nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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About nynursey_

nynursey_ has 3 years experience and specializes in Med/Surg/ICU/Stepdown.


32. RPN-BC. Transitioning from MedSurg to Medical-Surgical ICU. Forever learning.

Latest Activity

  1. New RN having the worst time

    Like the others' have said ... it's been a month. I was never an RN in a NH, but let me tell you ... I am/have been a MedSurg RN, and > 80% of those patients are often NH patients in acute...
  2. Horrible new boss

    I'm having this exact issue on my unit. Our new AN came in and she's an HCAHPS
  3. Trying to reduce supply waste

    I find one of the biggest supply wasters are improperly labeled equipment; graduates, bed pans, tube feeding supplies, syringes, IV tubing, IV fluids, etc. When these things are not properly labeled,...
  4. Central Line safety

    I'd be interested to see if any best practice articles exist on this topic, but in the spirit that they don't ... Logically speaking, having an area on the lumen compressed for an extended period...
  5. The worst.

    ​While I don't want to condone turning this into a night shift versus day shift post, I can say that I sympathize with those of you who hold it together on nights (for a point of reference, I...
  6. When to call a code

    My hospital does have a rapid response team, however an unresponsive person can go from bad to worse very quickly, so it wastes less time to call a
  7. 6/11 WILTW Unsupervised Chalk Use

    I learned ... 1. I'm eligible to sit for the ANCC Medical-Surgical Nurse certification exam. I have 90 days to test. I may (or may not have) thrown up a little bit when I found out. 2. A patient can...
  8. When to call a code

    At my hospital, a Code Blue is initiated when a patient is unresponsive: with or without a pulse, or has an absence of spontaneous respirations. These interventions typically necessitate ACLS protocol...
  9. Urban/Metro Hospital in NY High Acuity Med/Surg = 1:4 (as it should be standard), 1:5 (when our ANM refuses to assist in taking an assignment), or 1:6 (when the ANM refuses an assignment, there are...
  10. Should I SUE?

    I'm having a difficult time wrapping my head around this situation. You were academically dismissed from your program for ...? Failure to rescue? Failure to notify? Safety violation? Unprofessional...
  11. Best way to avoid bedside care?

    You may be right. I more meant for insurance companies since much of it is policy based. But it would definitely require looking into
  12. ANCC Medical Surgical Certification

    Let us know how the exam goes! I have been on/off studying for a few months in preparation for mine and I'd like to hear from someone who has experienced the
  13. General Rules for Med Surg

    I think what you're referring to as "general rules" are really simply essential parts of knowledge of a clinical skill. For example: it best practice to flush a PEG tube with 30mL of sterile water...
  14. Gracious Patients

    I love when this happens. It's rare but it's definitely a nice reminder of the fact that our work is essential and important. I have had patients (and families) thank me profusely for simply doing...
  15. Best way to avoid bedside care?

    If you're absolutely positive that you have zero interest in bedside nursing (hospitals, SNFs, LTACHs, LTC) then I don't think hospital experience is a must. It will hone your assessment skills and...