JessicRN

JessicRN

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All Content by JessicRN

  1. We have new management and they have decided that any pt who left AMA or LWBS are to be called by the charge nurse in the attempt to bring them back????? I have nothing else to do but call that "I have a hangnail for 10 minutes" back so he can come b...
  2. IV tips and tricks

    24 gauge 20ml/min =1200cc/hr 22gauge 35ml/min =2100cc/hr (can give blood but not prefered ) 20 gauge 60ml/min= 3600cc/hr 18 gauge 105cc/min=6300cc/hr 16 gauge 220cc/min=13200cc/hr 14 gauge 330cc/min=19800cc/hr figure out how much fluid you...
  3. Nursing the old fashioned way

    lets see honey to vulvectomy pt's wounds glass needle syringes and metal needle that were resterilized glass iv bottles moms stayed 3 days after vaginal delivery and 5 days for C section babies always slept in the nursery during the night and came o...
  4. CEN, ENA, TNCC

    I took the CEN after I took a critical care course without even steping in an ER yet and passed. I would not have passed if I had not have taken the course in my opinion. I recommend you take the CEN review course first. TNCC was pretty easy and even...
  5. What is it like to be a nurse in a prison?

    To the OP, please listen to those who have worked in the prison system or at least a nurse. Some of my best friends were the officers we would work out together in the morning and go skiing together it was like one big family, they watched your back....
  6. Correctional nursing like ER?

    I worked Corrections for 7 years before I came back to ED nursing and the one thing I became was very adept at my assessments. I had decide if that inmates pain was real enough to warrant a trip to the hospital or if I could manage him inhouse. Unes...
  7. CEN Laura Gasparis DVD/CD

    No I have been a nurse 31 years and the way it worked is you write the Exam then in 4 years you do the CEN RO then in 4 years you had to rewite the exam and so on and so on The last time I let I lapse by a year. And NO I PASSED EVERYTIME I do not th...
  8. CEN Laura Gasparis DVD/CD

    I just took the exam yesterday and passed. This is my third time taking it but this time I swear was so much harder then the past in my opinion. I did very well but I truthfully think I guesed at more questions then ever before. ( I could narrow mos...
  9. Are there really RNs that need a job?

    Maternity does not mean an job opening, it means a nurse is going to be off for 12 weeks. Not many experienced nurses are going to apply for a job that is only 3 months long and no Nursing director will hire a new grad for that short period either. ...
  10. What's your reason for putting up with it?

    Violence against nurses by patients and family is well documented but truthfully little is done by the Upper staff to stop it. In MA, there is a bill that will allow nurses to charge people for assault and the fines will be the same as law enforcemen...
  11. Is nursing really THAT bad?

    Been a nurse 32 years 20 in the ED, are there horrible days yes, Lots are there great days, lots,would I trade it for anything? nope. The hours are long and you miss alot of holidays ,on some days you want to kill your fellow nurses, doctors,intern...
  12. You know you're Old School when...

    We still do narcotics count 2x/week even with pixis Any body remember retrieving sterile sputum specimens without suction machines. It is a small bottle with 2 tubes (still have the same collection receptacle to this day) one tube goes in the pati...
  13. How can I be in two places at the same time?

    Sorry I agree, you have an hour leeway with meds. Also If you get report which you should, and they say the patient is on O2 then prepare to have the extender in advance if they are on IV meds needing IMEDS have them available as well. Not sure whe...
  14. People wonder how we treat our frequent flyer patients. Tonight for example 4 patients all return customers in under 14 hours one 3 times in 12 hours. If they are violent which the patient who returned 3 times we put them in restraints. When they be...
  15. You know you're Old School when...

    "snowing " patients with Bronfman cocktail Glass chest tubes Sterilizing your own equipment -#13 ewald NG for every OD (a tube the width of a quarter shoved down your throat and 2-4 liters of NS inserted and removed manually (no closed system) -Hon...
  16. The abuse is rampant where I work and will never change 911 is a joke here. Ambulance cannot refuse anyone, we have people who are discharged from one hospital who walk across the street to came to another hospital only to walk out and do it a third...
  17. Best beach city on the East coast????

    Corpus cristie Tx great beaches not great pay but low cost of living You have to like it hot though but nothing like tanning in feb
  18. how does nursing work for a military spouse?

    I have been the wife of a carreer military officer for 20 years then I joined the military myself. There are no exceptions for nurses. If he is posted you either go with him or stay. If he goes to another state you must apply for licensure, you do n...
  19. should I fill out med error form?

    Med errors should be reported but near misses in my opinion should not. In the case of the unit manager she should not be penalized. It sounds more like a systems problems then the Unit Managers problem. I have never heard of anyone doing month to mo...
  20. Nobody Likes A Tattle Tail

    Oh how I agree it was a total culture shock when I left the military and came to work as a civilian. It seems civilian nurses make tattling a science. I personally believe if you have to tattletail for every little thing then you need a life.
  21. This is long and complicated but needs to be told. I have spent the most horrible 7 days of my carreer. Last week I got a call from my nurse manager who told me that during a routine narcotic medication audit. My name came up and It was found ther...
  22. What good would it do the unit manager already knows why I am the one choosen her answer is "we have a lot wrong with the unit "
  23. It is so frustration when you have 5 patients and you see that each put that they had pain they stay in the ED for up to 5 hours and no one addresses pain. You go to talk with them and the next thing you know you are giving 5 pain meds then reassess...
  24. Correctional Medical Services

    iNTERESTING YOU ASKED THAT i TOOK OVER AS CHIEF NURSING OFFICER IN A FACILITY THAT JUST GOT RID OF CMS. ALTHOUGH I NEVER WORKED WHEN THEY WERE THERE I SAW THE AFTERMATH AND IT WAS NOT PRETTY. APPARENTLY AT NIGHT YOU WERE EXPECTED TO FAX THEM NOT PHON...
  25. Promethazine is buffered with acetic acid-sodium acetate and has a pH between 4.0 and 5.5. That is stronger then some chemotherapy medication. Because of this too many accidents just like shooting acid into a vein. This drug has been banned by our...