#1ME

#1ME

Med/Surg

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All Content by #1ME

  1. Manager is sabotaging my future :(

    If he's repeatedly being a bad reference, I would refrain from jotting him down as one. Don't you have more than one manager? We have two in the night and two in the morning. How about your Nursing Supervisor, can he or she be a reference for you?
  2. WWYD?

    BluemorningGlory you obviously don't like this guy, and you'd love to sabotage his nursing goals. CNA and nursing school have BCI's and this guy seems to have gotten through one of them. People like you that cause trouble and back stab others in t...
  3. Why are people so ignorant?

    Sounds like she's just jealous. Screw her and her judgements. You do nursing, if that's your desire.
  4. Doesn't matter if it was placed in his NG or he swallowed it. If the NGT is at continous suction the KCL is just going to be sucked back up into the cannister. You would need to clamp the NG tube. ^^ That is a given to me.
  5. Do you have to be above passing or just passing standard?

    My friend failed the first time at 265, but passed the second time at 265. I passed the first time at 80s, wasn't certain whether I passed or not, it was so mind boggling. I guess I'm confused at your question though. If one passes the passing le...
  6. I'm guessing the PO KCL was administered via the NGT.
  7. How do you talk to doctors on the phone?

    I make sure I have all the petinent information I need, prior to calling the doc. I would have the chart with me, patient's medication list, vital signs (if pertinent), and the patient's labs up on the computer already. I am not the one to take ver...
  8. Transitioning from Dialysis to Med Surg

    OP, Imo you just described med/surg. We have the same issues, if not more.
  9. Kindred Sub-acute Care Facility background check ques?

    I didn't know some facilities did credit checks.
  10. Pharmacology: Which Drugs?!

    Our clinical instructors handed us a printed list of meds we needed to make drug cards on, the beginning of the semester. Depending on what subject we were going over in class, I'd focus on those.
  11. Oh yeah, love the 12 hour shifts, because you get the 4 days off. I have to admit, sometimes 4 days doesn't seem like enough. I was surprised when I found out in nursing school that we work 12 hour shifts. Most shifts, the 12 hours go by pretty fa...
  12. I would have to say half of the time is charting/documenting in the computer. Ugh, it takes up so much time, but will come in handy to protect your butt. Shift starts off with a 30 min report. Claim med cart, briefly look at your patients. I pref...
  13. Uniforms

    I hate them, hunter green everyday. Not to mention, not flattering at all. Luckily, I recently found some better shaped ones. The others look like a potato sack. I wish we could at least wear whatever color we want, with flowers and what not.
  14. Should I be worried?

    What a douche. I work nights, and some medications have to be physically placed in the med cart, so the only option is to document not given due to unavailable, etc. I don't think it's a reason for her to have written you up. I agree with the other...
  15. Pregnancy: Before or After Nursing School

    I began the nursing program when my son was only 7 weeks old. Luckily, he was a good baby, and my mother helped me out a lot. It wasn't hard at all.
  16. a dumb question for experienced nurses

    Plain and simple, ask the CM what it means. Asking strangers what it means at their facility, is not going to help you.
  17. Feed the cats. In exchange for not being able to feed yourself, because you've lost your career and your license, because you wanted to 'save' a cat.
  18. IS IT OKAY?!?!?

    Well, of course you're going to be confused and lost, reading about clinicals in posts. You haven't learned anything yet because school hasn't started. Save the stressing out for when school starts.
  19. Common illnesses and conditions

    CHF Diabetes HTN Post-op hip replacements Post-op knee replacements Post-op hysterectomys Renal failure TB AFIB Scabies COPD
  20. patient scenario

    1. Yes, place them in a High Fowler's position 2. You or Respiratory can perform Chest percussion therapy 3. Instruct the patient how to use an incentive spirometer 4. Provide with oxygen, if needed 5. Orders for breathing treatments 6. Suction and ...
  21. Please advice

    I wouldn't do it without an order from the MD. Dieticians can make recommendations all day long, but without an MD order, they mean nothing. You can call the MD to personally inform him of your assessment of the Pt, and the recommendations of the d...
  22. Need Advice on Metoprolol

    Technically you did just fine. The vitals were perfectly OK at the time to administer the meds....the caution to me would be that she had already bottomed her pressure and was going to prove to be fragile in this department. The MD was being a je...
  23. Need Advice on Metoprolol

    Documentation is key! Did you chart that you informed the MD on Pt's BP, HR and that he/she ordered to administer the Metoprolol still? Did the MD write down any parameters regarding holding these meds?
  24. How can I gracefully and tactfully say No?

    Get a back bone! Tell her the truth, you worked hard on it, and don't feel right just giving it away to be copied. If not, she'll be asking for more things through the program. It is sad she had a family member die, but that is no excuse for her to...
  25. Heparin gtt - anti-xa vs. PTT

    We go by the Ptt at my hospital. We having a protocol that we follow. The rate is determined by the Ptt, meaning we wii decrease/increase depending upon the Ptt results. You should check your policy there, and if you still don't feel comfortable, ...