Morainey

    holiday pay this year-what??

    Morainey replied to orla's topic in General Nursing

    We get holiday pay (time and a half) plus a shift differential (night), but not weekend differential. I guess they would hate to pay us all 3
  3. Morainey

    Check a blood sugar before giving Glucophage?

    Morainey posted a topic in Patient Medications

    Hi all, Do you check a blood sugar before giving glucophage/metformin? One of my preceptors never said anything about it, and I assumed that since the pt took it at home, his diabetes was non-insulin...
  4. Morainey

    stressors in clinicals

    Morainey replied to bigeyes4's topic in General Nursing

    Do you mean for students or for employees at the clinical sites? If you mean students, there's nothing like that. You can talk to your clinical instructor and classmates about your concerns though,...
  5. Morainey

    CPM Placement

    Morainey replied to pawnotesRN's topic in Orthopedic

    Always put a CPM on with 2 people! SO much easier. Make sure the patient is boosted up and straight in bed. And also that they are lying flat. Have one person hold up their leg while the other...
  6. Morainey

    Ortho orientation

    Morainey replied to MJB2010's topic in Orthopedic

    Mine was supposed to be 3 months, I think (bc I had experience on the unit as a PCT) it might have been shortened one or two weeks. I felt it was adequate, but I was already in my comfort zone,...
  7. Morainey

    Things you'd like to say to your co-workers, but never would ....

    Morainey replied to SoundofMusic's topic in General Nursing

    To the unit secretary: You are NOT a nurse! When my patient asks you if his family can bring in some cocktails later, don't say YES and then go ask the doctor to write an order for my patient to have...
  8. Morainey

    Things you'd like to say to your co-workers, but never would ....

    Morainey replied to SoundofMusic's topic in General Nursing

    How about: When you want to know why everyone is saying "congratulations!" to me, and I say "I just got engaged! I'm getting married!"... please do not roll your eyes, and then say,
  9. Morainey

    PLEASE HELP! How does your hospital do holiday rotations for night shift staff?

    Morainey replied to jnsrn's topic in General Nursing

    If you are doing 12 hour shifts, my hospital starts you at 11p if it is your holiday off. For example: I'm 'off' this Thanksgiving. So I am not working the evening going into Thanksgiving, but I will...
  10. Morainey

    Not a waitress or barista

    Morainey replied to noyesno's topic in General Nursing

    I take the family members to the kitchen and show them where everything is. For patients I usually don't mind them asking for food, and when I'm giving 6AM meds I like to offer them a cup of freshly...
  11. Morainey

    Nursing students...I can't believe...

    Morainey replied to ThePrincessBride's topic in General Nursing

    People's priorities change too. When I started school, EVERYBODY was going to be an NP after nursing school. I can't think of one person that I went to school with who is on a serious track to be a...
  12. Morainey

    H20 post op

    Morainey replied to DesiGRocks's topic in General Nursing

    Ours have a regular diet ordered off the bat, but make sure they aren't nauseous or vomiting (obviously). We start with ice chips, then go to water sips, then ginger ale and saltines, then to soup and...
  13. Morainey

    Pain assessment: do you believe your pt when...

    Morainey replied to Morainey's topic in General Nursing

    You nailed it! :) I gave it some thought and it's true that not all nurses are consistent. The problem I was having was not that I don't believe my patient who says 10/10 is really in that much pain....
  14. Morainey

    Standard Hospital Scrubs National Standard?

    Morainey replied to HeartsOpenWide's topic in General Nursing

    We have big hang-tags that say RN, NA, WS, RT, etc. Aside from that, we can wear whatever kind of scrubs we like as long as they are neat and professional. The only exception I can think of is...
  15. Morainey

    Help! Managing weight and energy during night shift

    Morainey replied to RNAngelus's topic in Health, Stress Management

    I just started nights (7a-7p) a couple of months ago, and here's my experience so far: Eat a "breakfast" dinner before work. This way if you get to work at 7p and it's CRAZY, you have energy for those...
  16. Morainey

    Pain assessment: do you believe your pt when...

    Morainey replied to Morainey's topic in General Nursing

    I was taught all those same things too. I'm mainly worried about overmedicating a patient, especially in instances where a patient's blood pressure is
  17. Morainey

    Pain assessment: do you believe your pt when...

    Morainey replied to Morainey's topic in General Nursing

    Maybe I'm just overthinking it... I don't feel like I'm doing horribly at nursing. In fact, I usually feel pretty competent... just wish I could shake this pain med paranoia!! Thank you all for your...
  18. Morainey

    Pain assessment: do you believe your pt when...

    Morainey replied to Morainey's topic in General Nursing

    The flip side of the coin is the patient who says they have no pain after surgery. We are supposed to have them flex their knee or hip and then tell us what the pain is. So if the patient says 0/10,...
  19. Morainey

    Pain assessment: do you believe your pt when...

    Morainey replied to Morainey's topic in General Nursing

    I have concerns for a couple of reasons. First of all, I work with some older veteran nurses who only medicate when the patient asks for pain. When I started as a new nurse, I tried to medicate around...
  20. Morainey

    Brand new nurse, starting on third shift

    Morainey posted a topic in First Year After Licensure

    Hi everybody, I'm a brand new nurse, just passed NCLEX at the end of July. I've been orienting 7a-7p on my unit at the hospital since July 15 as a grad nurse, but tomorrow night is my first night...
  21. Morainey

    discovered and reported falsification of VS

    Morainey replied to traumaRNdrama's topic in Patient Safety Issues

    I caught a CNA making up VS once, at a nursing home. The pt's pulse was typically in the 40's and she was BS'ing them. I'm a new grad, and I was taught when you give a BP med check the BP before you...
  22. Morainey

    nurse to patient ratio orthopaedic floor?

    Morainey replied to nurseortho's topic in Orthopedic

    We have 1:5 at the most, with 2 aides til 7pm and one aide overnight. 5 fresh post-ops can definitely keep us
  23. Morainey

    How long can a patient go without urinating after receiving a Duramorph spinal?

    Morainey replied to willyRN86's topic in Orthopedic

    I had a similar situation recently on our ortho floor. I had a male pt come up at 1500 with bilat TKAs with no foley, which is unusual. I asked him if he peed before surgery, he said yes. Then I asked...
  24. Morainey

    Pearson Vue Trick - Does it Work Every Time? Part 2

    Morainey replied to Silverdragon102's topic in NCLEX Exam, Programs

    Took my NCLEX this afternoon.. Shut off at 75 questions, honestly didn't know if I passed or failed but didn't freak out, did the PVT and I got the good popup! I'm happy for now but I'll be REALLY...