greenerpastures

Work on your McGyver skills! A piece of cut oxygen tubing makes a great bypass for a split PEG tube that can't be replaced right away. Lopez valves are your friends on ALL NG and PEG tubes if your policy allows. Try to get all your charting done by 12. That way you aren't behind the 8 ball if anything goes wrong. The patient that says "I"m fine, I walked yesterday" definitely needs a gait belt and a 2 person assist the first time.

It's a lesson you'll never forget. Potassium can cause extreme extravasation if it gets outside a vein. Central line concentrations tend to be higher than peripheral line concentration bags (example: KCL 40meq in 250mlNS for central, but diluted in 520ml for a peripheral). You recognized the pain and stopped the infusion. You learned something from it. The patient wasn't harmed. My advice, pass your experience on to new nurses so they don't make the same mistake. Second piece of advice, ALWAYS double check anything you don't make yourself. Pharmacists make mistakes, people who fill the pyxis/omnicell make mistakes, everyone MAKES mistakes. I've found more than 10 discrepancies in my 5 years...protect your license. Above all else, forgive yourself. You made a mistake. You learned from it. You won't make the same mistake twice. ?

We use primary care. There is an RN and a CNA assigned to each patient.

Hello everyone. Has anyone worked for Health First in the Melbourne, FL area? They own Palm Bay, Viera, Holmes Regional, and Cape Canaveral Hospitals. Pros/cons, floors to avoid? Do you know what charting system they use (Epic, Cerner, Meditech, Soarian)?

Thanks for the answer. I got just about the same answer from someone else in a private message. Really thinking about trying Baycare as my own "instate travel assignment" this winter to see if I like it.

Hi all, Was just looking for information on Tampa area hospitals. Basic pay for 5 year ADN/RN, shift differentials, nurse : patient ratios, cleanliness, BSN requirements (must have within 5 years type stuff)? I'm also interested in knowing if they hire travel positions during season. Looking at: South Florida Baptist in Plant City Baycare System Florida Hospital Zephyrhills Florida Hospital Tampa Florida Hospital Wesley Chapel St Joseph's Hospital North Lakeland Regional Thanks for any info you can give me. Baycare Hospital system in general

Is it an IV, or a midline that sometimes looks like a peripheral IV? We can draw blood from midlines, but you'd never know it was a midline unless you looked closely at the tubing. It would look like we were drawing out of a regular IV.

Lawyers.

Go for it! I think it's great. Women have male OBGYN docs all the time, so why is a nurse being male always made into a big deal? I've never understood that part of it. If you are a good nurse, I don't care if you are male or female.

Thanks. I appreciate it. Everywhere I've worked just called it stepdown.

Someone educate me, what's IMCU?

Just go to school. The two of you will need to figure out why he is so upset, but don't give up on these dreams just to pacify him. If he was already in school, it would be a different story, but he's not. Sounds like he's acting childish at your expense. Go for it.

Check with your facility. Ours has a policy that if one parent is "law enforcement" and the other is hospital personnel, you can be considered exempt because there isn't anyone to care for your children.

As a chemo certified nurse, if you've never done it or been exposed to it, it's difficult to find a groove at a new facility unless they are willing to teach you. Some facilities don't want travelers giving chemotherapy. I'd want to talk to the actual facility about the chemotherapy expectations before I signed anything.

Is it wrong of me that when I see a kid fall, trip, or get a small bump/cut, I say nothing...I just wait. If they start to cry, I do not go to them, I make them get up and come to me (unless it's really bad). I figure that way, they have to compose themselves enough to get up, AND it shows that every time you fall, someone is not going to come running like you just cut off your own arm and are bleeding profusely. Most kids, if they don't "have an audience", in my opinion, will get up and deal with it without a lot of crazy shenanigans. If you give it attention, they think it's supposed to be a huge deal.