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 well!
  2. I agree with the OP....if my hospital did this, the staff would be in an uproar. I'm surprised at those who feel nurses should do VS and BS checks and UAPs should ONLY be doing ADLs. At my hospital, the UAPs are responsible for VS, BS checks, ADLs, t...
  3. 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 much paperwork. Keep learning and growing where you ...
  4. 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' minds.
  5. 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 to tele units and ICU. Medsurg is not "stable patie...
  6. 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 changed after each blood draw from a PICC line. Obviou...
  7. Standing up to my charge nurse prevented a mistake

    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 used to work for an infusion company and if a rad...
  8. 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 know if he drinks it all? Obviously, you can get ac...
  9. 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 needed and push slow. I usually stay in the room to...
  10. 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 months.
  11. 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 word here). I actually owed $91,000 as of graduati...
  12. 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." I'm pretty crazy and check my loans daily. I pay FAR...
  13. 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 have a little old dementia lady trying to climb ou...
  14. 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 unsafe and I am FED up. These psych patients need to...
  15. 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 so not sure why the (again really?!) comment, it ...
  16. 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 back"
  17. 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 our meds.
  18. 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 0400, it sucks, especially for my poor boyfriend wh...
  19. 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 this. Also, they interchange Protonix for Prilosec...
  20. 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 either!
  21. 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 get my BSN will hold me back. I am already itchin...
  22. 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, not in between each step because the cap is never...
  23. 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 straight.... favorite line "GET ME OUTTA THIS CAKE BAKE...
  24. Starting RN to BSN 3/1/13. Who's with me?

    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 blackboard?
  25. 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 but I'd like a higher side estimate if possible. ...