RainMom

PACU, pre/postoperative, ortho

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All Content by RainMom

  1. 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 f...
  2. RainMom

    Lack of Pharmacology Info

    Maybe some flashcards from a member here to supplement your book? https://allnurses.com/nursing-student-assistance/pharmacology-flashcards-
  3. RainMom

    PACU

    Ah yes, the cascade of details thrown at you while you're trying to make sure the pt is breathing, giving a jaw thrust, or holding the pt's flailing arms, keeping them in bed &/or hooking up the monitor. I hated that too when I was new, mostly b...
  4. RainMom

    Pell Grant Denied... Help!

    I ran into the same thing when I went back to school (& also had a small panic attack). I had a previous associates degree in business from 15 yrs prior. Just fill out the appeal stating that the program is unrelated to your other degree & ...
  5. RainMom

    Jahi McMath is finally at peace

    I wonder if family will now sue the NJ hospital as well for her (2nd) death? Doc Bastard's blog has posted on Jahi multiple times. The most recent one links to older posts which tell the story for those who aren't familiar. Stories from the trauma ...
  6. RainMom

    What would you do?

    A few yrs back, my DH's cousin was frequently posting on FB referring to herself as a nurse (she's an MA). I found an article, copy of the state legislature or something to that effect (including the $10,000 fine) & posted it directly after seei...
  7. RainMom

    What do you do on weekends off?

    Laundry, clean house, Netflix, AN... Made some cookies this weekend & played around with my candle making hobby I picked up about a yr ago. Took a quick walk with my autistic son before the storms rolled in. We walk almost daily, him on his sc...
  8. RainMom

    Building critical thinking skills?

    Actually, you are probably right about where a new grad would be expected to be in regards to critical thinking. Much of the development of critical thinking occurs once you start working as a nurse. Critical thinking is needed when there is a prob...
  9. RainMom

    How to find the best nursing position?

    Shadowing on other units is a good way to get a feel for how you may fit into that specialty. Consider staying PRN at your current job as a safety net in case things don't work as well as you hope in a new job. I was the same way when I changed d...
  10. RainMom

    Help me pick a surgery to observe!!

    Also be aware that you still may not get to observe the procedure you narrow your choices down to if the pt does not give permission. Where I work, depending on who the circulator is, the student may have to go to pre-op to introduce him/herself &a...
  11. RainMom

    Verbal orders for narcotics

    Even then, at my small hospital, we escalate it to the chief medical officer for orders via the nursing supervisor. Had that happen once in a situation during the night when the MD would not return his pages. Didn't have any more trouble after tha...
  12. RainMom

    Pts refusing to weigh

    Most stretchers now also have the capability of weighing pts which would probably be what ER uses if necessary.
  13. RainMom

    Pro Life Beliefs and Nursing

    Working at a Catholic facility, there are still occasional situations you may run into if you work OB or surgery. I recently did pre-op for a teenager who took several morning after pills to end a pregnancy but then had to have a D&C. I suppose...
  14. RainMom

    Downstaffing

    ...for significantly more $$
  15. RainMom

    Discharging Patient With Opioid in Hand?

    We do it when we discharge a pt home from PACU after hrs as well. We do not have any 24 hr pharmacies in my rural area, most close by 8. Our own pharmacy closes at 10, 9 on the weekend. Our pharmacy will provide a labeled package of the meds to d...
  16. RainMom

    PACU/Recovery room Visitors

    We rarely bring family into PACU to see post-op pts. Just about the only exceptions are if there is a hold for a bed greater than 2 hrs or after hrs if we discharge home directly from PACU when phase II area is closed; we did bring family back once ...
  17. RainMom

    Picking up slack from coworkers?

    Ugh, we had a traveler like that; not so much with report but with leaving tons of stuff for the next shift. More than one nurse had talked to her about it over a period of a few weeks. She flat out lied to me in one report stating she had done a ...
  18. RainMom

    Question for all Pre-op/pacu RNS

    We don't have anything scripted out exactly but after running thru each item of the time out, we ask the pt if they agree that the information is correct before proceeding.
  19. RainMom

    How much PTO does everyone get?

    PTO at my work is accumulated according to a percentage of work hrs per pay period. The longer a person has worked there, the higher the percentage & faster PTO is earned. When I started, I earned about 5 hrs per pay period. Now, it's usually ...
  20. RainMom

    Code cart outdates

    Pharmacy takes care of the med drawer & nursing does a monthly check on the rest of the cart. We call materials if an expired item is not easily acquired in our supply room. Each drawer has a small card on the front indicating which item(s) in ...
  21. RainMom

    Am I wrong? Is this legal?

    Risk management may be interested in hearing there are pts being admitted by nurses & CNAs...
  22. RainMom

    Planning to apply nclex in 2 states.. Pls help

    You only need to pass NCLEX once & then you can apply for licensure in any state. It doesn't matter where you take the test. If you are wanting to work in Connecticut, take the test you already have scheduled, pass, and then send results &...
  23. RainMom

    National Walkout Day March 14 at 10am

    Not the schools here, but the state requires completion of a 2-3 day safety course for minors in order to get hunting permits.
  24. RainMom

    National Walkout Day March 14 at 10am

    I asked my son if anyone walked out at his school & he didn't know of anyone although he had heard a few people talk about maybe doing it. We are pretty rural. Like so rural that the first day of shotgun season is always designated a teachers i...
  25. RainMom

    70 yr old looking for the right job

    One of our pastoral care staff is a former OB nurse & circulator. Now she is a resource/support for pts & families.