AJJKRN

AJJKRN

Medical-Surgical/Float Pool/Stepdown

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All Content by AJJKRN

  1. Is this normal?

    AJJKRN replied to studentnursemon86's topic in General Nursing

    Has the culture of your work environment changed during the time that you've been feeling this way? Any known precipitating factors? Newer management, peers, "customer service" pushes like AIDET,

  2. Nursing and the sex industry

    AJJKRN replied to itsme0987's topic in General Nursing

    Not to be mean

  3. Open mouth, insert foot...

    AJJKRN replied to Christy1019's topic in General Nursing

    Say you don't get in report that the new admit from ED is a bilateral BKA/AKA (because that's not why they were admitted) and you're doing your normal admit navigator before assessment and come to the...

  4. Medication error - NCLEX questions

    AJJKRN replied to sfla123456's topic in NCLEX Exam, Programs

    You should be able to notify the Pt just don't ever mention an occurrence report in the Pt's

  5. Flushing JP Drain

    AJJKRN replied to mugs's topic in General Nursing

    So are you aware that JP is just the initials of the brand right? So is this not what we're taking about...I'm keeping an open mind that it is if only because I haven't worked everywhere and seen...

  6. Flushing JP Drain

    AJJKRN replied to mugs's topic in General Nursing

    Yep, ours doesn't matter if it's placed in IR or OR. I'm thinking it's just what type my facility

  7. Flushing JP Drain

    AJJKRN replied to mugs's topic in General Nursing

    Ours don't come out of surgery with a stopcock, the tubing is just plugged directly into the JP. Pull the tubing off of the JP and flush the tubing with a 10 cc NS flush keeping everything as aseptic...

  8. What changes would you like to see from administration?

    AJJKRN replied to kbakrevs's topic in Nursing Student Assistance

    Realistic-ness! Can we really do everything you keep stacking on and expect us to juggle high patient acuity's, pass meds and do (double, triple) charting on time, minor in IT, etc...AND do all the...

  9. Heparin Drip

    AJJKRN replied to RNexplorer's topic in Critical Care

    I always just put it through the closest Y port. With all of the protocols we use, if you're giving a bolus you're having to increase the gtt by so many U/kg/hr anyways so we order the PTT six hours...

  10. Spinoff of Lidocaine with IV - what about Lidocaine mixed with Rocephin?

    AJJKRN replied to klone's topic in Patient Medications

    I believe that buffered lidocaine is suppose to burn less, maybe this is the added Bicarb? When we didn't have a shortage of it we were suppose to use buffered lidocaine prior to IV starts but I know...

  11. New to ER, coworker makes me feel stupid.

    AJJKRN replied to ConfusedAmanda1's topic in Patient Care Technician, Assistants

    I wish I had better advice but often only time, turnover, and experience help in these situations. Unfortunately people's first impressions often don't change especially relating to how they justify...

  12. giving D50 for hyperkalemia

    AJJKRN replied to NurseT88's topic in Patient Medications

    See, tis why I clarify. Looks like the FDA tweaked Novolog routes in 2013 but when I graduated it was beat into our heads that only regular insulin could be given IV. This is a good reason why I've...

  13. Nursing Dose

    AJJKRN replied to guest449786's topic in Patient Medications

    I did try to break the responses in different paragraphs, guess I didn't pull it off as

  14. Nursing Dose

    AJJKRN replied to guest449786's topic in Patient Medications

    See I was taught to give both, especially when someone's in severe pain because the dilaudid would have a faster onset and wear off quicker and then the PO nor I would hopefully be kicking in in 40+...

  15. ADN Vs BSN as Entry Level

    AJJKRN replied to Wendy906's topic in Nursing Educators, Faculty

    My area is still very receptive to hiring ADN's (mainly because the local ADN school tends to turn out high quality new grads compared to the other schools new grads) but my hospital has however just...

  16. Magnet status

    AJJKRN replied to FirecrackerJulie's topic in General Nursing

    Look on the ANCC's website for a lot of Magnet info if you haven't

  17. giving D50 for hyperkalemia

    AJJKRN replied to NurseT88's topic in Patient Medications

    Did you mean 10 units of Regular insulin IVP? It drives me a bit nuts when others here nit pick me and are rude/mean about it so I promise I'm not trying to be either, I just wanted to clarify. If my...

  18. Almost made a very bad med error today

    AJJKRN replied to klone's topic in Patient Medications

    I am very blessed to work for an entity that does not penalize nurses/staff for reporting actual events or near misses (unless the incident is out right blatant or the person that made the error can...

  19. When is the "best" time to do an RN-BSN program?

    AJJKRN replied to pearlypearl's topic in Diploma, ADN, BSN

    As soon as I passed the NCLEX and landed a job I was enrolled into an RN to BSN program. I had already researched what program I wanted just as I had my ASN school which had an excellent reputation...

  20. Float Nursing

    AJJKRN replied to CJ2blpn2017's topic in General Nursing

    I'm a floater for Med-Surg and soon to be Step-down in the adult world. We did try training/accepting new grads not long ago but found very few can make the cut and catch up to the level needed to be...

  21. Need help in medical surgical case study

    AJJKRN replied to Tilak's topic in Nursing Student Assistance

    You'll have to tell all the great minds here what you think first or you may not get any substantial help...just an

  22. I.V Tubing Change

    AJJKRN replied to NGYSUN's topic in Medical-Surgical

    My facility just recently lengthened the time frame from 72 hours to 96 for continuous IVF. It is 24 hours if

  23. Dead space in Insulin syringes

    AJJKRN replied to E94539's topic in Patient Medications

    Try leaving the insulin needle in the bottle while the bottle is turned upside down and pull on the plunger faster. After a few tries this generally works for me if flicking the syringe doesn't work....

  24. POLL: Should telemetry techs need to know patient Dx?

    AJJKRN replied to mycoholic1's topic in General Nursing

    Why has it not crossed minds that the hospital may be using the diagnosis, along with name and room number etc., as another patient indentifier safety measure. When I worked monitors we could have had...

  25. Not sure where to start?

    AJJKRN replied to NightShiftNur's topic in Pre-Nursing Students

    Working as a CNA is good health care experience and gives one a taste of nursing and let's be honest, exposure to real live patients and their bodily fluids! The latter can make or break people so it...