nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. Cosigning meds

    nynursey_ replied to ICUNurseG's topic in General Nursing

  2. Cosigning meds

    nynursey_ replied to ICUNurseG's topic in General Nursing

    My hospital policy is that all insulin, basal or bolus, requires a cosignature. Heparin drips require a cosignature for initial blouses and rate changes. And any advanced cardiac med (Dilt drip) also...

  3. Nursing and waitressing/food service industry

    nynursey_ replied to nursefrances's topic in General Nursing

  4. Nursing and waitressing/food service industry

    nynursey_ replied to nursefrances's topic in General Nursing

    I'd waitressed for several years prior to becoming a nurse. I am constantly saddened by the fact that I feel more as though I'm back at a waitressing job slinging food more than feeling like an...

  5. Fall in the ED!

    nynursey_ replied to wearelegion83's topic in Emergency

    Did you have any sort of debriefing after these patient falls? Any QI paperwork? I ask because there shouldn't be this fear of termination over what can be inevitable in some situations. Falls in the...

  6. I don't want to work in LTC... Will someone change my attitude?

    nynursey_ replied to firefly101's topic in First Year After Licensure

    Even if you think you'll struggle, your best bet is to apply like the dickens to every single hospital that you're willing to travel to. There are 7 hospitals within reasonable driving distance from...

  7. Expecting better results with less staff and high ratios

    nynursey_ replied to Emergent's topic in Patient, Colleague Relations

    I'm also disappointed to see charge nurses and administration not listen to their floor nurses concerns over patient safety. We're on the front lines every single day. We know the acuities. We know...

  8. Expecting better results with less staff and high ratios

    nynursey_ replied to Emergent's topic in Patient, Colleague Relations

    I actually overheard a charge ask a staff nurse if she'd mind picking up another patient, even though it would make her out of ratio.

  9. END-OF-LIFE Ethical Dilemmas

    nynursey_ replied to AnnMarie52471's topic in Patient, Colleague Relations

    Here is an article I'd suggest you read if your view is that increasing opioids "hastens death": International Association for Hospice & Palliative Care -

  10. Stethoscope

    nynursey_ posted a topic in Scrubs, Uniforms, Gear

    I'm sure this topic has been beat to death on this forum, but I'm having trouble accessing over half of the threads on this topic! I work on a medical inpatient unit, and I'm in the market for a new...

  11. END-OF-LIFE Ethical Dilemmas

    nynursey_ replied to AnnMarie52471's topic in Patient, Colleague Relations

    I agree with GrnTea. I had this exact situation occur earlier this week, and as asked, I promptly paged the physician to titrate up the Fentayl drip. The patient was nonverbal. She was moaning....

  12. It's end of shift and I'm leaving on time. Not!

    nynursey_ replied to nursefrances's topic in Patient, Colleague Relations

    Stable patient all day ℅ chest pain radiating into the left arm … Annnnd I'm definitely not leaving on time

  13. My Poor Legs!

    nynursey_ replied to nynursey_'s topic in Scrubs, Uniforms, Gear

    Not a bad idea, since I pay a pretty penny for my health insurance. In any event, I'm sure my posture is **** poor and my gait is terrible. I know I tend to favor my right leg, so anytime I'm...

  14. My Poor Legs!

    nynursey_ replied to nynursey_'s topic in Scrubs, Uniforms, Gear

    Thanks, Ruby! I'll give the compression socks/thin socks a try. I have thin socks for the days I'm wearing lighter sneakers, but I just figured thick socks … I'm not sure why, really, now that I...

  15. My Poor Legs!

    nynursey_ replied to nynursey_'s topic in Scrubs, Uniforms, Gear

    I shouldn't, but I do! I have a long standing history of sciatica and bilateral hip bursitis. Apparently, no one decided gymnastics was poor flexibility, not good flexibility, and that combined with...

  16. DNR

    nynursey_ replied to Gaia.'s topic in NCLEX Exam, Programs

    Most of the time, I believe re-ordering a DNR goes according to facility policy. For example, at my facility, a MOLST form specifying DNR/DNI order needs to be renewed every 72 hours while the patient...

  17. Potassium replacement while on clear liquid diet?

    nynursey_ replied to Alfi_srq's topic in Patient Medications

    Ultimately, you can always check with the physician, and explain your rationale for why you

  18. Is the nursing profession really for me???

    nynursey_ replied to dreag87's topic in General Students

    Nursing is labor intensive, period. From the time you decide to embark on your pre-reqs, to the time you graduate, and into your career, nursing will *always* be intense and require your blood, sweat,...

  19. Hired on days, manager request to switch to night

    nynursey_ replied to PinkString's topic in Patient, Colleague Relations

    Damn, if I didn't decide to start my BSN/MSN … I'd be all over that. The weekend differential helps me quite a bit, but again, I'm not in exactly the best area for starting salary for new graduates....

  20. Why does giving report have to be the worst part of my shift

    nynursey_ replied to wcbembe's topic in First Year After Licensure

    I agree. This has happened to me several times as I tend not to go into detail over the things that can be ascertained from the chart. If the oncoming nurse needs excessive details regarding frequency...

  21. Hired on days, manager request to switch to night

    nynursey_ replied to PinkString's topic in Patient, Colleague Relations

    I've heard this a bunch too. A few of the new orientees that I was hired with went immediately to nights following orientation, and while I struggle on days, they constantly remind me the benefits of...

  22. Hired on days, manager request to switch to night

    nynursey_ replied to PinkString's topic in Patient, Colleague Relations

    I'm not sure I'd use the word ethical to refer to this dilemma. I'm sure that you feel that it's unfair of her to ask you to transfer to nights after having offered you a day shift position, however,...

  23. What's in your nurse bag?

    nynursey_ replied to nynursey_'s topic in General Nursing

    I like the idea of carrying gloves in your pocket! I sometimes get called to do an urgent task and find I haven't grabbed a pair of gloves. This is pretty

  24. What's in your nurse bag?

    nynursey_ replied to nynursey_'s topic in General Nursing

    Oh, it's totally possible! After morning report, I usually heat up oatmeal and have a banana. Mid-day, I take my lunch. And then sometime around dinner, I have another quick snack. If I'm hungry and...

  25. Stop it!

    nynursey_ replied to RNGriffin's topic in Patient, Colleague Relations

    Please stop telling your resident/attending that I didn't relay essential information to you. My notes prove otherwise. The patient has had hematuria for two days now and I notified you both times....