MB-mom.RN
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work in ICU @ hospital in KY, in the city. $26.86 base + $3.70 nightshift diff + a wkend diff for my wkend position... I was an LPN 2yrs in nsg home, 2yrs RN in nursing home, 3 years on the floor before coming to ICU. NO increase in pay from floor to ICU
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dr. *** (neurologist) walks in on night shift (very strange) in a cowboy hat and sees a patient. writes in the notes "disagree with radiology interpretation, patient has holes in head". the patient had no neuro/head problems and nothing on the ct resembled a "hole in head".. also wrote for lipitor 40mg daily "unless theres some reason that i dont know of not to give"...... ***
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that's the difference between the "RIGHT" way to do things and the "REAL" way to do things!
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who polishes their shoes??! lol
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we have 5 on our telemetry unit, often flexing up to 6... and 4 often flexing to 5 on our telemetry/intermediate teams!
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i think the problem is with all the different "low" beds... at the ltc facility i worked at we had low beds that literally sat on the floor and we'd put down fall mats.. in the hospital our "low" beds are higher than a foot from the floor.
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yea you def cant go by the numbers, i work on a stroke unit where high bp's are good bp's... we call for sbp >220
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we recently changed our policy, now the AM nurses get the accuchecks because a dayshift nurse happened to recheck a bs before she gave a large amt of insulin for a high sugar and the bs was back down to normal and didnt require insulin. that 2 hour gap isnt safe.
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-you will absolutely need to pass all the night meds at once for the most part, esp being on a unit w/ demented patients, i was lucky if i could get some of them to take meds ONE time a night, def wouldnt of gotten them to take meds THREE times... better to get them in when you can. (not to mention the time problem, if you try to give all the meds exactly as they are timed you will never get done) in nursing school they taught us the "nclex way" to do things and the "real way" you're actually gonna do things
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it's fine to hang NS @ 10ml/hr without an order, it keeps the line patent. our icu's run carrier fluids (thats what we call it) @ 30ml/hr to keep the central lines patent and its just easier on us to do that when the pt has multiple iv abts. if you think about it, it's a 10ml flush given over 1hr.. that's definitely not gonna hurt anyone