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grinnurse RN

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grinnurse is a RN and specializes in Med/Surge.

grinnurse's Latest Activity

  1. grinnurse

    Dumb HIPPA codes

    What's the dumbest HIPPA code you've heard? I admitted a pt yesterday and I had already suspected that the "elevator wasn't going all the way to the top" with this guy when I asked him if he wanted a to do a HIPPA code. I have found that most of these codes have some meaning to the pts in the past and this guy comes up with 1 2 3 4 5 6 7 8 9!!!! I had to excuse myself from the room!! Anyway, I thought we might all get a laugh from a thread such as this. Let's see em!!
  2. grinnurse

    Thank you note to preceptor after orientation?

    Definately not weird at all to thank someone who has helped you out. I sent my preceptor flowers at the end of my orientation with a card that had a picture of painting that I had done so after the flowers died she would always know that she touched not only my career in a positive way but my heart as well.
  3. grinnurse

    Ethical Death Issue

    I would have done exactly what you did and as a matter of fact have done that several times to my patients that I have known (by clinical signs and symptoms) are in the end stage of life. I have also even prayed when I went home at night for God to take the patient home. I don't know if this is illegal activity or not to me it's simply humane when the family is in the state of mind that it is!!
  4. I was kind of like you in HS math-just skirting by and when I was thinking about going to NS and found out there was math I was devestated!! But then I took a nursing math class and they give you the formulas so that made it a little easier but I still freak out when I have to figure dosages. But the more that I use it the more comfortable I feel. It will be ok and don't let math be the thing that holds you back from Nursing as a career.
  5. grinnurse

    Patient Abandonment

    If you didn't take report and "control" of the patients then this is not patient abandonment IMO and I think it would be in the boards opinion as well. Sounds to me like she is just mad that you called her on her errors and knows that you will probably "freak" out by being told something like that. You can always look in your BON handbook to see what constitutes patient abandonment and then I would make a copy of that page and politely give it to her just to get her up to speed on what patient abandonment really is!! But of course, I am kind of a smart a** too!!
  6. grinnurse

    How Many Days Do You Work?

    I am on self scheduling so I usually try to work3-4 days a week-depending on my financial needs at the time. Usually will work 3 in a row then 1. Although this week I scheduled my self for 5:uhoh21: . I like working the 3s as long as I have a couple of days off in a row after it.
  7. grinnurse


    The best thing that you can do in situations like this is to learn from them, try not to beat yourself up too bad (like we all have the tendency to do), and move on. Look at things like "what did I do wrong, did I have all the information that I needed, what other information could have been important, and how could I have done things differently? You can ask the more senior nurses how they would have handled things or what they would have wanted to know b/f hand etc. Your senior nursing staff is such a great resource utilize them when you need to!! I wouldn't have survived my first year with out using them as a resource. That first mistake is tough b/c it does bring to light the fact that we have these pts lives in our hands and that's a huge responsibility. Nursing school doesn't teach you everything that you need to know unfortunately the biggest majority of that knowledge base comes from experience, mistakes and all. Don't get bogged down on yourself and the incident, learn from the experience and move on. Good luck and best wishes
  8. grinnurse

    Giving Report

    The hospital that I work at, per JACHO, has a sheet that is to be filled out, Kind of like a "portable" kardex that is supposed to pass from shift to shift with any changes but unfotunately, it is not used as intended. What helps me out the most, is to take my initial report in black ink, and then throughout the day, I add to it in a different color of ink-usually orange of any changes, new procedures, labs, tests, changes, etc. We always get a sheet with the patient's name, age, dx, doc, diet, etc and then add the other stuff such as meds, IVPBs, IVs etc. In report, just try to give the facts. It takes time to get the hang of it, but as they say, "practice makes perfect"!
  9. grinnurse

    New Grad Thrown to the Wolves!

    If it were me, I would be looking for a new place of employment and fast!! There is no way, I don't care how good of a student anyone was, with 4 weeks of orientation and no support can take care of that many patients as a GN can be safe!! I started last year and I was freaking out at 6 weeks but my situation was different, I at least had other "senior" nurses that were there for backup, questions, help, etc. I say get out of there fast if you can and if that is not an option, talk to the supervisor and if you don't get any results keep moving up that chain of command. Good luck and keep us posted!!
  10. grinnurse

    End of my first year.....time to move on????

