foggnm

foggnm

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All Content by foggnm

  1. Unruly CNAs

    'Rude and lazy' aren't really specific behaviors that can be addressed by management. I'd suggest you just let it go since it is a short assignment. Or make a list of the people and the actual offenses that interfered with patient care and report tha...
  2. Documenting injection the MD gave

    In general nurses don't document what providers do. However if for some reason a provider gave an injection and asked me to enter it, I might and just put administered by Dr. X so it would be correctly entered (e.g., an immunization). You aren't bein...
  3. Question for nurses that are male...

    I'd like to be referred to by my proper title: murse. LOL. You can't be a man and a nurse and not expect, at some point, to hear some emasculating comments. However, in general, as a man the advantages far outweigh any snide remarks. I think our fema...
  4. Should I start out on night shift?

    If you have the option and you don't want to work at nights, then no. Learning wise being on days as a new nurse is better. It is typically much busier and you learn more about patient discharge, care planning, procedures, etc. Things are more typica...
  5. That makes sense but not trusting 'one in particular' means you calibrate by using a different one. I just think it is silly that we have all these very sophisticated medical devices and when we don't like the number we say "I don't believe that." Th...
  6. Where I get my outpatient care, all pressures are manual. However, working in the hospital 7 years all pressures were with a machine or an arterial line. Maybe manual in a case of 'we can't get a cuff pressure.' Machines are very reliable and if we t...
  7. RN to EMT/Paramedic

    Have you considered doing flight nursing? At least where I live Paramedics generally make a lot less than RNs by sometimes up to 50%. I'd hate to see you go broke for a different but similar job. Flight nursing has that similar 1 patient transport th...
  8. Palliative Care on Med Surg Floor

    Yes, you can use a PCA with a basal rate and the nurse can administer bolus doses if the orders reflect it. Or alternately they can do a continuous pca with IV boluses by the nurse. The PCA just makes it more convenient. It is quite legal and quite s...
  9. positive drug test

    Depends on your facility's policy, contact your HR department. It isn't always reported to the board depending on why the test was done, what drug, and the circumstances surrounding testing.
  10. Psych RN-A Thankless Job?

    Nursing is indeed a thankless job. So thank you for taking the time to listen to your psych patients. It sounds to me like you might not be in the most positive environment. I worked in an ER a couple years ago where there was a culture of talking ne...
  11. My coworker was high and got away with it

    God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference.
  12. Medical Tourism

    Perhaps if paying cash which means no insurance or perhaps for certain elective procedures. But since the affordable care act mandates all residents have insurance (and fines them at tax time if they don't), then I'd say it should be less common. The...
  13. 2.5 GPA and Desire to go for FNP

    Don't be ashamed of your GPA. I actually compliment you for being smart enough to realize a 4.0 wouldn't have changed the outcome. Either way you are a nurse. You will be able to get in to NP school. Just look at the requirements for a few schools (G...
  14. My inner snowflake

    I have often referred to nursing as blue collar to others. Hospital nursing is mundane, repetitive, dirty work (receive report, assess patient, pass meds, perform procedures, chart, rinse/repeat, do I/Os, give report). Outpatient is different, but si...
  15. My Mom passed away. Did I do the right thing?

    I'm sorry your mom passed. I hope your heart can find peace during this time of sorrow.
  16. I can't win for losing

    That a bummer of a situation. I think most people know nursing is a thankless job, but it is upsetting when people go after you because you did the right thing. It is a tough situation and I hope the complaint is dismissed quickly since they will now...
  17. Not today Satan, not today!

    LOL. I guess next time you'll know to turn the lights on! Hey, sometimes you have to say "I need a break from this." I applaud your ability to remove yourself from an uncomfortable situation and know your limits!
  18. Does anyone work in Clark county (Las Vegas, NV) schools? I'm interested in knowing about the environment in the schools for nurses. If so, would you please private message me. I'm a school nurse now but am considering LV for the heat (love hot weath...
  19. Sleeping on job?

    God grant me the serenity to accept the things I cannot change; courage to change the things I can and the wisdom to know the difference.
  20. Do you ever NOT give out ice packs?

    I pretty much give it out as requested, though 80% of the time it is not needed. I figure it is a good way for students to take care of themselves. The ice if free and the plastic bags cost about 1 cent. Sometimes you just need to let kids be kids.
  21. Math requirement for RNs?

    The basic math requirements for college are sufficient for nursing school. At most you're using simple algebraic equations. And fortunately most of the math has been taken out of the job and is done by pharmacist or the pumps used in hospital. Howeve...
  22. Step down ratios

    1:4 is common and all the step down units at the L1 trauma center I worked at were 1:4. I've seen 1:3 as well. Anything higher than that is typically just called tele or med/surg with monitoring as the patient isn't truly a step down from the ICU, th...
  23. New nurse needing advise!

    Hospitals don't typically pay for license or nclex. Travel companies will pay for your license when working in a state they are hiring your for. As far as all your other questions, you can ask Human Resources once an offer is tendered, call the numbe...
  24. Disciplined nurses work as an MA

    Good for you for maintaining some type of medical employment and making the best of your situation. I wish you the best in your recovery from alcohol and hope you can be an RN again soon.
  25. Does your district allow narcotics in the clinic?

    Yes we allow it and I would rather have a kid with side effects then sitting at home missing class!