Irish RN

Irish RN

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All Content by Irish RN

  1. Calling out sick

    5 days a year rolling calendar. No such thing as occurrences where I work so if you're truly sick and out for a few days in a row, you better hope the rest of the year goes
  2. New Grad already bored with Rehab

    There's no harm in applying for other positions. If you go on an interview, UP talk the rehab and explain how much you learned there as a tech and a new grad. DO NOT say you're "bored" and have too...
  3. Call Bells and IV Pumps

    Our hospital's solution is that we attend to every little need prior to the patient having to hit the call bell which means we all must read our patients'
  4. Disagree with this, only because I work medsurg and it's EXTREMELY stressful. I've called several code strokes and rapid responses (no code blues yet *knock on wood!*). I've had to transfer patients...
  5. Handling a central venous line port

    I agree...I don't wear gloves when pushing meds through a PIV or PICC line but I DO wash my hands. Also, most PP are referring to the "cap" but it's actually called a clave. And the clave MUST be...
  6. And what if the OP drew off the midline and then it clotted/the pressure affected the lumen/etc. and she/he couldn't bolus and give appropriate meds? then the patient would have REALLY been screwed. I...
  7. Ins and outs- what's the point?!

    We do I&O's on every patient and I work medsurg. Our staff is pretty good about recording everything but I still think it's inaccurate. If I give my patient 360 mL and record it, how do I really...
  8. New Nurse Pain Med Question

    I work medsurg and only take VS prior to BP meds. I assess LOC prior to pain meds and I also ask the patient if they've ever had the med before, any previous rxns, I educate on s/s, etc. I dilute as...
  9. Night shift unintentional weight loss

    OP, I'm with you. I've lost about 15-20 lbs since working nights, most of it within the first few
  10. Need Advice

    Hi All, I need advice. I have my ASN, 1 year experience, and $81,000 in school associated debt (please, I already know the mistakes I've made....sigh, it's the only debt I have, only being a relative...
  11. Need Advice

    Thanks for the input guys! I guess I needed some validation for my decision. I plan to only do classes up to 3k a year, maybe a little more (that I can afford). I disagree with "everyone has debt."...
  12. Just a vent... medical vs psych

    just to clarify: I have no problem caring for a patient with acute medical issues with a hx of psych issues on a medical floor. BUT their psych issues need to be controlled....it's very difficult to...
  13. Just a vent... medical vs psych

    someone from the other side.... I am SO sick of having PSYCH patients on my medical/surgical floor. We ARE NOT equipped to handle these types of patients with 6 other sick patients as well. It's SO...
  14. Old nurse verse New nurse

    I agree that this nurse needs to be reported. Situation #1: I think the patient needed the Ativan. I think it's wrong "Nurse J" gave it. Situation #2: DNR (do not resuscitate) does mean do not do CPR...
  15. Need Advice

    I work in a small local community hospital. The major city hospitals around me require BSN and also pay more $. That's what I mean by "hold me
  16. legalities in giving a med

    I'm not saying you need a doctor's order, I'm saying pharmacy should enter it as exactly what it is.. 2 different drugs, which happen to be given at the same time. Ours has to do this because we scan...
  17. How does working night shift impact your FAMILY?

    I'm actually in the process of switching from nights to days. I love night shift but after 1 year, my sleeping schedule is SO bizarre! Even on my days off, I'll nap at odd hours and be wide awake at...
  18. legalities in giving a med

    Our pharmacy has the right to do "therapeutic interchanges" for any med ordered. For example, docs order IV Zosyn q6h but it's always changed to q8h based on industry standard....pharm can legally do...
  19. how about before report....you walk in to 4 new admissions, 23 patients, 3 1:1's, 2 aides, 4 nurses including myself. hmmm that math doesn't sound too right
  20. Need Advice

    Thanks for the reply. I forgot to add that I currently work full time & my hospital pays $3k a year for tuition reimbursement. A big part of me agrees with you, but I am so worried that waiting to...
  21. Picc Line Question

    At my facility we scrub the hub, flush with 10 mL NS, waste 10 mL blood, draw 10 mL blood (usually), flush with 20 mL NS, and then change the cap. No sterile technique. I only scrub the hub initially,...
  22. Best Hallucinations Thread

    On orientation, for some odd reason, I was assigned with my preceptor(yes an RN - such a waste of resources, ANYWAY haha) to a md ordered 1:1 for an ETOHer. So I was with this lady for 8.5 hours...
  23. Hi all! I am inquiring into the program....how are the assessments set up? Is it via webcam with instructor or is it point and click tests on
  24. Ohio University RN-to-BSN Program

    Hey Guys! Can anyone give a TRUE estimate for tuition? I've been on the website but I often find they don't really reflect the true costs including books,etc. I do have some transfer credits I believe...
  25. Untrue formal complaint filed with state

    it seems to me like you did nothing wrong but the most important question is --- did you document?!? if in your note you wrote "CPAP applied to patient as ordered at HS. patient requires frequent...