emain86

I currently have a full time night shift job and a PRN job. I work about 50-60 hours a week and take home approx 2200$ biweekly. I'm looking at traveling nurse jobs and have a concern about positions and pay. I feel like I can do pretty much anythi...

Im a big fan of the whole recovering a patient in the ICU isntead of calling someone in. I work nights and really the standards say one PACU Phase 1 RN and a RN. ICU nurses are more than capable of helping with a PACU patient if things go south. Make...

As Satan ( A.K.A) Press Ganey knocks on our doors we are looking for ways to improve our patient satisfaction scores. One of the things that was suggested and I think is an excellent idea is for every outpatient surgery patient to receive a thank yo...

For the same reason you send a thank you card after a job interview? To achieve a goal, to look good, to make them think good things about you. Something like " thank you for choosing ___ it was our pleasure to take care of you and we wish you a spe...

I just did tons of practice questions. I did no review courses. I'll admit I found the test to be harder then the NCLEX. I went in there did the 175 questions in about an hour or so,prob had half of them marked as i don't know and passed. I've only b...

I work nights so I hate calling people in the middle of the night just to recover a simple patient. On top of that it would literally save thousands of dollars doing it that way. Like thousands. My manager on the other hand wants nothing to do with a...

Here comes a bunch of us playing doctor! My first thought wouldn't be UTI, but infection is more than likely the issue. Actually those symptoms all fall in line with sepsis ( ER has a sepsis flowchart/algorythm). They'd still do a UA. Blood cultures ...

It made me smile that you liked my post . Glad it helped. I'm new to this as well, but like I said did it in military. I try to tell that to every one.

I want a PRN job in a PACU. I work level 1 Trauma Center in PACU so I def see some crazy stuff. I'm talking like you need 2 nurses to handle 1 patient type stuff. ( I mean kind of sometimes haha). But I want the cushy PRN PACU job recovering ortho pa...

Wow this is really a good idea! Very inciteful. Using the OR as my secondary nurse isn't always the best because they are basically useless unless I'm calling for a code ( and even still they aren't always an ear shot away. ASPAN standards says 1 pha...

In an ideal world where you have enough Staff those patients can be monitored by 1 nurse on a different side where you allow family to come up and can get them a tray. Once patients are out of phase 1. I usually just do Q4 hr vital signs and 1 full a...

I feel like ED and PACU are probably the most similar jobs in the hospital. Only exception is you always have docs right there in the ER. You have many of the same stressors, some different too. The best part is generally dealing with family less and...

As much as I want to respond with my thoughts on this subject. It's a can of worms that moderators should probably just close this topic now. Argh but its infuriating. I've sat here for 5 minutes debating wether or not to put my view.. you sign a con...

It's probably about 50/50 but these patients seem to be the ones that take a long time to get into phase 2 and then when they do get into phase 2 our SD nurses can't seem to get them out and then they end up returning to PACU. I feel like I handle th...

I have a current ASPAN standards book and am fairly familair with the risk factors for PONV. The problem is Anesthesia here does every single case the same. Zofran, Decadron , Ofirmev ( unless contraindicated), and toradol ( if i'm lucky). Some of t...

If you ever tried to take my phenergran away I'd probably quit this job. I wish ours didn't have pain issues. I don't know what it is. Some days I feel like all I do is slam people with narcotics and they are still screaming for more. I'll look into...

Just wondering if Sweet Wild Rose has had any problems with using the OR as back up? Do they complain? We have same-day nurses up here on Saturday mornings and when I say oh okay you'll just be my second person in the room they look at me like I'm a ...

Really Really Wide QRS. and thats about it. I mean obviously I've seen other things but they are usually short lived. I'd agree with what the one person said about cardiac issues in PACU. I haven't had to code someone in PACU in 4 years. The other mo...

I worked in the PACU as a medic when I was in the militiary and this is my first job out of nursing college. I am literally going to retire from this job. I'm sure you are doing fine and the other person who commented is absolutely correct you will b...

PACU is all about monitoring patient's for change and life-threatening things. Managing pain and getting them safely to their next level of care; wether that is home, a med surge floor, or an ICU. So base your goals off of that. Here are a few of my...

I'm a new RN at a PACU in a level 1 Trauma Center, but prior to this I worked as a medic in the PACU at a military hospital. We have a 14 bay recovery room ( there is another half but we don't have staff for it). 7 Nurses take patients, 2 nurses tria...

Hmm a google drive type of spreadsheet could be handy. Maybe one that everyone can update on their own to add like bed delays/such. How did you make the log /spreadsheet available as a read only at each of the bays? I work with people who are very co...

What I do is get my new patint settled in and pray they aren't screaming and trying to get out of bed ( if they are I'll start medicating and chart later i write it all down). Then I'll go back to my original patient and try to keep charting getting ...

I live in Ohio. We do have a "charge nurse" and an additional nurse that works with her to relieve breaks. The problem I'm seeing is that they just write down on a sheet of paper whos turn it is to get a patient without really looking at whats in the...