Pangea Reunited ASN, RN

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All Content by Pangea Reunited

  1. Pangea Reunited

    confused about pain med administration

    If #1 and #2 are the same medication, I would wait 6 hours before giving more (after administering the maximum dose of 10mg). The exception would be an order for the same medication for "breakthrough...
  2. South Texas is pretty new-grad friendly, but they definitely don't have the 5:1 ratio that CA
  3. Pangea Reunited

    Passing things on

    I work nights and try to create good relationships with the day nurses. If a tube feeding will run out at 8:30AM, I change it before I go. I do the same thing with IV fluids. If an antibiotic is due...
  4. Pangea Reunited

    New Grad need help with breaking away from patients

    I say something like, "Everybody has medication due right now that I've got to get out, but I'll come back after that's done and help you with everything else." Then, I make it a point to follow...
  5. Pangea Reunited

    Am I being unrealistic? Is nursing maybe not for me?

    ...and just remember that old men were babies once, too
  6. Pangea Reunited

    Have any of you....

    I'm curious now...what was she? I admit that I don't have the company policies memorized at my place of employment. That would take up way too much space in my already overstuffed
  7. Pangea Reunited

    Charity Patients

    It's illegal to "dump" patients, and those patients sound difficult to place. You have them because no one else will accept
  8. Pangea Reunited

    Have any of you....

    I would be thrilled with a CNA who cared enough to ask about TEDs- even if it wasn't their role to place them in that particular
  9. Pangea Reunited

    Answer Your Phones! Love, Tele.

    It sounds like the place is understaffed. I'm often scolded for not answering my phone, but sometimes I'm in an isolation room giving and IV push medication and conversing with a family member. And...
  10. A lot of hospitals don't count LTC as relevant experience, either. They want acute care experience. Is it possible for you to move to a less saturated market for a year or
  11. Pangea Reunited

    Cops and Nurses

    I got pulled over for expired registration, expired inspection (I procrastinate) and had no proof of insurance of driver's license with me (although I had them both current). Cop asked what I do and...
  12. Pangea Reunited

    Delegation RN, LPN, CNA, nursing student intern

    I'm leaning towards RN for a few reasons. The patient has an "unrepaired" cardiac defect. LPNs (in nursing school world) deal with stable, recovering patients who are about to be discharged. The...
  13. Pangea Reunited

    Talking to Doctors

    I'm fine with calling if I know what to anticipate. I just have all the information ready. If I'm calling someone unfamiliar, or about a situation that's unfamiliar, I ask a senior nurse for advice....
  14. Pangea Reunited

    Worst Medication Error of my life

    I've made a similar error ....huge, although the patient was unharmed. It also revolved around pulling the wrong medication from the pixis while being in a hurry. I know how terrible and alone you may...
  15. Pangea Reunited

    venting!

    My advice is to mind your own
  16. Pangea Reunited

    CNA To RN Career Question

    We've had several CNAs at my hospital graduate from RN programs. None of them have been hired on as nurses. There's no policy against it, it just hasn't been happening. My hospital even hires a few...
  17. Pangea Reunited

    Patients mom wants me to get in bed with her

    I can't think of any reason why that would be a good
  18. Pangea Reunited

    Malpractice Insurance?

    The hospital will help you as long as they benefit, too. But if they need to sacrifice you to save themselves, they will. Don't count on the hospital to have your best interest at heart. Get your own...
  19. Pangea Reunited

    Co-worker asked how much I make an hour

    Some places (maybe even most) have policies about disclosing your rate to other employees. I like to compare, but I try to be indirect (although still very obvious). I might tell them that I heard...
  20. Pangea Reunited

    Second year nurse-complaints against me

    My advice is to make a big deal out of apologizing. Fall all over yourself. Announce your intention to make sure it never happens again. Let your supervisor know that you understand the importance of...
  21. Pangea Reunited

    Bad Day, How do you get over it?

    I've found that exaggerating my helpfulness when I first meet the patient/family works wonders for these types of situations. I encourage them to call for absolutely any reason at all- and not just...
  22. I work with a lot of foreign nurses. The problem I keep hearing about from them is the extended wait time to get here. It can literally be years. From what I understand, it used to be a much faster...
  23. Pangea Reunited

    Care plan help please!

    You may be missing at least one huge thing. Look at your labs, again
  24. I would have just stuck my finger in it to see if it was
  25. Pangea Reunited

    How often do you check on your patients?

    How often I check depends on how young and healthy you are in comparison to my other patients and how busy I am. I don't always check in an obvious way, either. An uncomplicated appe patient might...