AJJKRN

AJJKRN

Medical-Surgical/Float Pool/Stepdown

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All Content by AJJKRN

  1. How long have you been a nurse?

    I have been a nurse for six years now. I did my ASN, then BSN, and am about to finish my MSN in leadership up in the next few months. I may decide to do a post-masters NP in the next ten years but who...
  2. Starting a new position nervous

    It's hard to go from competent (and comfortable) to unfamiliar (and uncomfortable). As a Med-Surg float that dabbles in step-down but also came from an adult trauma-surgical floor, what you're...
  3. PSA

    Just think of how often we have our patients use hand sanitizer in the hospital... I leaned any ther "quirky" med "reaction" (not that the OPs was quirky, but it did make me think of it). The other...
  4. How is this post/rant related to being an
  5. IV extensions

    I'm missing in the posts then where the OP is saying that they have more than one line already in their scenario. I'm reading that the patient only has one IV access but needs more ports to "Y"...
  6. Weekend Incentive Fulltime Contract Questions

    Make sure that the other nurse you talked to works the same days as you. At my facility it's different (slightly) for each floor and each contract. Most work Friday, Saturday, and Sunday to get their...
  7. IV extensions

    If that lone IV blows...so could the rest of your shift I'm assuming the pt is in active childbirth right
  8. drug diversion

    True that! They should just come out and say what it really is, protection of their electronics, and stop treating us like little children that have people's lives in their hands every shift. I will...
  9. Is this reasonable or just over the top?

    Ours came from the Studer Group in an effort to increase HCAHPS scores. (That's why I included their bedside report link in a previous post ;-). I can say that after spending more than apparently...
  10. Is this reasonable or just over the top?

    Welcome to the customer service model and bedside report. These hoops are the bane of my existence as a hospital nurse. Just wait til the patient white boards show up. Strategy 3: Nurse Bedside Shift...
  11. Welcome to your first year in a new environment. You already have experience, just not in a hospital setting. Find someone you can ask questions to...like if you have a unit educator. Otherwise, use...
  12. Safety of nurses

    Pts acting badly happens in civilian hospitals too...it's called the customer service model, aka HCAHPS & value-based purchasing. I think that culturally, we as a culture are just becoming more...
  13. MD in the Philippines?

    While I am not up to date on the subject I can say that a fairly large majority of the Filipino nurses that migrated to my work place are MD's in the Philippines but work as registered nurses...
  14. drug diversion

    Trust of employees with clear protocols and
  15. What makes a good manager?

    Since I work in the float pool...a manager that lets you practice autonomously but expects all employees to do their jobs under the company's expectations. It doesn't hurt that she still works at...
  16. Why is Keppra and Dilantin given 1 hour apart?

    I would be curious about ensuring optimal absorption without doing a google search
  17. CON withholding proof of graduation!!!!

    Sounds like the school wants to raise their pass rates...at or above 80%...my ASN had a 98-100% pass rate running years strong. I know it's got to be frustrating but there's a reason for the push....
  18. Bed Assignments

    We use a house officer for the whole house and a charge nurse is on each floor. We also use pagers and a computerized charting system that has throughput on it. The house officer gets the admit and...
  19. coworkers constantly checking your charting

    I would take it to quality and ask what I they think is expected. Unless the persons in question are performing a chart audit, they are wasting valuable time being productive. And actually changing...
  20. Green O2 Christmas trees

    It would make sense seeing as how I've never seen them cleaned :-) There was a type of tubing that had an end on it that screwed directly into the wall O2 appliance. I think the tubing was really soft...
  21. IV medication that can not run fast

    Do you have access to something like micromedex via work computer? I always look up new drugs or revisit ones I haven't used or don't use very often and I always check iv compatibility (even with...
  22. Okay, I have a dumb question.

    If they're required for entry into the program than I think it's just another way to weed out applicants (duh huh ;-). I had to take the TEAS to get into my ADN program and score high enough on each...
  23. As long as I stay at the bedside in the hospital setting I will continue floating. I honestly could be a float nurse for the rest of my career if all patients/families had boundaries and respect for...
  24. Manager catch phrases

    It takes a village :-/ It takes a village:-/ It takes a village :-/ (Insert headbag) There's also been a lot more take about silos
  25. WGU vs Aspen BSN

    Check out the WGU forum and you will find most of the answers you are looking for. For me, WGU all the