    Hi Andre- Good to hear from you. Leaving that first job, especially b/c you have been with the hospital for 7 years has got to be a gut wrenching decision full of feeling obligated to the hospital (for keeping you while going through nursing school) to the fact that you are comfortable with the people that you work with and all that jazz. I was in a similar position not too long ago. Had been with the hospital 5 yrs, worked with great nurses, but the hospital politics was just too much to handle. I tried to leave back last November and go to another hospital but my heart wasn't in it or I guess I wasn't miserable enough, and also didn't have the confidence that I needed to feel like I could succeed. Fast forward another 5 months and I got to the point where I HATED going into work, was physically becoming sick, and the new DON was working the nurses to death and everyone was miserable and began leaving. Even nurses that had been with the hospital for 20 years were leaving in droves. I have been gone now for nearly 2 months and haven't looked back!! The old hospital has called a couple of times for me to go and work PRN and I can't I still get that sick feeling when I think about working there even for an occasional shift. The only thing I miss about that place is the nurses that I worked with. I say follow your gut and your heart. They will both tell you when it is time to leave. Good luck with your decision.
  11. grinnurse

    Would you or wouldn't you?

  12. grinnurse

    reality shock

    The first thing I need to say is that it can work to your advantage to have more than one preceptor b/c it can give you different perspectives on things such as time organization and styles of doing things as long as you are not with a different preceptor everyday. As far as #1 goes I agree that it is not a safe thing to do to carry to pts meds to the room unless clearly marked like maybe in one of those little plastic bags b/c you are checking name bands and all before giving. If you have med drawers on a cart, it is a good idea to pull meds and leave them in the drawer and then come back to get them for each pt. This can save time b/c the med carts can get congested. #2 keep up the good work and don't fall into other nurses bad habits especially with the newborns!! That is wrong the way the others are doing it. That would be like not counting for a minute on an apical pulse for an adult. I have been at this for a year and I still count for a full minute and when I go for orientation next week for OB and nursery you bet I will be counting for the full minute. #3 I think you will understand this more once you get on your own. The better thing for the preceptor to have done would have been to help you first and then do the other for the oncoming nurse. For the past three days I have worked on a unit with no teamwork what so ever and it sure makes a difference in how the day goes from not only the day shift that I worked but also from the night shift and I will take teamwork any day over what I just experienced. Keep on doing what you learned in NS and don't let others sway the way you do things and good luck your first year.
  13. grinnurse

    help w/ organizing time

    Sounds like you've got a good system down and the only advice that I have to offer is when the patients are requesting things if it is something that the aid can get them or help them with don't be afraid to utilize them. Or if it is non emergent things that will just require you, set up a time to go back. If you explain to most patients that you are in the middle of a med pass they are understanding on waiting as long as you keep your word. Other than this just know that things will get better with time. But somedays all nurses are running around like chickens with their heads cutoff!! Keep up the good work!
  14. OMG-started on the floor with orientation at my new hospital on Monday and it seems like I am a fit and the hospital is a fit with me.:balloons: :balloons: What a change to walk in where people are happy to be there and where they not only put the patient first but value their employees. I know that there will be days that will be hard but they work as a team to help each other out. All the nurses were very welcoming to me and that just made a huge difference b/c I was so nervous. I just had to share my happiness b/c I have been in such a negative place for the past 6 months. I actually can picture a time at this hospital when I will be able to truly provide the kind of patient care that I envisioned in nursing school. Thanks for all the support over the past year as yesterday was the last day of my official first year as a nurse!!
  15. I have a friend who just began taking Trazadone/Desyrel and has developed bilateral lower ext edema (1+), VS are all normal. Tried to find info on it for her but have not seen it listed as a SE or AE. Just wondering if anyone has ever seen this before. I advised her to call her doctor tomorrow morning. Thanks for any information.
  16. grinnurse

    Blood transfusions-how fast do you go?

    One of the nurses on my floor will start out slow and then zip it up to 185 even if they are elderly as long as they don't have CHF problems. Myself, I start slow and don't go over 125 regardless and I always stay with my patients the 1st 15 minutes! I can't imagine not being right at the bedside while transfusing blood.