nynursey_

nynursey_

Med/Surg/ICU/Stepdown

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All Content by nynursey_

  1. Most common (+ overlooked) reasons for abnormal vitals?

    nynursey_ replied to SoCal student's topic in General Nursing

    Our hospital doesn't have CNA's. We have PCA's and they are unlicensed. They go through a brief orientation training that goes over taking blood pressures, calculating I&O's, TRP patients,...

  2. Lactated Ringers VS 0.9% Saline

    nynursey_ replied to Bmg609's topic in Patient Medications

    You're welcome. I can't really help any further. Aside from providing medical advice being against the TOS, it really is physician preference in the real world. An order set for fluid resuscitation...

  3. Calling all nurses: Enough with the high-velocity urination contest!

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

    I asked to do a nursing olympics once as a fundraiser for our SNA. I thought utilizing the mannequins for procedural competitions would go over pretty well and give the instructors a laugh. No one...

  4. Clinical bad day?!?!

    nynursey_ replied to bmt0630's topic in General Students

    The reality of the situation is that once you graduate in May, you'll likely work for a hospital that will put you through extensive orientation. You won't be thrown to a 4 pt assignment without at...

  5. Lactated Ringers VS 0.9% Saline

    nynursey_ replied to Bmg609's topic in Patient Medications

    Here is another study examining the same concept, although these do refer to patients more in shock …

  6. Lactated Ringers VS 0.9% Saline

    nynursey_ replied to Bmg609's topic in Patient Medications

    Well, if he has simple isotonic dehydration, then I think a bolus of some NS would do the trick. This is, of course, after oral rehydration attempts haven't brought him back up to speed, although if...

  7. Pressure ulcer stage 2..what would you use?

    nynursey_ replied to seks's topic in General Nursing

    We use Mepilex dressings preventatively on anyone we suspect would develop a PU secondary to their Braden score. It's definitely a good way to help the prevention of hospital acquired ones, that's for...

  8. Lactated Ringers VS 0.9% Saline

    nynursey_ replied to Bmg609's topic in Patient Medications

    Is it asking you to make a personal choice based upon general knowledge of FVD? Because typically a physician would make that call. And you would also have some lab values to back up your suspicion of...

  9. Lactated Ringers VS 0.9% Saline

    nynursey_ replied to Bmg609's topic in Patient Medications

    Does he have a prior cardiac history? Have they drawn lab values to ascertain whether or not he has electrolyte changes r/t

  10. Can I teach?

    nynursey_ replied to MsNivia's topic in Nursing Career

    I think it's state/institutional specific. I'd check into the schools in which you're looking to get a teaching position. I have seen (residing in NY) LPN's teaching LPN clinical, but I'm not sure...

  11. RN Salary Survey 2013: Post here!

    nynursey_ replied to ItsColduphere's topic in General Nursing

    1. NY (Upstate--beyond Huntington) 2. 3. Acute Care Hospital (teaching) -- Medical Inpatient 4. $22/hr 5. Evening: $1.50, Night: $2.00, Weekend: $1.00 6.

  12. Dropping tele cables on floor before cleaning

    nynursey_ replied to tonytayag's topic in Cardiac

    We sent our telemetry cables back with the boxes disinfected with our equipment wipes. Beyond that, I'm not sure where the telemetry boxes or cables go for cleaning once they hit the ICU. It's sort of...

  13. Most common (+ overlooked) reasons for abnormal vitals?

    nynursey_ replied to SoCal student's topic in General Nursing

    ^ THIS! Our PCA's, who I am consistently reminded are UAP, take manual BP's for patient's having atrial fibrillation all the time. I hardly know whether or not most of the BP's are accurate, so in the...

  14. What do you say when calling out sick as a nurse?

    nynursey_ replied to Kitty Hawk's topic in Nursing Career

    I suppose it depends on the health conditions that resulted in your calling off. I personally feel that any contagious illness (GI, running a temperature > 101, rash, etc) warrants asking your...

  15. Does how much money we make and benefits really matter

    nynursey_ replied to clarinets's topic in General Nursing

    I could be wrong, and since I'm not near the computer, I can't find a study to directly support this but ... isn't there a correlation between compensation and work

  16. Pressure ulcer stage 2..what would you use?

    nynursey_ replied to seks's topic in General Nursing

    My hospital has a SWAT team dedicated to assessing the wounds and making recommendations for their tx, which the doctors include in their order set without a second thought. I adhere to the SWAT order...

  17. Most common (+ overlooked) reasons for abnormal vitals?

    nynursey_ replied to SoCal student's topic in General Nursing

    I definitely share the sentiment about sepsis! My floor has seen a huge undertaking regarding sepsis screening protocols. Hypotension, changes in RR, increased temperature, and an elevated RBC ......

  18. I want to give up on nursing...

    nynursey_ replied to nrsmith1984's topic in NCLEX Exam, Programs

    If you want nursing .. really, TRULY want a career in nursing, take the exam again. You mentioned you've only taken it once. Once in three years' time? For the love of all that is holy, TAKE IT AGAIN!...

  19. Hospital staff/no weekends/holidays

    nynursey_ replied to finallyRN7's topic in General Nursing

    I don't know how a hospital can function if not the majority of its staff rotates weekends/holidays. That's especially important in specialties. And it can't be good for employee morale if one...

  20. I do not like patient care nursing :(

    nynursey_ replied to Nurseheidi321's topic in Nursing Career

    While this may not be applicable to the OP, I can certainly see it. If people can start nursing as their second career, nurses can definitely move to another field as a second

  21. this is why people still think there's a nursing shortage!

    nynursey_ replied to ceccia's topic in General Nursing

    I wonder what fundamentals text book they're using. Perhaps they should provide statewide data and not national data. I bet that'd detour a lot of these would-be-nurses from joining ADN programs just...

  22. this is why people still think there's a nursing shortage!

    nynursey_ replied to ceccia's topic in General Nursing

    If your mother is an NP, I assume she has been in practice for quite some time. Bedside nursing is much different from being an NP, and for her to direct your brother into a profession that he neither...

  23. Accident

    nynursey_ replied to trillnurse7's topic in General Nursing

    It sounds to me as if this nurse could be at risk for disciplinary action for jeopardizing not only patient safety, but staff safety. This may have been one of the first concepts I learned in nursing...

  24. I do not like patient care nursing :(

    nynursey_ replied to Nurseheidi321's topic in Nursing Career

    That's sort of why I mentioned either a) staying on an inpatient unit as a discharge coordinator/case manager or b) looking into physician office nursing. Or even coordinating home care. There are a...

  25. How long is the new grad orientation at your hospital? What about experienced nurses?

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

    12 weeks: 1-2 classroom time spent learning basics of the hospital policies, roles and responsibilities, and various other important tidbits r/t the specific hospital itself. Then 2-12 spent paired...