mugs

How do you keep the noise level down on your unit at night time so that patient can get enough sleep? Have you implemented any measures to do so? I am interested in knowing what worked for you? Thanks for your help

Thanks a lot

I work on telemetry unit. I had a pt who had 3 beats of vtach I knew it was not emergent situation as the pt was asymptomatic VSS. AAOX3. I called attending at 5 am and wanted orders for lab, attending got upset that I should have called cardiologist. I became nervous and I did not ask her for BMPand Mg lab. Finally l called cardiologist at 6 am and got the orders.I know what to do but I keep asking other nurses even though I know I am doing the right interventions it makes me feel that I am less confident.

Hi all fellow nurses I am working in acute care setting since Jan 2016. I need some tips how could I be more self confident and avoid panicking when a immediate intervention is needed for the patient or patient health declines.I need some tips/suggestions from the experienced nurses.Thanks

Thanks

Is the RN salary for RWJUH in New Brunswick and Somerset same? For example if RN is working in ICU New Brunswick and ICU Somerset would the salary be around the same or there would be a huge difference?

Do nurses get bad reviews from patients on press ganey? I am a new nurse I am little worried as it is hard to keep every patient satisfied when you have six patients and 3-4 of them are demanding. I would appreciate your insights. Thanks

I recently started working in hospital, this is my first hospital job. I dont find enough time to go over the consults and lab results and sometimes I am blank when next shift comes and asks for the report. How should I manage my time? I would appreciate if other night shift nurses could explain me what is the best way to manage time. I highly appreciate your replies.

I am new to telemetry. Why do we do troponins x3 most of the times every three hours. I would appreciate your reply.

How many beats of vtach would be of real concern??

Thanks I just wanted the information. I am an overcautious nurse. I wont do anything without getting physician's order or checking facility protocol. I just wanted to know as I heard of Jackson Pratt could be flushed. My rationale was if the drain is to drain the fluids from the wound why does it need to be flushed?

How do we flush a JP Drain? I want to know the procedure? If anyone has done it please reply. Thanks

Thanks for all your replies. I am a new nurse working in Subacute care so I wanted to know what to do. If I see bruise.

Are there any treatment for bruises. What do we need to do when we see bruising?

I am new to wound vac. I would appreciate your help. When a wound vac is connected to the wound generally how often is the wound dressing changed? If the wound vac tubing gets disconnected from the ( there is no suction) does it beeps like IV pump/ Enteral feeding pump to notify the problem?

While measuring SPO2 of a patient where is it(SPO2) more accurate Tragus (ear) or over the finger????

How common it is to have needle stick injury in LTC/ Sub acute during first year of nursing?

No I did not think of that I use water at room temp

Need some tips How to crush medications finely so that they are not stuck in the syringe and flow freely in the peg tube? Please advice. Any tips to dissolve the powdered medications would ne highly helpful and any technique to administer the medications would be highly appreciated. Thanks

thanks

Why scopolamine patch is always put behind the ear????

I am new nurse working in Subacute Acute Rehab. Sometimes I don't know what to tell the incoming nursing about the pt. Some times I don't have answers to their questions. How to give a good report. Is there a standard mnemonics you follow so that you don't miss on important things. Please advice.

Thanks RN403

I am a new nurse. I work in LTC and subacute. Most of the times when I come home and reflect upon my day I feel I should have given more care to my patients but the eight hours shift and too many patients feels too much. I feel being rushed.Is it normal? What can I do to improve my job satisfaction? I stay back to do wound care, dressing changes and make calls to doctors instead of passing on to next shift nurse. What should I do to improve my job satisfaction? Are these feelings common for a new nurse. I would appreciate your suggestions or tips to increase my work performance and improve job satisfaction

In LTC and subcute many patients have dementia. I told the aide to keep watch on the patient and put the cannula back if it is not in place.Is it okay to tape the cannula to patient's nose? Yes his O2 sat was dropping in 85-86 so I was constantly checking on him. I am a new nurse so I may sound stupid but wont sedation cause respiratory distress if patient sats are low?