Ayvah

Ayvah RN

Med Surg, Specialty

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All Content by Ayvah

  1. Additional volunteers to utilize as mentioned earlier in this thread is a great suggestion. Regarding utilizing technology, the two things I can think of are : -improved call bell system. If a patient can type in their request/select one for a non...
  2. About to quit med-surg

    7:1 dayshift is absolutely unsafe, especially when you have no tech help for some of them. Ridiculous. Is the ratio the same on nights? Perhaps request a shift change.
  3. Clinic vs. Floor nursing

    I've worked both, and there are pros and cons to both. Inpatient all depends on the floor, the ratios that you will have and support staff available. I LOVE inpatient med surg work but the working conditions were enough to drive me away from inpati...
  4. Disturbed energy field. We talked in class about how ridiculous it was as we were learning about it.
  5. "Best Practice" would be to have more nurses.

    During a meeting where staffing was brought up we were told by the manager that we had too much overtime to allow funds to hire more staff...... ...... ...
  6. Get CNA cert? Before NP?

    CNA experience can be helpful. The largest positive is that it will get you comfortable with working intimately with patients. You'll also get exposure to some of the basics, such as blood sugars, foley management and ekg setup, and may give you an...
  7. Not enough equipment

    Unfortunately this is a routine complaint. The most common shortages I've experienced have been dynamaps, pulse ox's, and unfortunately even christmas trees and portable oxygen. It is a frequent waste of time trying to hunt down items and order the...
  8. Office Nurse vs Hospital Nurse

    Totally depends on your individual interests, goals, lifestyle(scheduling), staffing levels at your specific facility, etc. I LOVE working hospital med-surg but the physical aspect is something I could not keep up with since staffing in med surg is ...
  9. So KindaBack, you quoted me, where I said that I had just responded to this issue in my last post. That post (#153) quoted/responded to you specifically and gave specific examples. So I guess you are saying instead of doing a chart(thread) review, ...
  10. Several people including myself have already responded to this.
  11. People have already touched upon this issue. Report highlights important areas that might otherwise take a longer amount of time to glean from the chart and could be overlooked. In addition, there are a lot of subjective/family dynamic/random issue...
  12. Ugh, that's awful! Reports are very important to highlight critical areas of information/concern, including social issues that aren't appropriate to be written in the chart. Is there any way they can do a taped report at the very least?
  13. Loved bedside report as a patient. Once I received important information about my condition that no one bothered to tell me earlier. Liked bedside report as a nurse too - too often something about the patient is 'off' and its nice to lay eyes on th...
  14. Advice on how to leave job

    Always offer 2 weeks notice. It is up to the manager if they want to take you up on that offer or not. Always word your resignation letter very vague and positive "This letter is to inform you of my resignation, with last day worked to be XXX. I a...
  15. Floor Nursing vs. Doctor's Office

    Working conditions are a major difference between the two. It is SO nice to be able to go to the bathroom in the clinic without your phone ringing in there. You can get an actual lunch and sometimes even breaks, and, depending on the department you a...
  16. New nurse-what do I bring daily for work?

    Not something you have to bring from home, but when you get to work put a bunch of alcohol swabs and a few small gauzes in your pocket. You never know when you'll need one!
  17. So fed up with my coworker

    sounds like your best bet is to find another RN to switch days with if the PRN one can't cover no big deal for you but when you have 4 other people you are responsible for, lining up childcare is a huge deal. If you don't use family then it is a v...
  18. Bedside Reporting

    Our techs generally have 8-10 patients day shift, while the nurse has 6 days and 7-8 nights. If the tech can't start their pre shift rounds earlier, then there are several other options. The offgoing nurse can help with bathroom issues during their...
  19. Bedside Reporting

    That's why I wrote unusual wounds, I'm definitely not referring to your daily skin assessment We don't wake patients. I could see how that would be a problem if we had to. I'm referring to things that can be easily taken care of during a round...
  20. Bedside Reporting

    That really stinks. In my hospital its the norm that the offgoing nurse round prior to giving report so that these issues don't pop up. If they haven't and there's an immediate need such as pain, the offgoing nurse always volunteers to get it right...
  21. Bedside Reporting

    As a patient I loved bedside report. I found out additional information that I never was told before and it really helped me better understand my condition and plan of care. As a nurse, I think one of the best pieces of bedside reporting is that yo...
  22. Is being a CNA imperative?

    Most hospitals will let you become a nursing assistant (health care tech/et) after you've completed your first semester of nursing school, so no additional classes are needed. You could always work the higher paying job and do a 0 hour/PRN health ca...
  23. Nursing Morale

    I've noticed that I only care about being shown appreciation from management when they are coming down on us. This may be for frivolous things, or, when we are stretched super thin and they are blaming us for not doing more when we are already worki...
  24. What's it like being a nurse?

    Narrowing it down to what area of nursing would help too.
  25. Average time to administer flu shot?

    The time it takes to chart would probably be the biggest factor.