NayRN

NayRN

med/surg

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All Content by NayRN

  1. Telemetry Nursing

    NayRN replied to ELMS54's topic in Patient Safety Issues

    certified in what? I work med-surg/tele, and there are actually very few of us who have ACLS. It's kind of on a limited voluntary basis. I didn't get it myself until I had been on the floor for over 2...

  2. 5 things you wish you knew as a new nurse

    NayRN replied to Bugs20091's topic in First Year After Licensure

    I agree with everyone else. 1) You are not expected to know everything. If someone tries to make you feel otherwise, they are forgetting where they came from. Ask for help. Learn how to delegate. Ask...

  3. Please help settle debate about medical record/revoking consent

    NayRN replied to ERnurse2001's topic in General Nursing

    I always copy their med list (with a photocopier) and give it back. I enter the meds into the computer manually (double checking that they are correct). I happen to know that my hospital has a policy...

  4. IV pain meds standards??????

    NayRN replied to jbluehorseh's topic in Patient Medications

    Again, it is not your job to decide if the patient's complaints of pain are real or fake. Your job is to administer analgesia within established parameters set by protocol and standards of practice...

  5. Graduated & Discouraged. HELP.

    NayRN replied to MissPinkScrubs's topic in Licensure: Criminal History

    I had a misdemeanor and another arrest on my record that I had to explain away to the Missouri State Board. My letter consisted of "I was young and stupid" with some elaboration. I have an...

  6. Working in a christian place while being an atheist?

    NayRN replied to mls4455's topic in Spirituality, Religion

    It's illegal (Civil Rights Act) to directly ask you your religious preference in a job interview, just as it would be illegal to ask you your sexual orientation or discriminate based on race, sex,...

  7. Working With Tattoos In Rolla Missouri

    NayRN replied to rainyday lpn's topic in General Nursing

    I live/work less than 100 miles from Ft. Leonard Wood. My hospital does have a "professional appearance" policy-which meant that I had to remove my piercings when I became a nurse, no visible tattoos,...

  8. Funniest Things Doctors say!

    NayRN replied to RNdiva505's topic in Nursing Humor

    Called the doc about a patient who wasn't looking too good- Me: Her mental status has declined since yesterday, her pressures are low, her temp is low, her WBCs are dropping (2.4), her edema is...

  9. What patients/behaviors/illnesses/injuries do you HATE the most?

    NayRN replied to JZ_RN's topic in Patient, Colleague Relations

    I too like psych patients. The really sick ones-addiction, DTs, schizos, alzheimers, etc. It fascinates me. I would love to work on a psych floor equipped to deal with these guys. However, there isn't...

  10. I get worried about my career choice....

    NayRN replied to ThePrincessBride's topic in General Nursing

    This site tends to be just like those thorn-in-our-side patient satisfaction surveys in that people tend to complain more than praise. I am certainly no exception-I complain a lot. However... As much...

  11. What patients/behaviors/illnesses/injuries do you HATE the most?

    NayRN replied to JZ_RN's topic in Patient, Colleague Relations

    30-40-something year old female with vague abdominal pain. If I have a choice, I will choose the 85 year old dementia patient with the broken hip over that one-or the detoxer. Changing wound vacs-I...

  12. Funniest Things Doctors say!

    NayRN replied to RNdiva505's topic in Nursing Humor

    Sitting in the nurse's station one day talking to an ortho doc, and the "Lullaby" comes on the overhead to announce a new birth. The doc stops talking, looks up and says "hey! It's the medicaid theme...

  13. Things you'd LOVE to be able to tell patients, and get away with it.

    NayRN replied to AngelfireRN's topic in Patient, Colleague Relations

    I so said it... Me: "Well, the Dr. may not order an anesthesia consult for a PICC line. Those are usually used for people who need long-term antibiotics or other various other forms of longer-term IV...

  14. Patient Care And Customer Service Are Not The Same!

    NayRN replied to TheCommuter's topic in Patient, Colleague Relations

    My nurse manager actually asked the task nurse to wheel a patient outside to smoke yesterday. The poor patient was unable to go out side under their own power to have their cigarette. So sad. The...

  15. Starting Salary [new grad]?

    NayRN replied to clandestine-approach's topic in Diploma, ADN, BSN

    When I started 4 years ago (rural Missouri, med-surg/ADN) new grad starting pay was $17.50. It is now $18.50. With my whopping raises (all raises have now been suspended for 12 months) my base is...

  16. ADN/ASN RN vs BSN RN

    NayRN replied to libran1984's topic in Diploma, ADN, BSN

    First, in my state, LPNs are not allowed to hang blood, do IV pushes, or do an admission physical assessment on a patient. Here, an LPN in the ED is unheard of. Also, where I am, ADN RNs are the...

  17. Hospital union votes in St. Louis set stage for tense talks

    NayRN replied to NRSKarenRN's topic in Collective Bargaining, Union

    Also included in unnecessary care would be the rate of unnecessary admissions-the 25 year old with the flu and no co-morbidities on medicaid could probably take their tamiflu and home and get plenty...

  18. Saying 'NO' to overtime

    NayRN replied to suzbeeRN's topic in General Nursing

    Justify it this way: The hospital where I work proclaimed last week that 1) all overtime is hereby suspended. 2) There is a 12 month suspension on merit raises (all 2.5% of them) and 3) all PTO earned...

  19. Confess! Whats the craziest force of habit you've done in the "Real World"

    NayRN replied to vhern246's topic in Nursing Humor

    I too am guilty. I palpate my husband's veins and radial pulse compulsively. I just caught myself signing my son's daycare registration forms with my initial, last name-but caught myself before I...

  20. Iv orders

    NayRN replied to kellycinalli's topic in Patient Safety Issues

    and then there is this sodium was low? why 2L of

  21. How much Cna work should an RN do?

    NayRN replied to Bfts76d's topic in General Nursing

    My NAs know who to come to when they need help with a non RN task. I don't care if it's my patient or not. I work on a med surg floor with up to 7 patients per nurse. I like to help with baths as it...

  22. Things you'd LOVE to be able to tell patients, and get away with it.

    NayRN replied to AngelfireRN's topic in Patient, Colleague Relations

    Why do you say "I will go AMA" like it's a threat? You are a pain in my *** and my day will be so much better if you go. Please, leave and don't come back. Here is your paper. I printed it out just in...

  23. How far would you commute to nursing school?

    NayRN replied to SlaveHeart's topic in Pre-Nursing Students

    I commuted 90 miles each way for 14 months for my ADN program. There were four of us who did this, so we carpooled. Our program was 4, sometimes 5, days per week. (This was in the summer of 2008 when...

  24. Common nicknames for hospital items.

    NayRN replied to LifesAJourney's topic in Nursing Humor

    we too have "sliders" -although I like to add a little apple juice to improve the MOM, prune juice and margarine. I suppose this could be a gourmet slider? A "slug" is a patient who acts like one when...

  25. Is it illegal for caregivers to administer meds in PA?

    NayRN replied to CJcaregiver's topic in Patient Safety Issues

    Don't know about PA, but in MO, I had to take a 2 day med tech course in order to be able to administer meds in a home setting. This was before I had any other certification in the medical field. The...