HappyNurse2005

HappyNurse2005 RN

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All Content by HappyNurse2005

  1. Medical Assisting

    oh boy. one semester of pharmacology, and you are suggesting meds? and writing prescriptions? SO out of your scope of duty. When you have a LICENSE you have to be worried about, you'll be more careful...
  2. What Next?

    Hospice? Phone triage? work for insurance company? work for red
  3. Adequate Staffing

    27 bed cardiothoracic surgical PCU (also w/ some general telemetry) on days 7 RN's, 3 NA's, 2 sec/monitor
  4. Well, I was a patient today, when I went to urgent care for a sprained foot. I did mention it, but they didn't treat me any differently, and were actually quite social because of
  5. Little funny thing pt said about Reglan

    Pt (post op cabg) has been sick to his stomach.and also, low energy had nausea on and off. was ordered reglan. I went to bring him his first dose, and told him that this was Reglan. he said "that...
  6. Can't decide....any input?

    Well, why do you think you did badly at teh first job? Lack of support? Lack of orientation? That kind of thing could be different at another job. Since you are 52, don't waste time where you aren't...
  7. Graduadted-May 13th Started working-May 31 (though i did have 5 weeks of in class orientation before I was ever on the floor for that orientation) Took NCLEX-July 1 Found out I passed-July 5 (dont...
  8. leaving with iv lock in

    How do they leave with it still in? ARe they leaving AMA? or just refusing to let you take it out after giving them discharge instructions? My only left AMA pt ripped his out on his
  9. I guess this is two questions, in a way. I hear people, most recently, a man on the news, say they were "dead" and brought back. The person on the news said they were "medically dead" and brought...
  10. do you feel like the CNA's run the floor?

    Dream Nurse- break your thread into paragraphs-it'll make it easier to read. I'm trying to read your posts, but my eyes keep crossing. Thank
  11. Help - Suspended

    What I would have done: Would have depended on several things, such as, how high was the blood sugar, how long was going to be npo,e tc. I most likely would not have treated it. It's easier to give...
  12. Lung Cancer

    Being on a cardiac surgery floor, which of course, also gets the lung surgery pt's(it says cardiac, but its cardiothoracic all together, ya know) i've seen several lung cancer pt's there for...
  13. Help - Suspended

    Coverage means administration of sliding scale insulin, dose based on Accucheck
  14. do you feel like the CNA's run the floor?

    You know, I do what I can to help. If i'm in teh room, and pt needs to go to the bathroom, i'll help. Whether its ambulating to BR, using bedpan, or getting on BSC-I'll help. But, if i'm in the...
  15. Funny patient names by nurses

    Had a pt the other day, man in his 70s. His first name was a single letter. Not a word, it wasn't short for anything. His medical records showed his name as a letter. Middle name too. Just a letter....
  16. Went back to work today, 2 days after the hypotension issue. Had the pt again. We were no longer giving her Norvasc after that issue, and her BP was normal. 110s-130s. She was discharged today with...
  17. anyone gone through JCAHO recently?

    Yep, they were here, unannounced recently. Early February. I wasn't at work on teh day they were on my unit all day (wahoo!) but i heard all about it. -They dinged us for when a pt had a half pill,...
  18. DVT Prophylaxis in critical care

    We have DVT screening forms we use on all adult inpatients, on admission. It's a algorythm to determine their risk, asks if htey are already on lovenox/heparin, etc, and at the end, you come to what...
  19. Hypotension and when to treat

    Had a middle aged pt the other day. IN for chest pain-has a prior cardiac history including pacer for tachy/brady syndrome, mi, chf, htn, extreme obesity, etc. Her BP was low. mid 80s, mid 70s, occ...
  20. Hypotension and when to treat

    Maybe I've not been a nurse long enough to know better, lol, but a BP of 66 systolic, even on a person w/ normal mental status just doesn't sit well with me I guess when I go back to work tomorrow...
  21. what shift do you work and why do you like/hate it?

    I work 7a-7p, 3 days a week. I have done nights, too (for a whole week) I like hte people better on days I like the docs and PA's being there on days-you don't have to wait forever to be called back,...
  22. Documentatio question

    OK, does anyone really believe that this is okay? Come on, I sure hope not. What in the world could you possibly be so sure about that you'd chart on it 3 hours ahead of time? 3 hours is a long...
  23. Cardizem

    Sounds like she has tachy/brady syndrome and needs a pacer! OT, but you are a new grad and already doing charge? Her HR was uncontrolled by the meds you were allowed to give. I gather you aren't...
  24. on probation because i made a mistake

    Yikes! Purposefully doubling a dosage of a potentially harmful med? How old was this pt? I've had some pt's that just 12.5mg of phenergan snowed them for the whole day, but 25mg, then 4 hours later,...
  25. Chart Checks

    Here each order has to be noted by the RN/LPN (and the secretary who put in the orders). Any radiology/labs/diet/equipment orders are put in by the secretary, and she has to write the order number...