smf0903

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All Content by smf0903

  1. smf0903

    Appropriate patient discussion

    smf0903 replied to amtisdale's topic in General Nursing

    I can't imagine this in a post-partum/nursery area. What the heck do they do about security?? I'm at a small community hospital and you have to just about have to hand over a DNA sample along with FBI...
  2. smf0903

    Fingerprint failure

    smf0903 replied to Rntr's topic in General Nursing

    My mother-in-law is a diabetic and had to get fingerprinted every year for her school job (she's retired now), and her prints were always rejected. They told her that her finger sticking altered her...
  3. smf0903

    Trouble for taking Doctors candy

    smf0903 replied to zynnnie's topic in General Nursing

    I can't even...I. Just.
  4. smf0903

    Responsibilities and tasks when receiving a new patient to the unit

    smf0903 replied to Jyj5050jyj's topic in General Nursing

    Congrats on the new gig! You should be oriented to the tasks at your facility, including admissions. That being said, for our facility we take report before getting the patient, unless the patient...
  5. smf0903

    Feelings after first loss

    smf0903 replied to dharmalove's topic in General Nursing

    I think it hits you differently when it's out of the blue. We had a patient sent in one time with a suspected GI bleed. Patient was talking to us, joking around, completely alert, no pain, no...
  6. smf0903

    working holidays

    smf0903 replied to peachypurple's topic in General Nursing

    We have a four-year rotating schedule, so we know four years out which days we're working on holidays. We have day before/day of/day after New Year's, Christmas, and Thanksgiving and also Memorial...
  7. smf0903

    New ICU nurse wants some kind words

    smf0903 replied to LiveFit99's topic in MICU, SICU

    While it may seem like sucky assignments to get the worst in the unit, it's what you want during orientation. Take the worst while you have a preceptor because you have a preceptor :) The charting...
  8. smf0903

    Gripe List 2017

    smf0903 replied to MayRN2987's topic in Medical-Surgical

    Yay! You've gotten 6 months under your belt :) A few things about what you've brought up...why are you working 6 nights a week? If it's because theyMre short and you WANT to, then great. If you DON'T...
  9. smf0903

    Doctor upset by charting

    smf0903 replied to LalaRN9000's topic in General Nursing

    I always direct quote. I've had quite a few profanity-laced direct quotes in my charting. It's what happened. I had a post-op patient who was nwb to one foot. Patient was not having that. The doctor...
  10. smf0903

    Staffing and Change of Shift

    smf0903 replied to LJR89's topic in General Nursing

    We do a sheet that's updated qshift that has every patient and pertinent info on each patient (docs, dx, diet, activity order, O2, tele, if accucheck and how often, pertinent hx, discharge plan, if pt...
  11. smf0903

    Doctor upset by charting

    smf0903 replied to LalaRN9000's topic in General Nursing

    I always chart verbatim, especially with ridiculous/heated/inappropriate situations. Maybe the doc WAS smokin'
  12. smf0903

    I don't know how I could've handed this differently

    smf0903 replied to remotefuse's topic in General Nursing

    We have families like this have a designated updater...spending time fielding so many phone calls takes away from patient care. If we continue to get phone calls from multiple family members we simply...
  13. smf0903

    PTO use

    smf0903 replied to sadpandaRN's topic in General Nursing

    This is our policy where I
  14. smf0903

    What do you wear under your scrub pants in winter?

    smf0903 replied to vspaniel's topic in General Nursing

    My underwear I can't imagine wearing anything under my scrubs at work...I think I would spontaneously combust. I do keep extra layers in my car in case I ever get into an accident or
  15. smf0903

    How often do you work in close contact with CRNA

    smf0903 replied to cjp1133's topic in MICU, SICU

    I have been working ICU for about 6 months now and have seen/talked to an anesthesiologist of any sort on the floor exactly one time. I suppose this will depend greatly on the types of post-op...
  16. smf0903

    New RN, terrified of codes and emergencies

    smf0903 replied to Dd04321's topic in General Nursing

    I will also add a piece of advice I got after my first (MY patient) code: take a breath! I had been to and participated in codes but they were never my assigned patient. The first time one of my...
  17. smf0903

    Brisk vs Sluggish pupillary response

    smf0903 replied to Stormy8's topic in Critical Care

    They probably meant they turn off overhead lights and then auscultate the lungs/heart/abdomen and then go back and assess pupils. The time while they are auscultating allows time for the pupils to...
  18. smf0903

    How important is pay vs work environment for y'all?

    smf0903 replied to AtlasRN's topic in General Nursing

    Sanity has no price
  19. smf0903

    Bed linens in the ICU

    smf0903 replied to Steph41's topic in MICU, SICU

    Same
  20. smf0903

    High Insulin Dosages

    smf0903 replied to megahew's topic in General Nursing

    Yes, 175 units. I hate the U500 and am glad we only rarely see it. I swear I have every nurse that's working check it and then have the patient check it as well (those patients probably think I am an...
  21. smf0903

    High Insulin Dosages

    smf0903 replied to megahew's topic in General Nursing

    They don't make 100 unit syringes for nothin' We have two patients who come in and bring their home insulin (U500)...I swear I have like 5 people check and check and check again because it's a crazy...
  22. smf0903

    Normal Saline Shortage

    smf0903 replied to Starship's topic in General Nursing

    I'm in a hospital setting but we've moved to using 250mL bags for anything we'd normally use 50mL or 100mL bags for. Our 250mL bags are from mainland US but our 50 & 100mL bags come from a...
  23. smf0903

    Iv medication

    smf0903 replied to 2017's topic in Patient Medications

    Technically you can run them all through the one line but the way you explained it in your post there was LR running at 75/hr and D5LR running at 50/hr. If they wanted the D5LR to run at 125/hr then...
  24. smf0903

    What is your hospital’s sepsis protocol? Do you tend to adjust it for CHF with low EF?

    smf0903 replied to Purple_roses's topic in General Nursing

    We tend to follow the sepsis bolus protocol regardless of comorbidities such as CHF. I actually talked in length to one of our providers about that and the general consensus was they're treating the...
  25. smf0903

    No Restraint Policy

    smf0903 replied to khrisrk's topic in General Nursing

    The officer also has a job to do. We get handcuffed prisoners on occasion and they stay they way for the duration of their stay with an officer right at the bedside. I would document the cuffs and...