UrbanHealthRN BSN, RN

I was curious so I went ahead and looked up North Carolina. And yes, they are VERY clear about nurses supervising nurses! (Though when it comes to things like attendance, dress code, etc they say administrative staff can supervise this). Here's two l...

I *try* to do the same things I encourage my patients to do (sometimes it's easier than others!) I pay a lot of attention to my mental well-being and at times go to therapy if I feel like I'm no longer coping well. Grief, secondary trauma, and e...

I second Cattz. When I worked in pedi, we'd see toddlers with mouth stuffing as part of normal development, then they'd outgrow it. To have a 5 or 6 year old mouth stuffing makes me think there's some sort of condition or maybe delay going on.

List your highest degree first, regardless of whether or not it applies to your nursing work. My credentials are listed as MPH, BSN, RN.

Here in my part of New England, the only opiate on the street is Fentanyl, to the point where Fentanyl test strips don't make sense anymore for opiate users- they already know what they're getting. The test strips have been super helpful for testing ...

Good for you! Sounds like you kept your cool, didn't become reactive, just stayed focused on what you needed for yourself in that moment- to end the interview. I hope this gives her some food for thought next time she interviews someone, but it proba...

I remember a year into working as a nurse, my anxiety started to get so bad I was having physical symptoms before work- physical pain, GI upset, headaches. I didn't have the words to describe what I was going through yet, so all I did was take Motrin...

Whoah....this sounds like it's bordering on fraud. If this is what your health center wants, though, then I'm right there with you- I'd make sure that doctor is on site for every patient visit or else I'd refuse to give the vaccines. God forbid the b...

I work in a health center, too, and we usually have standing orders for vaccines so that nurses can give them without needing a specific doctor's order in the moment. I'm wondering if that's the case for the Covid vaccines you give, or if they need a...

This is heartbreaking to read about. After George Floyd's death, I remember there was a lot of talk about law enforcement's use of prone positioning and how it can be dangerous. Why people are still doing this in 2022 the way they are, I can't unders...

Just wanted to share an update and say thank you to everyone who replied! I took the feedback to heart and decided to make myself and my family the number 1 priority. I put in the transfer request last week and let my immediate supervisors know ...

I work for a health center organization in a specialty program. I was hired 2.5 years ago, and my program changed directors 2 years ago. I like the work I do and I like the site I work at, but it's been difficult working for the new director, and aft...

I'm going to agree with JKL33 on this. As a woman in America, I feel like society's expectation for me is to constantly be happy/bubbly/willing to share personal details about my life (ex. marital status, pregnancy status) with anyone at any time. I ...

Good question! According to the ACIP, "Aspiration before injection of vaccines or toxoids (I.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recom...

More like where did they float up from. This thread is pretty bizarre.

On call every weekend is not sustainable. No way. I get that healthcare needs to make itself available to treat patients, but putting an expectation like that on one staff person is borderline abusive. If you like home based nursing, maybe there's a ...

I do outpatient substance use nursing and we use COWS. We used to use the word "opiate", but technically that's only for naturally derived substances like opium and heroin. Nowadays there's also synthetically made opiates such as Fentanyl, so we use ...

Pardon my lack of medical terms, but she sounds like she was still totally out of it from the anesthesia when she arrived to your unit. Clawing out of the bed, screaming, etc.....yes, that could be pain, but that could also be the other meds making h...

I agree that a positive post is usually the best choice. But like I said above, the article seemed to have nothing good to say about researchers, and on top of that did not seem well thought out (ex. there were errors in how the cited articles were r...

As a quick piece of background, I have a Masters in Public Health in addition to my BSN, and I am familiar with research methods as they pertain to healthcare. I find it is interesting that this article contains some of the very problems that the aut...

Sounds like that nurse didn't do a good job of, ahem, reading the room. Some days it's easy- my personality just clicks with the patient in front of me, and we work on treatment goals like we're planning what to bring to a potluck. Other days, ...

I'm confused- are you working in an outpatient facility like a methadone clinic, or has the patient been admitted to another inpatient setting like residential treatment? If it's an outpatient clinic, and he brought his Xanax with him as part of...

Sounds like they're cutting corners big time at this facility. Using recovery coaches for things besides coaching (I don't even have to ask, I just know). Claiming they do "medically supervised detox" to appeal to prospective customers, but really th...

OP, I think part of the issue is that you're mixing up your terminology. The title of your post is "Managers, Nurses, and Delegation". There's the first problem- in no way was your situation a case of delegation. It was a case of you volunteering a c...

Once upon a time I worked night shift at a pedi hospital. I was probably a year into my job when one night I took care of a little boy who had pneumonia. Despite my insect brain level of nursing knowledge at that time, I actually managed to cat...