All Content by Epic_RN
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Refusing a Clinical assignment
Yep. I chose to have my son circumcised by my OB rather than his pediatrician simply because my OB charged less
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What is your nurse-patient ratio?
Ortho med surg 5:1, regardless of shift. Occasionally with low census we'll have 4:1 with total pt care. When all 30 beds are full, there are 3 CNAs but max ratio for pt:CNA is 15:1. I'm in CA.
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Male nurses student and skipping OB/L&D clinicals
Funny, my aunt in Los Angeles had a male do her mammogram 3 years ago...... just sayin'
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Can anyone help me understand patient ratios?
Not sure what you're referring to, my CA hospital has not let any ancillary staff go.....
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memorial hospital in medesto, CA
It's Modesto and no, I haven't.
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I wrote this for my pt.
Sam, that is just beautiful .... brought tears to my eyes. Thank you for sharing that, off to hug my babies now....
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How much pain medicine is too much?
This, this and this. Could not have said it better. Pain is pain, regardless of what our personal opinions are of the pt's pain control regimen. Would rather be snowed out of my mind than feel that severity of pain. I've cared for post op chiari pts and the relief they've expressed in the reduction of their pain level has been enormous....
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PCP
Love it!! This gave me a much-needed chuckle this morning!
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Splitting pills outside of nurse's scope of practice?
Nope, pharmacy splits pills for us too. Had a pt this weekend who was getting 50 mg of Nucynta every 4 hours and they were splitting 100 mg tablets. Pharmacist finally called and suggested Dr prescribe 100 mg every 6 hours lol... I guess he was tired of the hassle, too!
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Difference between a graduate nurse & a experienced nurse
As a new nurse, I don't like this.... I freakin' LOVE IT!!! Wow, I needed that laugh, thanks Gitano! :hug:
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How did you *know* your specialty and when?
I knew for ten years that I would be a PICU nurse..... Then I had my peds rotation lol. Kids, I can handle. Parents, not so much. During my last rotation in school, I loved ICU. I didn't apply for anything else. I ended up on an ortho/med surg floor and love it. Will I stay here forever? Nope. I know my niche is in some type of critical care but I will learn everything I can where I am and take it as it comes
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I'll be serving whine at my pity party
Wooohooo! Good for you!
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Do I have a shot?
The cc I attended in California is based on a lottery system, not GPA like most programs. I had aC in a few prereqs and still got in, graduated in December. PM me for more info. :)
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Refusing the Influenza Vaccine
FYI -- Merlyn is not the OP, and not in school. He stated just a few posts back that he has over 40 years in the healthcare setting......
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I'll be serving whine at my pity party
Sounds like it went well! Thanks for the update and let us know if (when!) you get the offer
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Sex in the workplace.....what do YOU think should be done?
Can you tell my boyfriend that, please?? It's been two months since I got any and reading this thread isn't helping me any here lol
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I'll be serving whine at my pity party
Congrats on the interview! Research the hospital so they know you're interested. Also, if it's s residency program, a good question to ask is how you would go about becoming a preceptor down the road. And emphasize teamwork. Good luck!!
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How does administering PRN medications work?
I usually see orders like this: Vicodin 5/500 mg one tablet every 6 hours by mouth as needed for pain scale up to 5/10 Vicodin 5/500 mg two tablets by mouth every 6 hours as needed for pain scale 6/10 or greater So you assess the patient's pain and have them rate it on a scale of 1-10. Based on that assessment, you give the indicated dose of medication. I also see orders such as: Hydralazine 5 mg IV push every 6 hours as needed for systolic blood pressure >160 mmHg So if my patient has a bp of 165/100, I can give this medication but if the bp is 158/100, I can't give it. Hope that helps!
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My TCU CPR policy
Having just gotten my ACLS certification, this greatly disturbs me. Per ACLS guidelines, you do not attempt compressions only if there is a DNR or rigor mortis present. In my facility, we attempt resuscitation regardless of rigor mortis being present unless there is a DNR.
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You Know You're A Nurse If...
When you ask your significant other if he gave cold medicine to your son and he replies "It wasn't on the MAR" -- and he's not a nurse lol! True story, happened tonight when I got home from work :)
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One year later as a nurse, what have I learned?
Love the Android AN app, just wish I could figure out how to "like" posts on it. OP, I can relate to every item you listed and I've only been a working RN for 2 months! I was actually contemplating posting a thread of my own on the reality shock of actual bedside nursing vs nursing school and how disillusioned I've become in only 2 short months, but after some of the responses I read on here, I'm hesitant to.....
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New Grad RN and loving it!
I love my job, my unit, my coworkers. I'm still in orientation but am progressively taking in more and more of the full load with my patients. My only complaint is that I can't work overtime yet -- I'd love to pick up another shift a week! Who knew I'd love ortho so much?
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Two Thoughts
I will freely admit that I call patients honey and sweetie all the time. It's a habit and it sure is hard to break. That's how I grew up though, we only used given names in anger or annoyance in my house so it became ingrained. My boyfriend appreciates it because he can always tell when I'm mad lol. I've never had a patient complain. I do ask what they prefer to be called and try to use whatever that is but I catch myself slipping back into the honey and sweetie thing.
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Preceptorship
I'm in my 2nd month as a new grad and yes, I feel like I don't know anything! I think that's a pretty common feeling. I wouldn't worry, the learning curve is steep as a new grad but not impossible. I'm sorry your preceptorship is not what you imagined, I know that's disappointing. Hang in there, you're almost done! And definitely ask questions and be proactive about getting to do skills -- the worst they can say is no.
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Graduate Nurse program with contract
I am also in a new grad residency program with a 3 year contract. The reason they charge so much is because they spend so much to put you through the residency and then nurses would just take off. My fellow residents and I were told that our hospital shelled out over $5000 for each new grad just for the training, not to mention preceptor pay and pay for the educators. Can you really blame then for wanting to recoup their losses? You knew what the contract was when you signed it, you can't alter it just because you want to leave now. Just MHO.