firstinfamily

firstinfamily RN

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  1. What's the highest blood pressure you ever recorded?

    Highest I ever saw was 260/120 and I was not sure if it was accurate, so checked it again and came up with the same numbers!! Glad that you are back at work and doing
  2. Code brown

    I can't imagine walking into either of the above code browns!!! In the LTC facility it did seem there were problems with some elderly playing in their poop and fingerpainting with it. I remember in...
  3. When A Nurse Needs A Doctor.....

    I have always kept my personal and professional services separate. Therefore, the MDs I worked with in the facilities were not my personal MDs. I just felt it was better that way, and I didn't want...
  4. Post-operative gas pains

    It is pressure on the phrenic nerve from the gas that causes the discomfort in the
  5. Before I get hired in a LTC... WTH!!!

    You can look up "KCI wounds" for wound staging etc. They are a major company that has products in treating wounds, your facility may have another company they work with. The biggest thing about...
  6. Before I get hired in a LTC... WTH!!!

    You can look up "KCI wounds" for wound staging etc. They are a major company that has products in treating wounds, your facility may have another company they work with. The biggest thing about...
  7. Scheduled overtime

    I'm assuming these are 12 hour shifts as well. There isn't a reason to demand overtime unless they cannot staff the facility adequately and even then the nurses should have the right to refuse to...
  8. SCRUBS (Mailorder)

    I like Tafford Uniforms they seem to run true to size and the fabric is poly/cotton so wears well, not too hot, washes nice, and durable. They do not always carry sethoscopes and scissors, try...
  9. Looking for Fall Risk Assessment Tool

    WE used the Morse Fall Scale, I don't remember if it includes vital signs, we would monitor them on a separate
  10. Nina Pham and/or Amber Vinson

    We have two nursing sisters who are ill because of their duties to the sick. I think they both deserve empathy and respect. Hopefully they both will fully recover, I hope they will have access to...
  11. Changing time on nurses note

    I agree with all the above and am also assuming this is paper charting. If there was space after my documentation I would draw a straight line across or use X's to cross out that blank space; that...
  12. Nursing Student Advice

    Working as a CNA will help you to understand what is needed for direct care of patients, increase your knowledge in communicating to the public and prepare you for your BSN. You will have a heads up...
  13. Wound Packing P&P

    The only time I had to account for wound packing and number of pieces used was when a wound-vac was used for the wound. Usually OR surgical interventions have a sponge count at the beginning and end...
  14. Need help understanding

    LTC facilities are fined/flagged by inspectors for patients that show significant weight loss. Thereby management is hyper about any weight loss. Daily weights would show a trend of loss, but to me...
  15. What to do about a low ball job offer

    Being PRN is better than not working at all. Yes, the job may not be what you want, but it is better than nothing. It is true you may not use your RN potential, but you will most likely be placed in...
  16. Can a Patient Threaten a Nurse?

    When any patient first indicates there is a problem with staff it is time to bring in the social worker or case manager. Never approach that patient without a witness present. Document, document...
  17. Frustrated- No call backs

    I agree with The Commuter, you need to network and it is who you know, not what you know. Working in LTAC will give you experience and make you more marketable. Have you looked into the urgency...
  18. RN jobs at home?

    You will need to have a "back=up" plan as the baby will not sleep all day long, or for a specific number of hours. Have someone who will be able to watch the baby either while you are working or just...
  19. Phone Interview DaVita

    I had the same experience with Fresenius who is also a national out patient dialysis company. I was surprised about the telephone interview, the first one I have ever had. I got discouraged when I...
  20. Career Suicide??

    You worked in acute med surg for approximately 3 years, and that qualifies as recent experience. Having been in home health for less than a year really does not make you unmarketable for acute care...
  21. Good Experience vs Job stability-what's more important?

    I also vote for the ER position, you can always go back to telemetry, med/surg. Of course, your father is right, stability is important and the VA is a very stable facility. However, in nursing it...
  22. Nursing Stress & Relationships

    Having to work full time and do all that is required for graduate college is an almost impossible task, add the needy male to the mix and that truly makes it all seem impossible. I agree with the...
  23. Postoperative vital signs frequency

    You could look into the PACU(Post Anesthesia Care Unit) where pts are usually recovered after surgery before they go to the med-surg units. With strokes we are usually doing neuro assessments every...
  24. I feel like I'm never going to get good at IVs

    When I worked ICU we used mostly central lines, most of my experience in starting IVs was not in the hospital but during Home Health, we had to stick for our own blood draws, and I did really good...
  25. URGENT: Are CDC Ebola Guidelines 'Good Enough'?

    Hospitals in this north-eastern section of MD have not given any instructions to nursing staff or any hospital staff in dealing with Ebola. Do they not think it is coming here?? From what I have...