firstinfamily

firstinfamily RN

Member
  • Content

    790
  • Visitors

    6,871
  • Followers

    0
  • Likes

    14

All Content by firstinfamily

  1. Would you quit over white uniforms?

    At my acute facility all nurses are required to wear white pants, may wear any color tops. This was done by upper managemnt to help patients recognize the licensed personnel. My co workers and I had...
  2. New grad in need of help!

    You are going through what any new grad goes through known as "Reality Shock" and just like any type of physiological shock, it takes a little time to rebound and become fully functional!! All of us...
  3. People really need to stop coming into nursing

    It use to be that a nurse graduate only had 3 attempts to pass boards, when did the NCLEX allow infinite tries?? No other profession allows this so why would
  4. People really need to stop coming into nursing

    NoStarsinMyEyes; I do wonder what is going to happen to all those LTC facilities, and remember when we were being told that LTC was the next "boom in nursing?" We are the generation that has caused...
  5. Educator pay vs. floor nurse pay

    It seems in most positions that are considered a "move up" from floor nursing are paid at a less amount. Even being a unit manager does not equal a floor nurse pay with differentials and holiday...
  6. People really need to stop coming into nursing

    As one of the "older" nurses I can tell you that yes, there is an expected shortage as those of us in the baby boomer age group retire. However, with the cost of retirement and less benefits you can...
  7. O2 sat monitor question

    I am glad you tried various probes and asked other nurses to check out the situation at hand. However, even though you did not have good numbers you need to look at the patient, do your assessment...
  8. I believe there are facilities associated with U of North Carolina in that area, they usually are hiring. Have you taken your nursing boards yet?? Will you be taking them in NC? Or have you applied...
  9. Case Study Help!!

    How about---Lack of support systems--this would touch on the lack of medical and family support due to his occupation. Discharge planning should include some type of follow-up placement for him....
  10. Did you leave bedside nursing to try something else?

    I first left bedside nursing to do Cardiac Testing--this involved monitoring the patients as they were on the treadmills for stress tests, I also did Echo stress testing and TEE testing as the Cardiac...
  11. Changing to 8 hour shifts

    Working in the PACU or Recovery Room is so very much different than working as a floor nurse. You may not have to deal with families that much or follow up on various patient care items. Once you...
  12. ICD9 codes is a nursing duty?

    I also did ICD9 codes with lab slips, usually the admissions officer did them for the charts. Yes, it is something the facility can be held liable for as if the wrong code is entered and they are...
  13. Student Nurse feeling beaten down

    I really feel you are being railroaded by the professional staff. You should have training in feeding patients so that you know what to do if they start to choke, and yes, if the pt is done eating,...
  14. First year nurse in skilled facility needs feedback

    Welcome to nursing and AN page!! I have never taken care of that many patients and with over 30 years of nursing, I would not feel comfortable doing so. Do you have nursing aides or LPNs to help...
  15. Tips for new grad in CCU?

    A really good book for EKGs is by Dubin--this is like a workbook and EKG review, I have used this one for years and it always makes things come together for me. YOu will eventually need to be able to...
  16. working with orderlies/aides

    I work on a 27 bed tele/medical floor, we usually have 2 aides. Their assignment is given by number of beds and acuity of patients, various nurses may have the same patients. I usually get with my...
  17. I think another reason the LTC facilities get a bum rap is because they are reimbursed differently and to keep costs down the pts usually have less services, older, proven medications, less equipment...
  18. New Job: Please help me !! help needed ...

    The only way to guarantee a position with the facility would be to obtain FMLA. This varies depending on the facility, are you trying to stay in this country----which would depend on your employment...
  19. Seasoned nurses education

    I am a seasoned nurse of over 30 years. Thankfully, I had the foresight to continue my college career when I graduated with my ADN. I started working on my BSN about a month after I graduated from...
  20. New nurse ?'s

    Carry these items with you to save yourself a few steps: scissors, tape, alcohol preps, I also agree with having your own paper brain to note things and to keep you focused. Try to chart as you go...
  21. Please help me understand COPD!

    There was a good article eons ago in Nursing______(year?) Google the following: "Blue Bloater" and "Pink puffer" I think these articles will give you some physiology info that may help you. I agree...
  22. Metal stitches vs dissolvable stitches

    I think it depends on the surgical site. I have seen much less of cloth/dissolvable sutures in the last 5 years or so. Could it be that the surgeons are less skilled with cat gut sutures?? As far...
  23. Attention med/surg/floor nurses

    I had two young adult grand-daughters of a patient stay overnight this last weekend. At first I thought, "oh great, now I have to care for them as well." However, in this case they helped the pt...
  24. Pain Seekers

    I work in North-East Maryland----between Philadelphia and Baltimore---a prime area for drug dealers etc. There are many drug seekers in this geographical area, it is hard to treat them equally as...
  25. Difficult BP

    Have you tried the automatic wrist cuff? Sometimes if a pt has Atrial Fib the automatic cuffs will not pick up. I agree that a doppler would be the best