nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. What's in your nurse bag?

    As a new nurse, I'm always curious to know the essentials to bring with me to work. So, what's in your nurse bag? What type of bag (brand or style) do you bring with you to work? And on that note,...
  2. 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...
  3. Are We "Glorifying" Nurses?

    A fellow nurse (and near family member) shared this article on Facebook the other day. Initially, I was furious while reading through it, but then I took a minute to think about it. I still share some...
  4. Horrible new boss

    I'm having this exact issue on my unit. Our new AN came in and she's an HCAHPS
  5. 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,...
  6. 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...
  7. 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...
  8. 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
  9. 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...
  10. 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...
  11. 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...
  12. I discovered something about myself this week: I hate the phrase "I'll go get your nurse." I also have a similar disdain for the phrase "I'll have your nurse take care of it." They're simple, innocent...
  13. 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...
  14. 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
  15. 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
  16. 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...
  17. 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...
  18. 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...
  19. Depression and nursing

    You are most definitely not alone in feeling the way that you feel. I have been diagnosed with MDD (Major Depressive Disorder) and underlying dysthymia (long persisting "low mood") since age 19. When...
  20. Best practices: Controlled substance handling

    They very well may be. When there's a census of 35 patients, 6 RNs, 2 PCAs, and it's a Friday (prime discharge day), it may very well be so chaotic that there really isn't time to grab another RN in a...
  21. 5 8 hr shift vs 2-3 12 hr shift

    I can tell you from personal experience that 5 8-hour shifts is not your best option, particularly if you're mandated for an every-other-weekend option, and mandatory holidays. I'll give you an...
  22. Best practices: Controlled substance handling

    Honestly, I would have simply asked another nurse whom I have a good rapport with to waste with me, and vow to never make the same mistake twice. Going through the nonsense of a suspected 'drug...
  23. May Is Mental Health Awareness Month

    I feel so passionately about the current need for improvement of mental health services in this country. I applaud this post. It is very, very rare that I encounter a Med/Surg patient without a...
  24. The old me would have some smart, snarky response to this. The more insightful, improved me thinks the best course of action to this is to simply ignore it and move on. When the phrase 'monkey'...
  25. Nursing Supplies

    ​Many, if not all hospitals, will stock basic supplies such as pens, pencils, paperclips, paper, and often times, highlighters, Post-It notes, etc. As far as I'm concerned, I HATE the hospital...