firstinfamily

firstinfamily RN

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All Content by firstinfamily

  1. Trach dislodged

    firstinfamily replied to MendedHeart's topic in General Nursing

    You responded appropriately in an emergency situation. It is not your fault the pt did not have the correct trach kit at the bedside. There is most likely a breach in policy here as when the trach...

  2. What's your go to outfit after work?

    firstinfamily replied to nurse_jess's topic in General Nursing

    Shower, jamies, bed. That is my routine!!! There is nothing like being comfortable, even when I am home on my shifts off I am usually in jamies or sweats, something soft and warm in the winter, soft...

  3. What About Post-Op Bathing?

    firstinfamily replied to medtech000's topic in Patient, Colleague Relations

    Most cases of a cholecystectomy, they are given the supplies and able to bath themselves at the sink. He really should not have been in the shower if his staples and dressings were still open(due to...

  4. So fed up

    firstinfamily replied to miNmyBay's topic in General Nursing

    Have you tried any out patient type services, such as a Pediatric Office? That way you are getting pediatric experience. The SNF will only bring you down. I have found very few SNF that help nurses...

  5. No more 12 hour shifts?

    firstinfamily replied to UpennRN's topic in General Nursing

    Having worked both 8 hrs and 12 hrs I can see both sides. Apparently some of the rationale for 12 hour shifts were pt continuity of care, better staffing consistency, I don't think at the time staff...

  6. Continued Education (CEs)

    firstinfamily replied to synergyworks's topic in Nursing Professionalism

    Have you tried Medscape, Lippincott publisher, (Wilkins ?) A lot of journals are on line now as well and have CEU articles, not sure if you can just pay for the article or if you have to subscribe....

  7. Ebola Nursing Survey: to Quarantine or Not to Quarantine

    firstinfamily replied to tnbutterfly - Mary's topic in Disaster Preparation

    Even though she gave selfishly to those in Africa, she needs to be respectful of the public here and the fears of contracting a deadly virus. Surely she can understand why people in NJ would be...

  8. The hardest parts of nursing?

    firstinfamily replied to calivianya's topic in General Nursing

    Assisting the MD with telling a terminal diagnosis to a pt and their family. I have had to do this a few times and it never, ever gets easier. I usually make sure the MD is available so that if...

  9. Nightshifts..how to prepare for them?

    firstinfamily replied to seks's topic in General Nursing

    When I worked 11-7 on my first night I would get up normally in the morning, do my household duties, usually had an early dinner and went to bed around 6:00 pm, got up at 10:00 to be at work by 11:00....

  10. New grad on sub acute 3rd shift

    firstinfamily replied to jar312's topic in First Year After Licensure

    OK, I need clarification. You are a new grad(not grand) on a sub acute unit, and the preceptor is on a power trip?? What is your definition of "power trip?" Is the preceptor degrading you in...

  11. Nurse-Patient Ratios

    firstinfamily replied to PA_RN87's topic in General Nursing

    1. Telemetry/Medical 26 bed unit. North-East MD 2. 12 hour shifts: 1-6 on days, 1-7/8 on nights 3. 1 secretary full time on days, 1 who floats on nights CNAs 2-3 on days, 2 on nights 4. Charge...

  12. Holding medications - When to call doctor?

    firstinfamily replied to blackdiamond407's topic in Patient Medications

    You are comparing two different levels of care. It sounds like you are comparing acute to LTC protocols. In LTC we usually did not call the MD for holding meds for B/P that were below the parameters...

  13. Is this legal? Hospice RN required to do Home Health visits

    firstinfamily replied to deblowe52's topic in Hospice, Palliative

    You should have a copy of your job description and if you do not then ask for one. As stated above most nursing job descriptions include the "duties as assigned" clause. It does sound because of...

  14. Dealing with dementia residents

    firstinfamily replied to hayley87breanne's topic in Geriatric, LTC

    You should have filled out an incident report just in case your finger has some problems later. Just because the pt is demented does not give them the right to inflict bodily harm. What if she had...

  15. Please help....

    firstinfamily replied to Kat091177's topic in Nursing Career

    Wow, this is a tough one!!! I moved 5 hours away from my family and it took me about 6 months to adjust. Most of my sisters, brothers had moved away from the home dwelling as well, so we all were...

  16. Compassion fatigue...how do you deal?

    firstinfamily replied to klone's topic in Health, Stress Management

    I think the trick is learning what your limits are. I have a pretty high tolerance of abuse, and a lot of nursing is just that. I guess it does not sound good, but it is true, we get verbal abuse...

  17. How to find a mentor

    firstinfamily replied to miamiabean's topic in First Year After Licensure

    I like the above suggestions that you try to stay in contact with some of your nursing classmates so that you have a support group you can go to who is not biased. You could also perhaps try one of...

  18. Passed! But failed hospital med test

    firstinfamily replied to RNjitters's topic in General Nursing

    Welcome to the re-hiring process!!! I just went through my first hospital drug test in 6 years and passed with a 95%. I had not really done drug calculations in the last 5 years because of the way...

  19. Criticism

    firstinfamily replied to Katniss88's topic in Nursing Professionalism

    I agree with the above posts that you really had a great evaluation!!! I don't think any of us have ever had a perfect evaluation, and there are a lot of nurses here!!! Your manager should also...

  20. Career Advice

    firstinfamily replied to NatureLoverx3's topic in Nursing Career

    It sounds like the opportunity to travel abroad is more common now. To take up this opportunity when you need to focus on your nursing externship may make a difference on how you are able to proceed...

  21. Are there any nurses happy to be a nurse?

    firstinfamily replied to frequentFLyER's topic in General Nursing

    I am with MeanMaryJean. Bedside nursing seems to get a bad rap, yet that is where we make the most impact. I have tried management twice and felt very discouraged both times. Management is not all...

  22. Reducing Some Disposable Costs - Suggestions

    firstinfamily replied to NICURNforLife's topic in General Nursing

    I really cannot help you with the individual questions as I have never worked in Postpartum or L & D. However, question #4 that deals with the breast pump issue I feel I can contribute to from...

  23. is nursing really worth the debt

    firstinfamily replied to starnurse2b16's topic in Pre-Nursing Students

    Even though I finished my ADN in 1981, the process I went through being a self-supporting student taught me a lot. I spent about 28,000 total in student loans for both my ADN and BSN programs. I...

  24. Standards of Care

    firstinfamily replied to Faith1970's topic in General Nursing

    What environment are you in? Is this an outpatient service facility with ambulatory surgery? It seems to me they still have to have state inspections and that would be based on JACHO standards. Do...

  25. Humor me please with a question from my son...

    firstinfamily replied to JustBeachyNurse's topic in General Nursing

    I guess I am really an oldie but goodie because I never heard of these series of books!!! Seventh grade was a long time ago. However, I would say due to the damage caused by the molting it would be...