smf0903

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All Content by smf0903

  1. smf0903

    Different physician roles in the hospital

    smf0903 replied to ajaykumaragarwalusa's topic in General Nursing

    We have hospitalists so they are also the admitting physician. Our other docs, such as surgeons, we consider the attending. Our hospitalists are who who decides who is admitted and who is inpatient...
  2. smf0903

    Hmm...that's nice

    smf0903 replied to DiplomaNurseRN's topic in Patient, Colleague Relations

    It depends. I've taken care of quite a few elderly retired nurses and I love talking to them. As a general rule I find the family members/patients who are/were nurses or doctors are great to have. I...
  3. smf0903

    First hospital meet and greet next week!

    smf0903 replied to enfermeratobe's topic in Job Search, Interview, Resume

    I agree completely with llG's response. When I showed up at meet-and-greets I could not believe the people who showed up in cut-off shorts, tanks tops, flip flops, you name it. The only other thing...
  4. smf0903

    When Your Patient is an Addict...How to Deal

    smf0903 replied to Nurse Beth's topic in General Nursing

    I have never quite grasped the thought process behind holding/rationing pain meds for an addict when they are in hospital for some acute process which results in pain. We have a lot of addicts (heroin...
  5. smf0903

    Heparin: to pinch or stretch?

    smf0903 replied to Tink87's topic in General Students

    Good grief, sorry for the ginormous pic, but I don't know how to make it
  6. smf0903

    Heparin: to pinch or stretch?

    smf0903 replied to Tink87's topic in General Students

    .....
  7. smf0903

    Heparin: to pinch or stretch?

    smf0903 replied to Tink87's topic in General Students

    Here's from out of the current Davis Drug guide: I find that pinching helps with darting the needle as well. Some people have some gnarly old chicken skin on their bellies and the tautness of the...
  8. smf0903

    Heparin: to pinch or stretch?

    smf0903 replied to Tink87's topic in General Students

    Pinch. You want the med to go in the subcut fat. Stretching is for IM injections. Stretching the skin, especially in a patient with little subcut fat, can end up with heparin in the muscle...which you...
  9. smf0903

    Controlled Drug Vials in Pyxis

    smf0903 replied to filovirus's topic in Patient Medications

    All of ours are separated in the Pyxis. What irks me is when we have multiple patients on one med and they stock like 6 vials and then we have to go to other floors/units to pull because our Pyxis is...
  10. smf0903

    Out of school, forgetting a lot

    smf0903 replied to DNTcode's topic in General Nursing

    It's all good. You push back and forget those things you don't use. You can't possibly retain everything, and why would you? I don't work OB...I remember precious little from OB. I know what I use,...
  11. smf0903

    Patient searches

    smf0903 posted a topic in General Nursing

    I'm curious, do you search patient's belongings? (This is for those in ED or on a floor) We generally do not do searches but see them becoming a strongly advised/mandatory thing very soon as we've had...
  12. smf0903

    RN super , code super fail...

    smf0903 replied to guest114's topic in General Nursing

    Wow, that sounds like it was a hot mess! Seems to me that there needs to be some major training in that facility. In my opinion, every single person working at a healthcare facility should know how to...
  13. smf0903

    I am missing something obvious?

    smf0903 replied to missmollie's topic in Patient Medications

    We never get Reglan orders. Our docs are quite partial to zofran and phenergan. I was told we wouldn't have IV phenergan until
  14. smf0903

    I am missing something obvious?

    smf0903 replied to missmollie's topic in Patient Medications

    Curious, too, about the med. Some meds can't be given IV in order for them to work. PO vanco for c-diff comes to mind just as an
  15. smf0903

    I am missing something obvious?

    smf0903 replied to missmollie's topic in Patient Medications

    Yeah we haven't had IV phenergan for about a month
  16. smf0903

    Love the job, hate the logistics

    smf0903 replied to Guest957596's topic in Medical-Surgical

    Maybe someone will do something when a patient dies from not having suctioning available? That's crazy. This is my thing: when you have to search hither and yon for stuff to do your job then it is a...
  17. smf0903

    Will nursing wreck my hands?

    smf0903 replied to BookishBelle's topic in General Nursing

    I am not a fan of the alcohol-based sanitizer so I wash my hands a LOT. Two things are key: keeping hydrated and finding a good lotion (and using it!) I suppose everyone has their favorite lotion, but...
  18. smf0903

    Being Managed By Someone Younger

    smf0903 replied to Apple-Core's topic in Patient, Colleague Relations

    Respect is not exclusive to age, and I think that's what people value in work relationships. I became an RN at a riper age so a lot of managers and charges are a lot younger than I am. My issues stem...
  19. smf0903

    When patients keep calling 911

    smf0903 replied to JJ the crit RN's topic in Patient, Colleague Relations

    Healthy enough to talk, healthy enough to walk, healthy enough to gripe about both sounds like a patient ready for discharge. Problem
  20. smf0903

    "Can I give you report?"

    smf0903 replied to future_RN, CNA's topic in General Nursing

    We get report every shift for every pt on the floor (less than 10 min). The charge, aides, and nurses all sit in on report. Then we get more specific reports on our assigned pts and oncoming aides get...
  21. smf0903

    What is the best way to deal with smells??

    smf0903 replied to NewRN'16's topic in General Nursing

    This stuff is great if you need it. You can put it under your nose, a couple of drops in your mouth, even drop a drop or two on the end of your mask. Plus it's super cheap, like 1.00 for three little...
  22. smf0903

    On that call light every 5-10 minutes

    smf0903 replied to NurseCard's topic in Patient, Colleague Relations

    Presentation counts for a LOT with patients and families. This makes me think of the tramadol order we got for a patient and the way the tramadol was presented to patient had a miraculous way of...
  23. smf0903

    Financing CRNA School calling all SRNAS

    smf0903 replied to patience5's topic in Student Registered Nurse Anesthetist

    I have a friend who is a CRNA. He is married, has children, mortgage, the works. He borrowed enough in student loans to COMPLETELY live on (his wife was a stay-at-home-mom) for two years. And I mean...
  24. smf0903

    Fell asleep during clinical.

    smf0903 replied to lolplayingnurse's topic in General Students

    I suppose it'll depend on the powers that be in your program. We we had a student fall asleep in clinicals when I was in school. Student pulled up a recliner next to patient's bed and was snoozing...
  25. smf0903

    What are you an "expert" in on your unit? Becoming the "go-to" guy/gal for ...

    smf0903 replied to cjcsoon2bnp's topic in General Nursing

    This is very interesting! (Kind of scary too.) Our pumps are programmed by preset bag sizes (not figuring tubing/drip chamber) so I always go in after the infusion is "complete" and program more in to...