RainMom

PACU, pre/postoperative, ortho

Member
  • Content

    1,114
  • Visitors

    26,277
  • Followers

    0
  • Likes

    102

All Content by RainMom

  1. RainMom

    Excessive waste of narcotics

    We are continuing to waste after each administration (give 25 mcg, waste 75 & then pull out another vial to give the next 25 dose) essentially wasting more than we ever give. Some meetings were held with pharmacy back in August with more to com...
  2. 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...
  3. RainMom

    Problems Before Nursing School

    Meh, my program did not require proof of health insurance, transportation, etc. We only had to show proof of immunizations & residency in/out of district for tuition.
  4. 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.
  5. RainMom

    How Much was your First RN Paycheck?

    My paychecks have been consistently about the same as my prior job as an office manager/chiropractic assistant. My actual pay is greater but now I have benefits & 403b contributions withdrawn; previously I only had taxes taken out of my checks, ...
  6. RainMom

    Charting in Epic

    Our facility will be transitioning to Epic in the next couple years. Recently, our managers are emphasizing real time charting during pre-op, stating that when we change to Epic, the OR will not be able to begin their charting until pre-op has finis...
  7. 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. ?
  8. 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. W...
  9. We just received an email at work this week that we would have new signs going up to this effect including the fact that it is a felony in our state. Also recently had an email regarding additional security that has been contracted. I don't know if...
  10. RainMom

    Badge Tracking

    My facility is trialing it on the inpatient floors. Since I work those depts prn I was given a badge. One thing I noticed is that it didn't seem to register (no blinking light) when you pump as you walk by; you have to stand directly in front of it...
  11. RainMom

    Should I feel bad for not picking up extra shifts?

    Nope, turn off your phone. Seriously. Unless you are just wanting to rack up some serious OT (& burnout), your time off is yours. If everybody keeps picking up shifts, they'll keep expecting it. I left the floor a few yrs ago (largely for that...
  12. RainMom

    Is it wrong to ask

    I agree. We had a nurse that started asking pts to give her a good mention when the pt received their discharge callback. Really tacky. A pt mentioned how they had been asked to be sure to give the RN's name & that nurse got called out on it i...
  13. RainMom

    Force to change unit in the middle of shift

    Yep, happens often. I didn't mind it too much when I worked the floor, but now that I am in pre-op & PACU, it bothers me a little. I still work prn shifts (very occasionally, once every month or two) on the floor, so rather than giving a low ...
  14. 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 surgic...
  15. RainMom

    Resignation, What To Do With Accrued PTO??

    At the end of the year, it won't matter. It will be included in your yearly gross & taxed according to that. If too much is taken out right now when you are paid your final check, then it's just that much more that will be applied on your tax r...
  16. RainMom

    Which areas in hospital least physically demanding?

    Surgical preadmissions, pre-op, nurse case manager/ discharge planner, insurance, ADT nurse
  17. RainMom

    Ortho or CDU??

    I don't know why people seem to think ortho is an area that could keep a nurse from branching into other areas. There have been a couple of posts like this recently. While ortho can be somewhat predictable, there will still be any other number of pr...
  18. 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 b...
  19. 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 P...
  20. RainMom

    Nursing School Drug Testing

    I honestly don't even remember a drug test until I was hired.
  21. 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 situati...
  22. 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 ...
  23. 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. Eve...
  24. 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 ta...
  25. 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