nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. I will not defend nurses anymore

    OP, you're frustrated by the nursing care your wife recieved. That message is loud and clear. However, to play Devil's advocate, you are not on the other side of the curtain. You are not in the...
  2. TPN ramp up, ramp down meaning

    At my facility, it's referred to as "cycling." It typically is programmed into the pump per the specific TPN order. It changes the infusion rate over a period of time. If I'm not mistaken it's...
  3. 1 minute scrub the hub

    The hospital I came from prior to my taking a position with our organization had a Vascular Access team. Their sole purpose was to put in PICC lines, ultrasound guided IV's, difficult peripherals, and...
  4. My Fibro

    This. I have a friend with UC and she's VERY defensive regarding her condition, symptoms, treatment, and public perception of the
  5. New York City RNs Hold Strike Vote

    Cannot find evidence to support their understaffing claims?! Pull their CAUTI, CLABI, and fall rates. I bet they're out of this
  6. Is anything at your work that puzzles you

    You may or may not be totally onto
  7. Is anything at your work that puzzles you

    I'm always puzzled as to why the evening ANM has to take an assignment when we're short staffed but why the day ANM can let us drown with 5 patients a piece but NEVER take an assignment. If my NM...
  8. Lowest turnover specialty

    I can't say which has the lowest, but I can tell you where I hear the most burnout: Med/Surg, ICU, CCU, and Rehab. Lots of patients, lots of illness, lots of loss, and not enough
  9. Tool For Un-Occluding IV's?

    We have occlusion protocols in place that specify which medication is to be used for de-clotting and in sequential order. As for a peripheral line, if I can't get a flush through in spite of...
  10. Proper Documentation

    I can only speak to how I document assessments, and in that case, I always refer to the "patient's left/right (insert body part)." It's about the location of the injury ON the patient. It isn't...
  11. Again, not the point. Easier, yes. But does it really benefit my unit when we're already short and patients need care? No. Absolutely
  12. 1. Pens: I use a quad colored pen. I prefer to chart report in black, PMH in blue, alerts in red, and labs in green. It helps keep my report sheet organized as my eyes land on color more quickly than...
  13. I think my facility is the same way, but I'm looking into it. Floor nurses typically do not draw BC if the patient doesn't have a central line or
  14. FYI, I get paid the same amount either way. Skills fairs are held during working hours on your shift. I'd much rather be providing patient care and staffing my unit properly rather than being pulled...
  15. I'm not at all rusty. And it sucks to have to continually demonstrate these things. I don't need to spend 4 hours at a skills fair when I could be doing patient care.
  16. Staffing Woes

    Staffing woes: prevalent in every specialty in every hospital. Our unit is facing the same issues. We have an extremely high turn-over rate due to the high acuity/low staffing combination....
  17. DNR and Hospice

    Don't be surprised. Nursing school is just a glimpse into the profession. Topics and their length of coverage are often dictated by length of the program, clinical availability, and instructor...
  18. What State are you in and nurse/PT ratios

    I'm in upstate NY and our ratio on a M/S floor (to which we have several M/S floors depending on specialty) is 1:5 on days/evenings. I can't necessarily speak for nights. I, however, feel this ratio...
  19. Schedules. 1st time poster. Lol

    We're on a 2 8's and 2 12's for a total of 40 hours per week. I'm in a large teaching hospital in
  20. We just may! We already established it's likely the same hospital.
  21. Asking me 1,000 questions during report regarding information that can be ascertained from the chart (whether paper or electronic). Report takes long enough lately due to bedside report. I don't need...
  22. Nurses with ear piercings

    I mirror the other posters' responses. You'll likely encounter more strict regulations in clinical than in your actual nursing practice. Professional image standards continue to evolve and what was...
  23. This is not by any stretch a constructive thread, but more of a rant ... Why is it impossible for *some* physicians to understand the plight of the floor nurse? Your patient is *not* a critical...
  24. If anything, I think that's where most people cringe at the thought of eating with a nurse. The gore! We can't help it.