lmccrn62 MSN, RN

Pain, critical care, administration, med

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All Content by lmccrn62

  1. lmccrn62

    Needle Stick, employer no protocol

    It probably falls under
  2. lmccrn62

    Looking for Barcode Med Admin Policy

    Maybe be more specific it may generate more
  3. lmccrn62

    Nursing evidence base practice topic help

    Cauti's, pain management, falls, DVT, glycemic control, mobility. There's tons out there. It doesn't have to be a crazy topic keep it
  4. lmccrn62

    Nail care

    Generally you can provide all basics without a order. Cutting nails is usually not a good idea for fear of cutting
  5. lmccrn62

    Feeling so unprepared/discouraged!

    It's not uncommon to have trouble speaking with patients. That will come with time. Get in and answer bells or do hourly rounding. The more you engage in conversation the better it will get. Small...
  6. Sorry you mixed it up but employers really frown upon a no show. You probably won't hear from
  7. lmccrn62

    I want to quit.

    I think for your own sanity you need to quit. They cannot do what they are doing. You should check with your state board of nursing as to the laws regarding mandatoryOT. By law you are to be given...
  8. They are not allowed by law to hold your check. I would show up on pay day and ask for your check if they choose not to give it to you tell them you are notifying the labor board, the state about the...
  9. I think overall you did a good job. A couple of things to think about. When the patient said his pain is good when he doesn't move was a opportunity to discuss why pain medication would be helpful....
  10. lmccrn62

    Fall initiative

    We use high/lo beds with mats, exit alarms, bed checks and chair checks. We decreased our fall rate by over 40% this year. Falls still happen and we have things to put in place but as nurses we need...
  11. lmccrn62

    ER nurses not calling report anymore...

    I think the perception of nurses is we often think that each other is lazy. I do think walking in each others shoes may put perspective on the others plight. Yes the ED has one door, the ICU has many...
  12. lmccrn62

    FLACC vs. Wong-Baker FACES

    Faces is used for patients that can communicate. They are instructed to pick the face that represents how much pain they are feeling. FLACC is a behavioral tool to be used in patients that are unable...
  13. There is no temporary license in NJ. If all your infirm action is there it takes about 6 weeks. I am currently waiting for my NP and the state is not the issue it's just the school I attended. If you...
  14. lmccrn62

    Failed nclex 4th time...plz guide

    I have been a nurse for 30 years. I too failed my boards and took them 3 times. For me I had difficulty answering the question probably read too much into it. So I studied only questions and when I...
  15. lmccrn62

    Feeling so unprepared/discouraged!

    It is normal to feel that way. Just because your peers rattle off stuff doesn't mean that they are any better off than you. Some food for thought. 1. Review your care plan or whatever your preparation...
  16. lmccrn62

    Stooopid

    Hysterical! You can't make this crap up! Ok I work as a director on a med surg unit. 1. Patient tapes his vertical blinds in his private patient room so no light gets in at all. 2. Overweight...
  17. lmccrn62

    Hair Color + Piercings + Job Search

    Regardless of what the policy is it is about being a professional. Older patients in particular find tattoos, piercing a and odd color hair offensive. Dress for
  18. lmccrn62

    What if this happen to you !!

    I was let go after 20yrs. A reorganization. I was devastated but as a manager I wasn't part of the clique so all the CNOs suck ups got to stay. There is even more to this story but it would take to...
  19. lmccrn62

    New RN broke down in tears

    You sound like a new RN. Your comfort level and abilities will increase over the next 6-12 months.shame on your preceptor for making you feel that way. Be patient it will get
  20. lmccrn62

    A patient expired! Cannot figure it out why!

    Pulmonary embolism. Leading cause of death in hospitalized patients especially post operative
  21. lmccrn62

    squamous cell carcinoma wound pain

    You should see about any compounding of medications that can be applied to a wound. Often you can create almost
  22. No one ever wants to make a error but all of us have. Your manager could have made this learning experience much more comfortable. The only way we learn from errors is to share the experience and it...
  23. lmccrn62

    Gangrene nursing diagnosis

    Nursing care plans are a pain. It is how you think as a nurse to address the needs of your patient. Just what you listed are plenty of nursing diagnoses. Skin integrity- he has pressure ulcer,...
  24. I am not sure that it does. The market for new grads in some areas is very poor. So not sure what will
  25. lmccrn62

    Finding a Job as New Grad in PA

    Pennsylvania is a tough market for new grads. I am in the Lehigh valley area and many flock this way because Philly don't have jobs for new grads. They come get experience and then leave. We are...