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RainMom has 7 years experience.

RainMom's Latest Activity

  1. RainMom

    Questionable actions that make you go hmm?

    Or reading the surgeon's operative record stating pt arrived to pacu stable, etc, etc when in fact pt remains in OR while assistant is closing, crna still extubating...
  2. RainMom

    5 Sneaky Signs You Have Low Vitamin D

    When I worked in an office, anybody reporting chronic fatigue, fibromyalgia etc was tested for D deficiency. Roughly 80% were low & put on supplements. It was surprising how effective it could be with the fibromyalgia pts.
  3. RainMom

    Excessive waste of narcotics

    So my PACU just changed to electronic orders & scanning meds. Not a big deal for the most part except for the fact that we are now only allowed to give one dose from a vial of fentanyl or dilaudid & waste the rest, even when we will need another dose in 5 minutes. So I may only give 25mcg fentanyl, waste 75; give another dose, waste half or more of the vial. Our dilaudid comes in 2 mg vials but we only give 0.2-0.4, wasting up to 1.6 each time we dose our pt. It's mindboggling how much is wasted & on a busy day, we basically have to have a free nurse help keep up with wastes at the pyxis. Explanation from pharmacy is that these are single dose vials & cannot be scanned multiple times, even for the same pt. Is this the same for those of you that scan meds in PACU? Thoughts?
  4. RainMom

    Mandatory Break Bill

    I hope one of her RN constituents invites her to shadow for a few shifts & see how much card playing happens.
  5. RainMom

    Trapezium bar.

    I find this to be a strange question. Was this homework? I have never heard it said that a pt cannot be log rolled following TKR. In fact, my facility has these pts up out of bed, weight bearing as tolerated within 4 hrs of discharge from PACU. We also have one surgeon who routinely does TKR as an outpt procedure & we get the pt up immediately after leaving PACU which is usually roughly an 30-60 minutes after completion of surgery. In other words, use of bedpans is rare for these pts, except for in PACU where we don't get any pt up out of bed.
  6. RainMom

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    Meds in our pyxis can be searched by both the generic & brandname; it will pop up whichever way you search. What a terrible way to die. Doesn't happen often but some of the scariest moments for me in PACU have been realizing that my fresh surgical pt did not get enough reversal agent for the paralytic. They get very "floppy", can't tell you what's wrong, look like a fish out of water gulping for air & usually need bagged until more reversal is given.
  7. RainMom

    Pagan in a Catholic Hospital...

    This is much like the Catholic hospital I work for, AM/PM intercom prayer/meditation & everything. I'm not catholic & have never had an issue. No one cares what you do or don't believe in. Our pastoral care is nondenominational, a mix of believers including a priest, Catholics & protestants, males & females. Working in preop, I see them often as each pt gets a brief visit & offer of prayer before surgery if the pt wishes.
  8. My hospital was offering $10,000 sign on bonuses for all floor RN positions for a couple yrs not that long ago. We're pretty rural & simply didn't have people applying. After resorting to travelers & then bringing in passport RNs from the Philippines, it hasn't been as bad & those bonuses are gone again except for advanced practice positions. Just looked online & one of our sister hospitals is offering $10k there for RNs to apply to float pool. ETA: A referral bonus was also offered to current staff as well ($1500-2500 depending on whether referral was for a floor RN or advanced practice) & is still in effect I think.
  9. RainMom

    Nursing School Drug Testing

    I honestly don't even remember a drug test until I was hired.
  10. We don't have schedulers at my small hospital either & never have to my knowledge. So, yes, when I charged nights, I was the one to call people to see if they would work. Sometimes the shift supervisor would make calls. If it was a dire situation, the manager would be called & came in early to help. It can be a little stressful thinking about calling & waking people up but truly wasn't that big a deal. They did the same to night shift when we were short.
  11. RainMom

    New grad considering Ortho??

    I started in ortho & though it wasn't my first choice, it was a great place to start. Spend some time there & you shouldn't have any problem transitioning to more critical care depts if that's what you want. I went to pacu after a few yrs & now do a little pre-op as well as picking up occasional prn shifts on ortho & med surg. Other new grads from my ortho unit have gone to ICU, home health, offices, OR, OB & ER. If the employee turnover is low, it's likely a good supportive dept to work in which is huge when choosing a job.
  12. RainMom

    Bullying in nursing, common or not?

    I've personally never experienced it or seen it. None of my former classmates that I stay in touch with have ever reported it when we vent about job frustrations. Are some coworkers less than a bright ray of sunshine? Yep, almost perpetually. Everybody has crap shifts & can be snippy at times. Not everyone wants to be best buds. Just do the best job you can & be able to recognize constructive criticism for what it is. Nurses are no different than any other group of workers. Incidences of bullying are no more prevalent within this profession than any other.
  13. RainMom

    New nurse staying way past 9:30 pm on day shift

    I would venture to say that your next floor position will be a piece of cake after enduring that level of hell! Keep charting brief & on the essentials only : head-toe assessment, dressings, IV, drains. Do it immediately at the bedside; it takes like 2 minutes (unless you're charting narratives; in which case STOP it, except if there is an unusual occurrence that needs detailed info). My facility has oodles & gobs of education interventions & miscellaneous BS to chart each shift. Leave that kind of stuff for last when you have a moment to breathe; personally I would just let it go if it was a crap shift. With that many pts, everything would revolve around giving the meds. Bundle as much care as feasible into that one med pass so you don't have to go back to the pt's room again right away. How anal is your facility about meds being passed early/late? Mine isn't at all, so I always start passing meds right away when I see that it will be a crazy busy shift (1st pt's 0900 meds will be given about 0745 or so); this is for daily type meds, nothing time sensitive. Believe it or not, you will get faster over time, but you will burn out quickly if you stay there. Good luck.
  14. RainMom

    Medical kidnap? Discuss

    Here's another source regarding Mayo's stance. Bullet by bullet, Mayo Clinic refutes claims made in 'sensational' CNN report - Med City Beat
  15. RainMom

    Verifying Medications in PACU

    Our process is similar to yours. We have hard copy order sets for adult or peds that the MDA marks. Double check allergies & give what is needed. No scanner & pyxis access to the entire formulary. What kind of errors are you seeing? As far as peds goes, we typically check off with another nurse regarding the calculation although I don't know that it is necessarily policy. We just don't have a need to give most of our peds pts any medication so when we do, we double check it. Nearly all peds here are minor outpt procedures that we get to phase II asap for po meds. Most of those come out very good as far as pain, so only occasionally need a touch of fentanyl (mostly older children with T&As).

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