firstinfamily

firstinfamily RN

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  1. Good nursing or learned dependence?

    It takes all kinds to make the world go round!!! It is true that around the holidays the pt census usually goes up. Is that because they over-eat and start having GI symptoms that they feel may be a...
  2. Wonder what radiology nurse do

    As stated above they may assist with procedures, there are more studies done under radiology now and obtaining biopsies, helping with para or thora centesis, as well as giving imaging contrast etc....
  3. Burnout or just Cranky?

    I totally understand, I also have taken vacations without my family, including my spouse, just to give myself a break!!! Nursing can suck one dry!! I often feel taking care of patients leaves us...
  4. As stated above you need to practice within your facilities policy and procedures. You are ultimately responsible for the pt, not the charge nurse. You did the right thing by informing her/him of...
  5. Rectal Medication

    I have worked both of these environments. In ICU we usually gave suppository med when the pt was not able to take a PO. For instance, Tylenol for an elevated temp can be given suppository when a pt...
  6. Night Shift Advice

    I have worked both 8 and 12 hour night shifts. I also started out on nights as a new grad. I found them a better way to learn because there was enough time to actually assess your patient, you learn...
  7. Letter of resignation typed or handwritten?

    I agree with the above posts, you should type your resignation letter and giving them 3.5 weeks notice is more than enough. Don't feel guilty, it is not your problem that they do not have enough...
  8. I started my BSN right after finishing my ADN and worked 12 hr. shifts at the same time. I didn't regret doing this as I was able to continue deferment with my student loans and was able to get the...
  9. Heparin Flush Question

    The only time an IV is flushed with Heparin is when it is a central type line, and the Heparin flush strength depends on if it is a Port-a-cath or a PICC/Mid line. Peripheral IV lines are flushed...
  10. I would say that most of us who have been nurses for awhile have not stayed totally in one area. That is the beauty of nursing, you can move around as long as you do not get sterotyped by employers....
  11. Anatomy

    MStilly: It has been a long time since I was a nursing student. However, when I took 8 week courses they were paced much faster and were very concentrated. Anatomy I is a basic course and you need...
  12. Care plans in the LTC setting

    Are you computerized system or doing care plans the old fashion way of hand writing them? When we were computerized in LTC the program that was used was Point Click Care (PCC) and the care plans...
  13. Are there 10 hr shifts in Nursing??

    Hi everyone, I returned to acute care and am on orientation this week. I survived my first 12 hour shift and was curious as to if anyone has heard of 10 hour shifts for nursing?? I know the business...
  14. Hospital Based RN Programs

    I graduated in 1981 from an ADN program at a Community/Technical college and continued with college to obtain my BSN in 1985. I agree that as an ADN graduate I was prepared to go to the hospital...
  15. 7a-3p Shift Organization

    Hello EA 23 and welcome to the real world of nursing!!! Having 27 patients to get a ton of medications into is not going to be an easy task. First of all, do not pull more than one patient's...
  16. G tube displacement?

    If it is your day off it is time to stop worrying!!! I am assuming this is a new G-tube otherwise it would not have sutures attached to it, if the x-ray says it is laying on top of the stomach I am...
  17. Platelets - rh compatibility?

    I currently do not know what our facility policy is, but I looked this up and apparently according to the Annuals of Hematology: only a possible Rh reaction can occur with platelets if donor is Rh...
  18. Morphine & air hunger

    The morphine would also act as a vaso-dilator, which would help increase blood supply to the lungs, and most likely help the patient. It would not really be considered a resp depresant unless they...
  19. Nursing standard

    So the instructor is just a grad with 1 year of clinical experience?? That is sad. I guess this is how the nursing schools are taking care of the nursing instructor shortages. A bit scarey for the...
  20. It looks like you have your answer. Never pull up meds for more than one patient, and as long as you reported your mistake, filled out the incident report etc. you have done all that is necessary....
  21. Hey Manch---I started out as an ADN nurse but continued to work on my BSN and finished very early in my career. Back then LPNs were actually in the specialty units and very respected. Now it seems...
  22. Side effects "normal" to medications

    Every single drug has some side effect, some are able to be treated by other medications. However, if the side effect is severe enough the treatment should be to discontinue the drug which would be a...
  23. How to handle this charge nurse dilemma

    As a charge nurse, when another nurse has notified you of some abnormal finding, she/he is making you aware. To me, the nurse who is directly caring for the patient should be the one to call,...
  24. Mock Code Blue Scenerio

    Or how about, visitor in the cafeteria is eating lunch with other visiting family members when he starts to choke and cannot speak, he is turning blue in the cafeteria, a nurse who is also eating in...
  25. Just to express the unexpressed

    I agree with the above posts. You need experience to move on, so try to stay at least a year at your current position. During this year you can look into what is necessary to obtain another license...