AJJKRN

AJJKRN

Medical-Surgical/Float Pool/Stepdown

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All Content by AJJKRN

  1. Justifiable situations when to break policy?

    AJJKRN replied to Pink Magnolia's topic in Nursing Professionalism

    Say if you have a low blood sugar and the patient is symptomatic/unresponsive and hospital protocol is to get an MD order for D50W. I would break protocol and get/give the D50W and try my best to...

  2. How do you treat your nursing students?

    AJJKRN replied to perfexion's topic in Patient, Colleague Relations

    We always had an instructor on the floor. I think I was very blessed with my school and clinicals. We rotated ED, ICU, cath lab, OR, and even went to One Day Surgery to start IV's. In our OB clinical...

  3. Pt has severe pain when legs elevated

    AJJKRN replied to Trisha.S.RN's topic in Home Health

    I'm not a cardiac nurse (my heart is in trauma-surgical) but I would be worried about the edema in her legs causing her heart to overload with them being elevated which is probably why she's got leg...

  4. I never would have thought of that...

    AJJKRN replied to OhioCCRN's topic in General Nursing

    I only work with adults but when I was a CNA I discovered a coveted trick used on postpartum...if you have someone with a rectal abscess or something else painful in their Netherlands then call and...

  5. NGT PROTOCOLS

    AJJKRN replied to angelmd26's topic in General Nursing

    I think it is in nursing scope but critical thinking should be used such as...as a nurse I would never insert any gastric tube into someone with a history of esophageal varices, gatric sleeve, or...

  6. AMS

    AJJKRN replied to cbeeny's topic in General Nursing

    Look up Wernickes Enchephalopathy as well all of the malabsorption issues from chronic alcoholism (like lack of thiamine absorption). I want to say to check ammonia levels as well. I can promise...

  7. Big bad bullies

    AJJKRN replied to ljrn135's topic in Emergency

    My slogan would be "Lead by example". And in SoldierNurse22's defense (not that they cannot do a damn good job defending themselves) maybe the new nurses need coaching on how not to come off as cocky....

  8. I Want to Be an RN; I Am Bad at Math.

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

    I have always been very strong in science and thought I was bad at math...that is...until I went to college! I aced all of my college level math classes with determination, good teachers, and wait for...

  9. Recent changes to allnurses

    AJJKRN replied to Joe V's topic in News, Announcements

    So how do I get rid of the "strip" across the bottom of my screen that has different icons on it like Facebook, Twitter, a printer icon, etc. most of the time I am on my phone and stay logged of and...

  10. Patient's rights dilemma

    AJJKRN replied to newgraduategal's topic in Patient, Colleague Relations

    I don't know how other entity's would handle this except for mine but here goes for where I work... Since we have become a smoke free facility no one is to smoke on the grounds which means the patient...

  11. RN-BSN and ADN-BSN Easy?

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

    I started my RN to BSN with 6 months of nursing under my belt. I wouldn't say my program was easy but it was much much easier than my ADN program. With an RN to BSN program, I already had an excellent...

  12. The hardest parts of nursing?

    AJJKRN replied to calivianya's topic in General Nursing

    Supporting a patient that wants to be a DNR and is fading fast but their hospice consult isn't until the morning and they are still a full code (I work night shift medsurg) or when a pt or family...

  13. Compassion fatigue...how do you deal?

    AJJKRN replied to klone's topic in Health, Stress Management

    Personally for me, this is why I love to float, the prospect of not having the same patients for three shifts in a row or being on the same floor every shift helps my

  14. Mantra?... Whats yours??...

    AJJKRN replied to PrayingToPass's topic in Spirituality, Religion

    What doesn't kill you will only make you

  15. Esme Needs Your Prayers and Well Wishes

    AJJKRN replied to tnbutterfly - Mary's topic in General Nursing

    (((ESME))) you have always been one of the main contributors who has always provided us with your support, knowledge, and heart. I can only hope we can return the favor to you with a small token of...

  16. how to suction a NG feeding patient who aspirated

    AJJKRN replied to treeye's topic in Nursing Student Assistance

    I read your post and was like "why not use the tracheostomy to suction"...duh because it doesn't mention one! I apparently added a Trach to my thoughts when reading which is yet another reason not to...

  17. how to suction a NG feeding patient who aspirated

    AJJKRN replied to treeye's topic in Nursing Student Assistance

    OK, I love Trach's and used to work on a trauma floor before I started in the float pool so I'll give you my two cents but this is where hands on clinical time really helps a nursing student (and a...

  18. How long have you been at your current facility?

    AJJKRN replied to ChristineN's topic in General Nursing

    Nine years so far with six as a cna and three as a nurse. I love it but wish I could move the place to an area with a shorter winter. I keep from being bored or getting burned out by staying in the...

  19. Plum Pump Air In Chamber Or BackPrime?

    AJJKRN replied to 909Martha's topic in Patient Medications

    First of all forgive me because I'm tired and using my phone which I don't usually answer on but... Easiest thing to do is to grab another bag of maintenance fluid ( a 500 cc bag) and squeeze the...

  20. Precepting someone older than you

    AJJKRN replied to I.C.UNurse's topic in General Nursing

    I have precepted many times and have had only one bad experience but each experience has offered me individual growth. Just wondering why, or if, you had not contemplated that you manager chose you to...

  21. ED tranfer.. No verbal report required

    AJJKRN replied to HeartRN13's topic in Patient Safety Issues

    Then I hope you are making yourself immediately available to recieve report rather than putting them off repeatedly which is why faxed report was started in the first place. I'm just curious about if...

  22. Potassium replacement while on clear liquid diet?

    AJJKRN replied to Alfi_srq's topic in Patient Medications

  23. Potassium replacement while on clear liquid diet?

    AJJKRN replied to Alfi_srq's topic in Patient Medications

    It may be true for the floor you're on but more than likely the no red or orange is to help r/o any false positives for suspected bleeding (especially in the GI tract) because of the red dyes...

  24. Pressure ulcer stage 2..what would you use?

    AJJKRN replied to seks's topic in General Nursing

    New product (at least for my facility) called "Mepilex". Very possible that I just miss-spelled it but it is essentially a brown in color heart-shaped dressing that provides some padding/protection...

  25. Bedside Shift Report

    AJJKRN replied to Seasoned's topic in General Nursing

    I personally think that now bedside report is all about customer service and raising satisfaction scores (AKA money revenue) and that the excuse that it is "increasing patient safety and involving the...