wanderlustnurse88

wanderlustnurse88 RN

OR/PACU/med surg/LTC

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All Content by wanderlustnurse88

  1. Experienced RN (Canada) writing NCLEX

    I’ve been interested in doing travel nursing in the States. I’m a Canadian nurse with 10 years of experience. I wrote my Canadian nursing exam before they switched to using the NCLEX. in order to do travel nursing, I would have to write my ...
  2. My patient is now an employee in the office I treat her at

    I live in a small town with about 8 family physicians. They also see the inpatients over at the small local hospital. Since there isn't any other options for family doctors in the town, unless you drive 45 mins away, most of the nurses have a doctor ...
  3. Gear for new (overnight) LTC nurse?

    I always had a scrub jacket with lots of pockets. I like lots of pockets so I can hold the med room keys, the home phone, pens, alcohol swabs, other random stuff. I never found the need to have my own vital machines. Every home I've worked in had an ...
  4. What does the floor really think of nursing students?

    For the most part I enjoy having nursing students on my floor. We usually have first or second placement so they are doing vitals and personal care. It is helpful as long as they are willing to help out and learn. It does get frustrating when they al...
  5. Ridiculous medical mistakes on TV

    We occasionally have a doctor start an IV but we are a small hospital with no IV team and the two docs who start IVs are also anesthesiologists. Have never seen a doctor ambulate a pt, sleep in a pts room to keep.an eye on them (I wish), give medica...
  6. Narcotic infusion Calculation

    Hi, I am going to be doing some volunteer nursing in Africa and they have sent me a medication calculation quiz to fill out and I am stuck on one question since I haven't had to do this type of med calculations in a long time. I was wondering if I co...
  7. What is the Registered Nurse Patient Ratio at your hospital?

    Rural acute care hospital. Days 5:1, nights 7:1. We have a lot of awaiting LTC pts
  8. Worried That Doctor's Orders Will Hasten A Patient's Death

    Oxygen is generally used in palliative patients as comfort only. We aren't treating the numbers (O2 sat) anymore. If they appear to be short of breath and the oxygen seems to help calm them down, then it is used. Sometimes it agitates patients to hav...
  9. crushing meds, best foods to disguise taste

    I would say chocolate pudding would best mask the taste of most medications, although you said that they are looking to avoid sugary foods. Maybe some yogurt would work.
  10. How Do You Sign Your Narcotic Book?

    We did the sign every page for a while when we switched pharmacy. Now we have a page (usually 3 or 4 pages) at the front that we sign each count. We have an individual page for each medication.
  11. Medical Missions

    I've been looking into mercy ships. I believe the shortest commitment is 2 months up to years. It is a faith based ship and it requires at least 2 years experience, with surgical or OR experience being an asset.
  12. Arterial Blood Gases

    I work in a small rural hospital. No arterial lines or respiratory therapy. The MD does the ABGs.
  13. "Smart" students make bad nurses?

    I've noticed it to be a pattern but that doesn't mean some people can't be a 4.0 student and be great in clinical as well
  14. pradaxa question

    I would say xaralto or Apixaban would be better alternatives that can be crushed.
  15. 8 or 12 hour shifts

    I've worked both. I didn't mind the 8 hour shifts when I was part time. Then I went full time and didn't like working the 8s. It felt like I was alway there. Then I worked a hybrid of 8s and 12s. I still only had 2 days off at a time. We now do 12s a...
  16. where can I get my Littmann stethoscope engraved?

    I had asked at Things Engraved (canada) which is one of the mall kiosks. They said that they wouldn't engrave it since they didn't know how and didn't want to wreck the stethoscope.
  17. Transcription Error- was I also in the wrong?

    I agree that it is not practical to check all medications against the original order. Impossible, especially in LTC where one nurse has 30 resident, all with at least 5 meds. Even on a medical floor where you have 5 pts, it would be impossible to do ...
  18. EMS Radio Reports

    8 bed emerg. 3 staff on days, 2 on night, 1MD. We all listen for the radio to go off. We usually offload right onto a stretcher. We also keep the trauma room open and dont put any non critical pts in there (maybe the odd pt as long as it's a quick is...
  19. What's your lice day like?

    Camp of 130 overnight campers and anywhere from 10-60 day campers. Camp sessions run for a week, day camp for 5 days. We check overnight campers on the first evening. They rotate through several areas of camp which include how to sign up for activite...
  20. Manual vs electric lifts

    We have electric lifts in each room that has a bar on the ceiling. It's great since you don't gave to wait for someone else to finish using the lift and it saves space trying to maneuver it around the room. We also have a few portable electric ones i...
  21. NICU/L&D in Toronto (or GTA)

    Hi I'm a RN looking to specialize in NICU or LD. I'm going to be starting my certification soon, but it will probably be two years before I finish it. I was wondering about job availability in these areas in Toronto or the GTA. I know that I would h...
  22. NICU/L&D in Toronto (or GTA)

    Yes I mean I'm taking perinatal nursing through a community college. I'm not sure if that is the correct route to go to try and get into obstetrics or neonatal. I currently work in a small rural hospital which only has LTC, acute, and emerg. I'm movi...
  23. How was your first code blue? What role did you have?

    Just had my first code tonight after being a nurse for almost 5 years. It was my coworkers pt. We heard the pt groan loudly so went to go check on pt. Still had a pulse but no respirations. We started bagging and then MD came in. Then we had no pulse...
  24. What am I doing wrong?!

    Are you applying for casual positions as well as full time/part time? Sometimes you need to apply for casual just to get your foot in the door. Try emailing managers as that can sometimes work in more rural settings.
  25. skin tear packets

    Do you guys not have standing orders for wound care? More for the skin tears, to cleanse and cover using nursing judgment. We definitely do not have to call the doctor for a simple skin tear or bruise. If it is an ulcer or difficult wound, the MD wil...