purplemania

purplemania BSN, RN

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All Content by purplemania

  1. Rude Relative, advise please

    Our chain is nurse manager then house supervisor then security. We don't accept verbal
  2. Lidocaine to acute abrasive extensive injury

    Will slow down pedi patient's heart also! Some evidence that it is absorbed systemically if
  3. I don't know why nurses are any different than other workers in this regard. Males and females should all treat one another with respect. I have not had any
  4. We lock all doors except ER after 2100 and reopen at 0530. Security post at ER door has cameras, etc. and they are mostly young guys, but none carry weapons. Pedi and nursery are locked down units...
  5. This is also a pet peeve of mine, right along with Christmas Party. Although my co-workers are also my friends, what I really want to do is spend money on my family. I hate the feeling of obligation,...
  6. Returning to Nursing After 2 Year Absence

    Dress for the interview, not the job. Smile. Don't put down your previous employer or co-workers. Ask recruiter about turn over in the unit to which you are applying, what type certifications the...
  7. Employer Tuition Reimbursement Programs

    My facility in East Texas offers tuition reimbursement to ALL employees, effective day one of employment. PM me if
  8. 2 Nurses needed???

    Used to be practice, not policy, until a new nurse gave insulin in a TB syringe. Don't have a policy on 2 nurses regarding SQ heparin
  9. Chronic Tardiness

    I think people who are chronically late are attention getters. My SIL is late to everything and, after interrupting whatever is taking place, spends several minutes explaining her behavior. All eyes...
  10. How Do You Manage To Clock Out On Time?

    we pay overtime but try to keep a lid on it as some people will ride the clock. Does not make sense if all but one nurse got thru on time and it is consistently same
  11. How Do You Manage To Clock Out On Time?

    The last unit I worked in made team work a part of the culture. If one person was behind, someone helped them catch up. We all walked out together and on-time. If one person was consistently bringing...
  12. Chronic Tardiness

    Tardiness is a trained behavior and can be un-trained given the right motivation, like no raise or progressive discipline. If you overlook tardiness in one person you ought to overlook other faults in...
  13. Travel Nurse Information??

    A travel nurse works independently and in many various situations. You must have confidence in your abilities and know how to improvise and be flexible. I would recommend more experience first, and...
  14. Pay day and Mandatory Staff Meetings/Inservices

    I am not sure it is legal to hold a paycheck that is rightfully due someone. Mandatory meetings can be addressed in other ways, such as annual evaluations. As for direct deposit - save the facility a...
  15. The Circumcision Discussion

    The pediatricians here do a local anesthetic. Babies hurt like anyone else. As for the rest, well my son's wife had a boy this year. They researched the topic and discovered the US is the only...
  16. Nursing Home DON salary

    you will end up staffing no doubt. $19/hr for nurses is so low you will only get desperate people. Do you need
  17. mononucleosis

    I had mono and was sick for several weeks. Do NOT take any vaccines at this time. REST REST REST. I would try to get time off. I ended up getting gamma because I tried to work. When I finally took off...
  18. new grad needs help with documentation tips

    Our facility offers one whole day of documentation training to new grads, included in our 6 wk orientation. Does your Ed. Dept. have training videos? Are you working with a preceptor? Read your policy...
  19. Treatment nurse VS no treatment nurse

    try the WOCN cite for
  20. Post-op vital signs and assessments

    We do q 15 x 1 hr, q 30 x 1 hr, q 1 x 4 hr and q 4 x 24 hr. A full head to toe is done on admit to unit and prn. Otherwise, we address the system pertaining to the DX/surgery site. I agree that rest...
  21. Drs. handwriting - Can you read it well?

    We asked the nurses to make copies of the worst offenders (just the order, of course). This info was put on overhead at medical staff meeting. Even the dr who wrote the order could not read it. Also...
  22. Reporting unethical behavoir

    Our Board of Nursing has a form online or you may mail them. Depending on the issue, the Risk Management person at your facility should know, as well as the nurse manager. Your policy and procedures...
  23. Promethazine IV Question

    have you searched under chemical phlebitis, extravasation? Get the pharmD to get info from the drug rep-they can ask for recent studies (you MIGHT get it yourself) and the studies (which are biased)...
  24. Hospital sold!--Have to reapply for my job....

    No real advice except check out the web for recommendations regarding interviews, how to dress, etc. Had a girl come in the other day wearing overalls, cut off top and flip-flop sandals. Looked like a...
  25. How long does report take?

    Report should not take that long! I have worked in different units and the best ways seemed to be (1) each nurse tapes report and the next shift listens (Pedi unit so we all needed to be informed of...