Kaltia

Assert more, a huddle will not solve this assign tasks, like the others said pick who ever is being oblivious at the moment. Direct, don't make it optional. As far as still working the floor just make sure that when you do you follow your own advice ...

Am I being too picky? I was sent my first contract today and was appalled at the language as written. It's so broad, so much legalize and the company isn't giving me straight answers. I'm really alitle concerned are all travel contracts putting all t...

I did end up declining the contract. So far no issues but it was Definetly a lesson in what to check for. I'm grateful it didn't go any farther before I realized the issue.

I'm particularly concerned about the language related to breaking the contract which involves paying back certain undisclosed costs to the company. They tell me it's situational. When I ask for examples and concrete numbers I can't get them. It's not...

Perfect all of you!!!!! Great parody of life and. AN

If you had an order for two IV fluids that are compatible and it state that both IV fluids are to be run not just one or the other and they are to be run concurrently, would you consider that two mean two separate lines or would you think you could p...

It's not really about route here but the fact that it's not specified. It's not a valid order without a route. Clarify the order, based on what little we know of the patient, I'd guess they'll get more of the med if it goes through the g-tube, howeve...

Zofran as first line. it works for alot of people. Pherengan as back up, I find its more it or miss than zofran but for the few that zofran doesn't work for, phenergan usually works beautifully.

Good to know, I was frankly concerned about getting the amount of fluid through the same tubing, but the packaging info does make sense. I went with two sites two lines as the IV pumps I'm working with do not run concurrently. And I frankly didn't kn...

If you have sitters often enough even consider this you're doing well Unless it's a 1 to 1, sitters are either family members, friends or hired by family or staff from the facility the patient came from

Actually what confuses me here is how the op ask for opinions on a "ethical dilema" and then states they don't care, never had any doubts about it in the first place. 95% percent of patients tend to like their pain meds too much, not a big hairy deal...

Suspected abuse doesn't mean that he doesn't have feelings for his family. Especially with a child I'd be worried about him blaming himself for the family getting into trouble. Very complicated issues here and not something you can deal with, he need...

I might hold 1 dose and see if the behavior changed but after that definetly call the doc . It sounds like your charge just wasn't willing to call for whatever reason ie she's already called this guy 3 times during the night ect. But regardless thi...

I'd tell him I wasn't aware that the elderly health risk to Patients on ativan were so severe that the risk of them breaking a limb or smashing their head open when climbing out of bed didn't take priority. then I'd add sweetly, "According to the rep...

Research the hospital and location. Find out what's there and about costs. See what there is for activities and such. You will need support and people around you. cThat about what I make staff nursing in a small hospital. Sounds low for travel but co...

This is while you always run your piggy backs on secondary tubing as they are designed to be run. I always set thr pump for kvo of maintain ex fluid so I will have a few mins to get in there once the antibiotic is done. as far as using the old tubing...

I love Demerol and it's tends to be very effective when I've given it. I know it has it's issues like anything else but IM Demerol seems to really really work for pain. Usually have only run across it with allergy issues to everything else but it doe...

Relax, don't stress. Your scores look fine. Speaking from experience you can pass with far worse. Dont overdo. Three most important thing study the Kaplan review book for content, watch the Kaplan rationale videos, and do qbank. Kaplan is the closes...

relax, I think people make these situations worse by stressing about this. Getting into a conflict with some one over any religious issue especially prayer is never worth it. If a patient says they're praying for me, I'll just say thanks and continue...

I'm torn between wincing and laughing when reading this post. so many patients have the same reasoning, why can't I just take my tylenol, advil, ect? As I point out to them, I am the medical professional charged with your care right now and it is not...

It's protocol on my unit not to give the same pain meds together. With a dependent patient I doubt it would have hurt anything and in the mentioned case I'd highly suspect the patient of self treating. I might give together if the order was very spec...

No I beg to differ. The hardest part of nursing is dealing with family regardless of patient age. Do use your brain, and your gut. Those feelings are important. doctors will yell, not put their charts back and in general act like asses, not that nur...

I do not understand this. With the exception of a few absolutely crazy shifts, I refuse to not make time to pee. that 1 min to hold still and go is important to my sanity, let alone the physical issues. I often find myself coaching others on taking t...

Snacks, water, bathroom breaks, and actual breaks if possible. You will need tons of water, 12s are the worst for needing fluids, they're like a dessert. Sleep you can't do much during the day when working nights. It sucks but you do get used to it. ...

It's because everyone forgets names sometimes even with whiteboards. And if a patient is climbing out of bed I don't always get a chance to ask their name. Hon, sweetie, sweetheart, dear are just faster and I try not to use them all the time, I also ...