purplemania

purplemania BSN, RN

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All Content by purplemania

  1. Is this understaffing (or is it me?)

    I think the criteria for determining staffing should be based on patient safety (including patient acuity) and whether or not the staff gets work done consistently on time. If there are med errors,...
  2. Mandatory meetings and night shift

    a former manager would have meetings at shift change or at various times so we could chose which time was convenient. This certainly encouraged attendance and participation. People who do not work...
  3. Opinion re: getting a new patient at the end of your shift

    We consider our facility a 24 hr operation, so team work is expected. Also, we require a full assessment each shift, so the oncoming nurse would have to do one anyway. Third, we discourage overtime....
  4. Working while in school

    I kept my job for insurance and because I did not want the added stress of learning a new job. Plus, I made more money than a CNA. After I got my ADN I worked as an RN while earning my BSN. That was...
  5. Stethoscope Cost

    my first one was a very expensive (to me) Littman Cardiac with a sack full of attachments that I never used. It was too heavy and I finally quit using it. I now have a $25 thing I bought in a uniform...
  6. Would you report this?

    depending on the issue, your name may remain anonymous. But if a witness is required (you), then the Whistleblower's Act should protect you. You have no protection if you do nothing. Maybe a call to...
  7. Daughter Refuses to Eat Meals

    AS a mother of young children I thought it was entirely necessary to eat only at specific times of the day. As a grandmother, I believe it is ok to let them graze. When they are school age they tend...
  8. Precepting New Grads - Tips and/or Advice?

    another book option: Preceptor Handbook by J. G. Alspach, RN, MSN, EdD, FAAN. This is the "textbook", in paperback form, that goes with the instructors book called "From Staff Nurse to Preceptor: A...
  9. Eczema Treatments

    I take 400 i.u. of Vitamin E to quell the itching. When I am off the vitamin I can tell the difference in comfort and in
  10. Nurse Compact Question

    best to go to http://www.bne.state.tx.us to get the facts. But the above is correct, you must declare ONE primary residence. If you declare that to be in TX you need to apply for a permanent license...
  11. Cheating In School

    it will be next to impossible to cheat on the NCLEX exam. That alone will cull some people. Cheaters end up cheating themselves because they lose the trust of others. Also, even if they get licensed,...
  12. I have another question grads!

    My lifesaver was the study group. There were never more than 6 people allowed in the group and we set very high standards. Everyone had to be prepared before we met, and NOTHING was allowed to detract...
  13. Would you report this?

    Generally speaking, the answer is yes, because regulations are there to protect the public and you have an obligation to do that as part of your nursing license (at least in Texas it is required). I...
  14. Acute Rhabdomyolysis?

    my 79 y/o father contracted this last summer. He was on 2 statin drugs, guafenisen, advil and another drug (don't recall), all of which are metabolized thru the liver. He was hospitalized for a week,...
  15. chickenpox and hep B

    I would call the health department, your infection control nurse and look up info on the CDC website (http://www.cdc.gov). I know that the HBV vaccine uses recombinant DNA, but I would worry that the...
  16. Interview questions

    I appreciate the interviewer's attempt to cull out the people who are bad fits for the job, but being interviewed is stressful enough not to have to come up with answers to deep questions on the spot....
  17. questions about Lipitor based on new parameter

    As a diabetic my physician wants my cholesterol to be There is a website on federal guidelines for various diseases. Maybe this will give you the answer you seek.
  18. Precepting New Grads - Tips and/or Advice?

    free information is very difficult to find and I have looked at research, websites, etc. I do not know of a site that offers the help you request. I do know of a book, however. It is an old...
  19. Helpful Resources for new ER tech

    I agree with TraumaRUs and would add that you do not touch people without permission or unless they are in restraints. There are a lot of liability issues with this population, so your facility should...
  20. Need suggestions on BSL/CPR certificate!! Many thx

    the person, or facility, that provides the instruction will have the pre-tests to hand out (or mail to you). This is an AHA
  21. diploma grads

    got my ADN and worked full time till I got BSN (with hospital tuition reimbursement). First thought I would stop with ADN, as pay was not that much different, but decided I needed BSN in order to get...
  22. Signing new grad contract?

    All our graduate nurses attend a mandatory orientation. They sign the contract BEFORE they are allowed to attend this orientation, during the initial interview process. Well, not the first interview,...
  23. When did we stop washing hair?

    We used to have "beauty shop" on night shift for patients going to surgery in am or patients needing hair washing. Someone, usually an aide, would travel up and down the floor with a cartload of...
  24. D&C or wait

    a "natural" miscarriage may be easier on your body, but has to be weighed against the stress of waiting. There is an injection being offered that will cause the fetus to miscarry "naturally", versus a...
  25. Definition of Rural

    I guess it depends on what the definition is being used for. The Census Bureau defines rural and urban and suburban (maybe others) to define area types. This is what they base statistics on that may...