RNlmk

Latest Activity

1. Nurses not prepared for report

   RNlmk replied to KatePasa's topic in Medical-Surgical

   I think report protocol varies depending on facility. I have never seen a Kardex! On my floor you are expected to take report immediately at 7a/p. some nurses come in early and look up pt info, some...

2. Combative/Violent Confused Patients

   RNlmk replied to missmiamoore's topic in Medical-Surgical

   These things happen frequently. If a pt seems off- step away from the bed until you can determine their state of

3. Starting IVs

   RNlmk replied to Scarlettz's topic in Medical-Surgical

   5 iv starts in year is just not enough practice. You need more live sticks to gain confidence. Are you changing outdated iv's? That is one way to get some more practice on your floor & ask other...

4. Would like your input as a RN if your hospital has room service

   RNlmk replied to RNsheal's topic in Medical-Surgical

   We have room service but meals don't arrive at shift change. They can't get breakfast til after 815. Dietary calls the floor ahead with delivery times for all the diabetics meals and the nurses are...

5. Nurses who have passed the NCLEX-Please help me!

   RNlmk replied to Hello.Kitty.Girl.'s topic in NCLEX Exam, Programs

   I took my nclex in 2011 & passed with 75 questions. I did the entire Saunders review book and studied 2-5 hrs a day for a month before. My advice is to give yourself a few weeks to study bug don't...

6. Thoughts on Pt Nurse ratio

   RNlmk replied to pugmom79's topic in Medical-Surgical

   I work on a med surg/onc floor and our ratios are the same - occasionally we go up to 8 pts, once I had 10. I also had 12 wks orientation & that was enough time for me. Most of my patients are not...

7. Urinary Cath Insertion

   RNlmk replied to lovecardiacnursing's topic in General Nursing

   The 3-way catheters are usually a pretty large gauge I would think that is possibly why the pt didn't complain of pain- the urethra was already kind of stretched from the 3- way cath. I have had this...

8. What is the maximum number of patients per nurse?

   RNlmk replied to Info(RN)matics's topic in Medical-Surgical

   I work m/s onc: 5 is minimum, 6-7 is typical, 8 on bad night. Once i ended my shift with 10 when another hospital had to divert their ER to us & we short with a call in and no float. We have a...

9. To be the best nurse I can be

   RNlmk replied to NurseLizzy13's topic in Medical-Surgical

   Yeah reading dr handwriting is hard! We went CPOE a few months ago and it's a lot better except you have to keep checking the computer b/c the drs don't have to be on the floor to enter

10. Am I doing the right thing? New nurse getting butt kicked

    RNlmk replied to j_tay1981's topic in First Year After Licensure

    I still felt very anxious at 4mos into my job, somewhere around 6mos things started clicking and I felt better. I still have nights that are bad, but I feel like I have the flow of things down...

11. New grad, new job, 1 week of orientation. :/

    RNlmk replied to pullingallnighter's topic in Job Search, Interview, Resume

    1 week is really not enough IMO, I think it's a threat to your license. I wouldn't even accept that position unless you are very confident in your skills. Just learning the flow of the floor takes...

12. Buffalo NY nurse agency recommendation?

    RNlmk replied to dbzzz's topic in New York Nursing

    I work for CHS, med surg hired as a new grad. I think it's a decent place to work, on my unit there is not an issue with lateral violence, some difficult personalities but nothing much beyond that....

13. What would you have done?

    RNlmk replied to eileeny21's topic in Medical-Surgical

    I wouldn't have ignored the order, I would have called the md back stated that had assessed the pt and reviewed w/ my charge & wasn't comfortable giving that dose, could I give 5 or 7 instead and...

14. Would you trade a great team for an easier floor?

    RNlmk posted a topic in Medical-Surgical

    I have been on my floor for a year, I promised myself I would give it that long no matter what. It's a hard floor med surg w/ oncology, head & neck / ENT and palliative beds- a good mix of med and...

15. To be the best nurse I can be

    RNlmk replied to NurseLizzy13's topic in Medical-Surgical

    I think it's important to develop a routine that works for you and then stick to it as much as possible. I work 11p-7a mostly here is my routine 2245 look up pts, fill out my brain, check orders...