RainMom

PACU, pre/postoperative, ortho

Member
  • Content

    1,117
  • Visitors

    26,855
  • Followers

    0
  • Likes

    104

All Content by RainMom

  1. RainMom

    Accused of making a medication error

    Ask pharmacy to print you a report of your pyxis activity for the day in
  2. RainMom

    Just........no.

    I saw this on FB over the weekend. The post above was not an isolated incident. There were screen shots of at least a dozen posts which were all pretty, um,
  3. RainMom

    First Time Fall

    I disagree. That pt was going to fall whether you did bedside report or not. She refused the offer to get up to the restroom & then tried it on her own; it would not have mattered if 2 of you...
  4. Only 2-3 in my class graduated with honors. I find it odd for everyone in a program to have honors. In a sister nursing program to mine, almost everybody had good grades; however, their NCLEX pass...
  5. RainMom

    How fast do you run blood?

    On the floor with a pump, usually about 90 minutes to 2 hrs. In surgery on gravity tubing, it's running wide open, so goes in as fast as the IV allows, usually 15-30 minutes unless emergent & a...
  6. RainMom

    No Parking, Yes Problem!

    Don't suppose there is a local TV station that would be interested in this situation? A little public outcry could go a long
  7. I've found too that a lot of staff are under the impression that insurance won't pay if pt leaves AMA. I used to do insurance billing. It comes down to if billing is submitted with appropriate...
  8. Most of my studying was limited to reviewing the power points. I reviewed them before lecture & looked up anything I wasn't already familiar with (14 yrs experience in healthcare setting at that...
  9. At my facility, a no call/no show or calling off the last day puts you on the do not hire list (including all 14 of the parent organization's sites in 2 states). Are you certain you will never want...
  10. 102 yoa, hip fracture; completely A&O; lived at home. She sailed thru surgery & PT; no
  11. RainMom

    Waste of Insulin

    Same here. There are little stickers in the pocket with the vial that we stick to the syringe so you have a barcode to still scan in the insulin at the bedside. Only issue I've ever really seen is...
  12. RainMom

    Nurses and bullies...

    This reminds me of a time when a newish therapist requested (demanded in a rather snotty way) that my pt's Foley be removed & to DC the IVF. Um, no. Sorry it means you have to juggle a few more...
  13. RainMom

    Case Study Paralytic Ileus

    "...abdomen is rigid..." within 24 hrs of abdominal surgery leads me to think in a different direction which would account for the
  14. RainMom

    New nurse assistant and terrified

    This is completely normal! No one starts a new job in a new field knowing exactly what to do or doing it well. Everyone else seems to make it look easy because they've been doing it day in & day...
  15. RainMom

    Dressing changes????

    We also use Aquacel dressings which stay on for 7 days unless there is excessive drainage. Nursing changes the dressing if
  16. RainMom

    Who assigns your patients?

    We also just take turns & no one ever takes a 2nd pt if there is a nurse free, nor would we expect them to. It's unneccessary stress on the nurse & potentially unsafe. I second the notion of...
  17. Actually, this sounds similar to my program. We did not have separate classes for med-surg, pharmacology, etc. Rather, first semester was Nursing I, second semester Nursing II, etc. By doing this,...
  18. RainMom

    I'm having doubts about nursing... :(

    OP, it's been a week since your initial post. Curious how your 2nd clinical
  19. The meds used for the block are largely preference of the anesthesiologist. Most of ours use bupivicaine (Exparel) with maybe epinephrine & I know one that also adds dexamethasone. Really, I...
  20. RainMom

    I'm having doubts about nursing... :(

    And sometimes (often? always?) the floor is short staffed with not enough aides OR your aid is floated to a unit even more short staffed than you are. Then guess what? You or another nurse is...
  21. RainMom

    Morphine & air hunger

    Just looking for validation.... Pt with severe COPD scheduled for surgery to repair a fracture was on the floor. Sats all over the place; mostly 90's with venti but pt wouldn't leave it on & drop...
  22. RainMom

    I'm probably just overthinking but...

    IL Dept of Financial & Progessional Regulation State of Illinois | Department of Financial & Professional Regulation However, you won't find your name listed until you have sent your fee...
  23. RainMom

    Humalog

    This can sometimes seem like a gray area & not everyone will agree on the best course. What does policy say? My facility policy is to hold short acting insulin if less than 50% of meal is...
  24. RainMom

    Evening shift versus nights

    I would prefer 12 hr nights to 8 hr evening shifts. However, my ideal shift would be 12 hr evening, 1100-2300, which my facility offers a handful. Is that a
  25. I second the skillstat simulator. Was introduced to it in school & now, I revisit it every time I need to renew