turtlesRcool

turtlesRcool

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  1. Yes! Do you know what the doctors in my hospital do when I question them? They explain why their order is correct, and I learn something. Or they realize their order was wrong, and they change it....
  2. "He just wanted to know..."

    Except OP has EXPLICITLY told them she is NOT comfortable having that information shared with patients. It would be one thing if they'd just told people when they were unaware. I agree at that point...
  3. A really stupid incident

    Agreed. OP, I think being open and going right to the charge nurse and writing an incident report will go in your favor. People who are diverting narcotics, aren't going to their supervisors and...
  4. A really stupid incident

    Especially if you are opening like 10 little individual packets on your med cart, it's super easy to sweep up the whole lot of them and just dump in the
  5. Accused of not giving dilaudid

    This makes sense. I frequently have different doses of the same medication ordered for different levels on the pain scale. If I'm not sure what the patient wants (such as when my PCT calls me and...
  6. Three Patients in ICU and Bullied on First Job

    Go ahead and apply for jobs now. The shorter the time between periods of employment, the better. Take an hour or two a day to tweak your resume/cover letter, look for openings, and fill out...
  7. No, you can't do that!

    Just because a patient or family member requests a certain medication, that doesn't mean a doctor has to prescribe it. That's kind of the whole point of prescriptions medications; only licensed...
  8. Friend is sending FB requests to all ICU/ER nurses

    Probably for the same reason that any friend's actions concern people. We care about our friends and don't want to see them make poor choices. Heck, most of us don't even want to see acquaintances...
  9. Is this a fair holiday schedule

    Regarding Black Friday, it's considered a legitimate part of our holiday obligation. Sort of. We have to work Thanksgiving OR Black Friday; Christmas Eve OR Christmas, and New Year's Eve Or New...
  10. Never got the job :(

    Make sure you really understand the nuances of your contract. I'm not saying that management didn't pull a fast one here, but there might be more going on. I also work at a unionized hospital, and...
  11. mixing pain medications with a flush

    This is true if you are adding the medication to a line with fluids running. But if you are pushing a small amount into a saline lock, most of the drug will still be in the IV. This is especially...
  12. mixing pain medications with a flush

    So, your nursing instructor expected you to spend 20 minutes pushing that one dose of morphine? And by your math, I should spend 40 minutes giving 2mg of IVP Dilaudid (20 for the push and 20 for the...
  13. mixing pain medications with a flush

    Not sure for a carpuject, unless PP means blunt-tip needle, which I know some people prefer rather than using the carpuject attachment to administer the dilaudid. But about a year ago, our hospital...
  14. OTC medications for parents?

    But that's the point of the question (I think). We can't give PATIENTS any medications that haven't been ordered. But to whom can we give OTC medications without an order? Parents of patients are not...
  15. mixing pain medications with a flush

    I was taught to use 10ml syringes for central lines due to high PSI with smaller syringes. Is that no longer current best practice? I will also dilute for the patient's comfort with peripheral IVs....
  16. Outrageous Complaints

    I had one patient who was very particular about certain things, right down to the color of the Tums I had to pull from the medselect. On my second or third day with him, I got an earful because he...
  17. So far, I've not personally witnessed a patient refusing care from a staff member based on race. What I have seen is patients being difficult or outright abusive to staff members based on race. In...
  18. Failed Accelerated BSN program

    And, slightly off topic, but I think this is the silliest thing. I wonder how many potentially good nurses have been barred from the field not because of their inability to become nurses but because...
  19. Failed Accelerated BSN program

    Failing at the ABSN is, I'm sure, pretty ego-brushing, but you've got a great opportunity to continue on your path towards becoming an RN. Like other posters, I really think you should look at the...
  20. Mom Wants Me to Become an RN as Backup... But I Don't

    Another second career nurse here! My passion was theatre (got at BFA with double major in English), and I got a master's in education so I taught and directed for years. Then I got married, had...
  21. Best schedule for single mother

    If you can manage to land a M-F job in PACU, that would be your best bet. I'm not a single mom, but my husband travels frequently, so I need to have work hours that coincide with daycare hours....
  22. Working in MedSurg with ONLY RNs...

    I don't think the issue is about being "beneath" or "above" personal care. I think the issue is how to allocate your resources. Nurses are paid significantly more than aides. The more a hospital can...
  23. Nursing Incentives - New Grads and Expereinced

    Oh, the other thing that will help with retention is to help nurses grow and move within the organization. Provide pathways for nurses to transition to other departments, even specialties. If...
  24. Nursing Incentives - New Grads and Expereinced

    What I really want is a job that sets me up for success. Good patient ratios are the most important of anything you can offer me. This includes not only my assignment, but also the support staff...
  25. For me, the biggest advantage to starting in a hospital setting is that you have other people RIGHT THERE. No one knows everything, and as a new nurse, there are MANY things you don't know. You...