firstinfamily

firstinfamily RN

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  1. Male catheters

    I agree that any nurse should be able to cath any gender. It is nice if the pt feels uncomfortable to offer a nurse of the same sex. I imagine many of the elderly women would prefer a female to cath...
  2. What if I can't get meds out on time during survey?

    Gooselady hit the "goose egg on the head", sorry couldn't resist!! You should be doing every day what you should do with any survey. Your habits are what are going to give you away to a surveyor...
  3. What if I can't get meds out on time during survey?

    LTC med passes can be brutal just because it takes so long to give so many medications in a safe manner, and that is what surveyors are looking for. Most LTC facilities have an hour leave-way on...
  4. Do you carry around your stethoscope?

    Tarotale: I almost cannot believe that you are asking why would we use a stethoscope and what good does it do??? Prime assessment skills tell what is going on with your patient. Sure, you can look...
  5. Afraid of losing my autonomy

    If you feel that you are ready for a move, then you are. You will be exposed to so much more that you will be learning different procedures, protocols etc. Your learning will not stop and if the...
  6. Text messages from nurse manager

    I truly think it is rude on their part. If the shift needs are posted on the unit then that is the way for staff to sign up and if no one signs up then that is their problem. I don't give out my...
  7. Is there a place for employees to complain? Is there some type of nurse liason who will listen to nurses and not be biased? I think all of us need to purge what ever it is that angers us, but is...
  8. I found when working LTC we were "not allowed" to get a blood sugar unless there was a MD order. However, if I suspected any hypo or hyper glycemia, I did it before I called the MD. The MDs expected...
  9. How to keep my white scrubs clean?

    I also use the Tide powder detergent and the Tide pods. For stains like GI fluid or even blood I use ERA detergent for pre-treating or pre-soaking. A lot of my friends use oxyclean detergent. You...
  10. Certification : I Did it For the Money.

    AJJKRN-thank you for the reply. I do have a total 16 years of critical care experience, but chose to stay out of critical care and have had previous tele, PCU, IMC experience. Currently on the...
  11. Certification : I Did it For the Money.

    I have thought of this so many times. I guess I keep procrastinating because I am not sure which specialty I want to certify in. I have a strong Cardiovascular background, but of course, tehcnology...
  12. Social Skills in Nursing: The Art of Validation

    How does the generational gap come into play here? I work with nurses who are basically 20-30 years younger than I am. I try to be interested in their "chatty" subjects, but honestly, there is only...
  13. Pausing IV, clotting?

    I totally agree the instructor over-reacted, I guess she scolded you because you adjusted the machine without a professional present, and those were her ground rules, so I can see it in a way. She...
  14. Are you in a marathon today??

    As most of you know I recently returned to acute care after a 5 year stint away from it(the longest ever). I am working weekend option 7p-7a and I had my first marathon this last Friday. Yes, we...
  15. ACLS

    Usually if you fail the test you can re-take it, once. I am not sure about failing the mega code. Study the EKG rhythms, and look for identifying marks----elevated heart rate versus very slow heart...
  16. Wound care certification for nurses.

    The WCC is a "Wound Care Consultant" which is different from a CWOCN. I know one of my managers tested and passed the WCC and is certified as that. She was the wound specialist before she was...
  17. graduated but not really

    This is really a crime, did the college explain to you that you would have to continue on to actually get a degree?? For others out there, please learn from this post experience. YOu need to attend...
  18. RN-BSN or RN-MSN

    You could specialize in Psych nursing, which would use your BA in Psychology. I thought most MSN programs require a BSN that is accredited by the NLN, others may know better. It is important that...
  19. Yeah, I was going to say "Cruise Ship" as well. I don't think the airlines are hiring any "in flight nurses" perhaps a new field?? There are usually positions with travel nurses in the mid east,...
  20. Are you in a marathon today??

    As most of you know I recently returned to acute care after a 5 year stint away from it(the longest ever). I am working weekend option 7p-7a and I had my first marathon this last Friday. Yes, we...
  21. Are you in a marathon today??

    As most of you know I recently returned to acute care after a 5 year stint away from it(the longest ever). I am working weekend option 7p-7a and I had my first marathon this last Friday. Yes, we...
  22. Should I take time off? Help!

    Both Mulan and RK have valid points. I did it by working night shift(8 hrs) for 14 years and maintained a "normal" life while being sleep deprived. It is so very difficult to find the ideal nursing...
  23. Thinking about working casual

    I agree with everything Kbrn has posted as well and want to add that if the facility starts to lay nurses off the PRN or casual staff is usually in the mix. Usually it will start with contract nurses...
  24. Secondary and piggyback

    I can only answer your question while visualizing what system I use. Our pumps can handle two infusions, they are defined as A(primary) and B(secondary, AAL or piggyback) if I am hanging an...
  25. How much trouble am I ? Scale: 1 to super fired

    I agree with the previous posts, you should not have to tolerate such behavior from any "higher ups", whether MDs or DON's or unit managers. I am willing to bet this type of verbal abuse has been...