EquestrianRN

EquestrianRN

Psych/(L&D/NICU/LDRP)/OR/Med-Surg/CDU

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All Content by EquestrianRN

  1. anyone working in Williston, ND??

    EquestrianRN replied to dez_455's topic in General Nursing

    My husband is making the boom town trek to Williston, N D in the next few weeks...I'm staying here for about six months until he gets settled in a job and his plan is to camp out while job hunting,...

  2. "Doing too much"

    EquestrianRN replied to futurenurseOB's topic in First Year After Licensure

    My direct supervisor, at 35, is four years younger than I, has two children under age three and went from LPN school, worked as an LPN for seven years and then earned her BSN, got a supervisory...

  3. Am I the only one who hates 12 hour shifts?

    EquestrianRN replied to jdubs99's topic in General Nursing

    I worked night shift, 11p-7a for FIVE YEARS. WITH two small (grade school through middle school) kids, a very ill husband who required help with everything except childcare overnight while the boys...

  4. Hospice nurse and bullying manager

    EquestrianRN replied to hospicern030363's topic in Hospice, Palliative

    Honestly? Once you get to that "place" with a manager for whatever reason, sometimes it is truly just best to walk away...As Tewdels said, there can be a million reasons that a manager chooses to...

  5. Bossy Nurse Aids

    EquestrianRN replied to swirlo's topic in Patient, Colleague Relations

    Absolutely agreed with all above. Push the teamwork angle. I say this because it is true, you MUST BE A TEAM! Remind her, in private and respectfully, that in order for you each to provide pts with...

  6. Attending Dr not on board with hospice meds...

    EquestrianRN replied to smalltownLVN's topic in Hospice, Palliative

    About 95%of our pts are taken on by our medical director at time of admission onto hospice services. I suppose we are very lucky, as she is tremendously knowledgeable not only about palliative TX...

  7. Let's talk $$ for hospice. (Idea lifted from Agency nursing)

    EquestrianRN replied to SuzieVN's topic in Hospice, Palliative

    Arizona... Inpatient hospice unit, full-time day shift, (3 12's/week) with 16+ years exp (though returning from psych to hospice with a five year break since last working hospice = they get to start...

  8. Hospice nursing with child(ren) at home?

    EquestrianRN replied to WellWornBridle's topic in Hospice, Palliative

    Excellent comment above by "Goals in Transition"...I couldn't agree more! One major thing that hospice nursing has taught me: The sort of people whom we truly enjoy taking care of as patients are the...

  9. Inpatient center patient load

    EquestrianRN replied to hospicernva's topic in Hospice, Palliative

    We have a ten bed unit staffed with ONE RN and one HHA for up to seven pt's...if we have more pt's (8-10), we are given an additional LPN. USUALLY agency, usually hasn't been there prior, and legally,...

  10. Medicare Diagnosis Changes

    EquestrianRN replied to Stella1688's topic in Hospice, Palliative

    As a hospice RN, I actually can appreciate how the overuse of "debility" is viewed. It really IS too general. It is a syndrome, certainly, and not a "disease", as it were. I have faced the same...

  11. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Patient Medications

    Yes, I prefer that sort of delineation myself...gives the nurse some freedom but also lets you know before you've run through your MAX for that patient (in meds that have no outlined "ceiling", such...

  12. Asking all nurses...need a consensus!

    EquestrianRN posted a topic in Patient Medications

    Ok, here we go...just think, this COULD be fun!! :0) As a 15 year-practicing, highly experienced RN, with a background in a multitude of specialty areas, I have come across a nurse manager who has a...

  13. Old manager new in OB/GYN needs advice

    EquestrianRN replied to RezZenRN's topic in Nurse Management

    I could not agree more with your comments! Nurses, as a highly driven group of professional "perfectionists" (certainly a generalization, but I believe a true one, after having observed this in myself...

  14. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Patient Medications

    Very good points, QueenJulie and Liveyourlife! We obviously have some excellent "critically thinking" nurses out there... I have often wondered these days, when, of the "new grads" coming through my...

  15. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Patient Medications

    The consensus thus far, as I see it, is that for OBVIOUS REASONS, TID is not often, or ever really, anymore, used for PRNs! And as a few have stated, computerized MARs are written by pharmacists to...

  16. In a quandry, doctor difficulty

    EquestrianRN replied to julimom's topic in Patient, Colleague Relations

    Simply guessing here, but I'm thinking that when the OP stated she didn't even know she did it, (hung up on the provider), what she may have intended to say was that she perhaps had either answered...

  17. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Patient Medications

    First, I adore your "handle"...Hygeine Queen totally rocks! :0) Second, thank you for your input-very much appreciated! This is how I see a T.I.D order as well; "technically", & probably legally,...

  18. Is their wisdom in becoming a psych nurse if the nurse has his own psych history?

    EquestrianRN replied to j_tay1981's topic in Psychiatric

    Jtay,You've certainly got a good head on your shoulders, and you have gotten some great advice from other members here...it's really nice to see that you are considering all of this. Navigating the...

  19. Is their wisdom in becoming a psych nurse if the nurse has his own psych history?

    EquestrianRN replied to j_tay1981's topic in Psychiatric

    Apologies for typos above/odd word insertion, punctuation oddities, etc...! This "Smart phone" isn't proving too "smart" using "Swype" typing program, and I unfortunately didn't have time to proofread...

  20. Is their wisdom in becoming a psych nurse if the nurse has his own psych history?

    EquestrianRN replied to j_tay1981's topic in Psychiatric

    I am a mental health nurse, and this is what I have come to believe: A bit of history...after (currently) working five years in level one psych (highest acuity in this state/locked unit/independently...

  21. You might be a night shifter if...

    EquestrianRN replied to beeker's topic in General Nursing

    First I must give props!...Absolutely LOVED the poster who commented about caring for residents for a month and never having actually SEEN them...:rolleyes:I work acute inpatient psych...we have...

  22. Pain meds and low BP?

    EquestrianRN replied to fsh1986's topic in Patient Safety Issues

    Certainly the patient's usual BP in this case is about #1 on the "relevance" scale. I would have (& have) done the following: After the initial order to give the scheduled narcotic, I would not...