AJJKRN

AJJKRN

Medical-Surgical/Float Pool/Stepdown

Member
  • Content

    1,224
  • Visitors

    23,058
  • Followers

    1
  • Likes

    50

All Content by AJJKRN

  1. RN role in Chest Tube insertion in the ER?

    Painful indeed! That's when being moderate sedation certified comes in handy if there's enough time to premedicate the Pt prior to any insertion, cardioversion, or whatever is about to be done that's...
  2. Rhythm debate

    Honestly is looks like sinus rythm with a notched p wave and a bundle branch block but it's been awhile since I studied/watched rhythms when I was a monitor tech about five years ago so I'm a bit...
  3. Preceptor Problems

    I think if the NM is a strong and accountable this is wonderful advice...if the NM is not then it could backfire and the preceptor and any of their friends could make the orienteers life a living hell...
  4. Needle stick - pt refusing testing

    How can the Pt refuse? I'm pretty sure at my hospital, if a staff member is exposed then lab comes in to collect blood work on the Pt (and the staff member) but doesn't disclose what the blood works...
  5. Shortness of Breath

    When in doubt I often call RT for their take on things (just before getting ahold of the MD) but it sounds like the Pt in question just needs a low dose
  6. THIS is why I spend sooooooooo much time on AN! Talk about literally laughing out
  7. Adenosine administration

    Most here are probably aware but if not, I think it's worth mentioning that adenosine will not stop or pause someone in afib but may only slow the HR down long enough to see the Pt's in afib and not...
  8. What Can You Say to the Family When Your Patient Dies?

    The phrase I generally use for an expected adult death is "I believe that your loved one is no longer with us in
  9. Do you get hit/spit on? Does body fluids splash on you?

    Honey it's not intentional to come in contact with others bodily fluids..just part of being a nurse. Best you find out sooner than later. Sheesh, these colleges and universities should be handing out...
  10. Working OT helped me to pay....

    Well, just this past week, my kids school clothes, gym clothes, and school
  11. Need some feedback please.....

    A two dollar pay cut from how much? I think when I first started out, two dollars might have made more of an impact on my earnings but now (it's only been four years), two dollars wouldn't be that big...
  12. I personally would have called our security (which happens to have one supervisor that is a retired police officer) and they would have informed the man of his options...chill out and be respectful,...
  13. Is it smart to start my pre-reqs now?

    Hopefully some of the nursing school education Guru's will answer on your topic. Making sure things transfer without any issue from school to school so you don't waste time and money would be my...
  14. In a pickle

    Maybe she knows and maybe she doesn't but at my entity, your manager can hold you on the staffing schedule for up to thirty days...so are you really sure she's in the dark on this
  15. What is your dream unit?

    A surgical trauma unit with adults only. I would love to do ICU or ED but know I can't emotionally handle Peds (or their parents for that matter). Otherwise, I'm in my dream job already as a...
  16. The aggravation of it all

    Welcome to adulthood
  17. Taboo: 10 Things Nurses Should NEVER Say!

    Here's a sentence that I personally would like to become taboo..."It's so much easier on night shift because all the patients really do, is sleep". Seriously day shift!
  18. color coding staff

    We implemented a color code two years ago. Our Peds and Onco units are allowed to wear more cheery tops but the scrub pants need to be the solid color that relates to their "title". It was pitched...
  19. So...What Kind of Nursing Task Do You LIKE?

    I gotta say I LOVE being good a IV sticks too! It's kinda funny since I have a pretty severe phobia of needles when I'm not the one in control of them AND they're coming at
  20. New Staff Orientation

    Your concerns need to be brought to your supervisors attention ASAP. Do you know another colleague that this orientee has worked with to compare notes with? Of course not to throw them under the bus...
  21. Can I take a float job as a new grad?

    In general, float pools pay a nice differential when the float staff being utilized are experienced. Mine does anyways, but the point of our float pool is to provide a short staffed floor with a nurse...
  22. How many other "newbies" were on that night also? Out of curiosity, because the charge could have only been dealing with your questions (which all seem very valid) and then everyone else's as well...
  23. Off duty RN scope of practice on an airplane.

    If so...What then is the point of being ACLS certified? Pretty much the protocol is to follow the American Heart Association guidelines for ACLS...right? Every algorithm is pretty well spelled out. I...
  24. Can "leaders" be happy NOT leading?

    I happen to think that the best leaders can either lead or follow. Being interchangeable to best suit the needs of the situation or patient/peer interaction can increase positive outcomes for everyone...
  25. Tattoos!

    I do too but our opinions weren't taken into consideration just like when they decided nurses and techs were to wear specific colored scrubs. It also wasn't just nurses, it was any staff. Some staff/...