wanderlustnurse88

wanderlustnurse88 RN

OR/PACU/med surg/LTC

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All Content by wanderlustnurse88

  1. Fear of making med error as a nurse?

    I only have one dose calculation that I use regularly. We are fortunate to have IV pumps for all IVs so I don't have to figure out drip rate. In the beginning I always double checked with another...
  2. Staff lecture

    At the camp I worked at, all staff were required to have first aid and CPR. I would give them a scenario (such as choking or broken bone) and have the staff come up with short skits yo demonstrate...
  3. Head to Toe Assessment

    That is quite an extensive list. In practice you won't be doing such an in depth assessment unless they are a new admit or it is ICU. I tend to do a focused assessment due to why they are on my floor....
  4. Can I Become a Registered Nurse While Being TERRIBLE At Math?

    I use a calculator for all my med calculations even if I think I can do it in my head just to be double sure. I'm not great at math but I got through. I second getting extra help with any math...
  5. This week, I have learned... (5/30/15)

    I believe you can stop it for some time and then draw. I want to say its 15 mins but it's probably hospital
  6. This week, I have learned... (5/30/15)

    I learned not to do a blood draw (lytes) from the same arm that IV potassium is running through. I couldn't figure out how the potassium had jumped in just 8
  7. Fentanyl

    Yup if I we have to put two patches on in our facility, we stick them together on one arm or together on the upper back. Easier to find them later if they are
  8. I can't do this anymore . . .

    I thought my hospital was odd since we have nurses doing that. I guess we aren't
  9. How Often Do You Check...?

    Our MD is the one who orders the parameters. Most often vitals are routine (every three months) but will often do weekly x4 and then reassess the need. Or daily x certain numbers of days. Blood sugars...
  10. Anyone else tired of LTC?

    Maybe get a casual position somewhere else? I work both acute and LTC (full time between the two) and I feel much more refreshed after spending a few shifts somewhere
  11. Nurse to patient ratio on night shift LTC (no state regulations)

    I have 62 residents (on two floors) on a night shift. One RN and three PSWs (personal support workers). Some nights it's
  12. palliative meds

    I just did a versed drip on one of my palliative pts today. Pt was on sc Ativan but our doctor talked with a palliative care doc (we are a small town hospital) and the suggestion was versed 3mg/h and...
  13. Working as PSW while RN student

    I was able to work in a LTC after my second year of nursing school as a nursing assistant. If I remember correctly they can't call you a PSW. It would be helpful in nursing as you can focus on skills...
  14. 12 patient assignment

    Try to organize it so you are not running back and forth from one end of the hall to the other. If you have to do vitals on all 12, start at one end and try to work your way down the hall. Sometimes...
  15. A first for me in clinicals today

    It's great to see you guys being excited about Foleys and IVs. Just wanted to tell you to keep that learning going and when you aren't exciting about work (once you are out of school), try to take a...
  16. I work at the worst LTC facility ever.

    Hopefully only important meds are given at on night shift. As others have said the q6 h antibiotics need to be given then. We often also give pain meds at 0600 so they are comfortable when they get...
  17. Night shift affecting health

    You said that there was a part time day position available right? Can you take that position until a full time comes available and then just pick up extra shifts? Might be an alternative to the...
  18. That nagging feeling...

    I would rather walk down the hall to check on my pt 10 times just from that nagging feeling then to sit and wait for it to
  19. Taking care of DNR patients. The point?

    I'm actually hoping that you are not a nurse based on your
  20. LTC nurses, what does your day look like?

    Do we work at the same place :) That sounds like my work. 31 residents and 2-3 CNAs (PSWs in Ontario). Days are always busy. Come in, count narcotics, listen to report. Then start med pass 7-830 or...
  21. Most annoying reason for admission?

    Pre-syncope. Normal BPs. We get a lot of transfers of waiting for LTC from other hospitals. We just had someone over a year on our floor before finally being able to go to LTC. It's frustrating when...
  22. Extra Shifts, Extra calls, feeling a bit guilty

    Most places do it by seniority. The person who has been there the longest gets called first. Part-times get called first at straight time, then casuals. Then if management has approved overtime, full...
  23. what is a good way to ask for help on-the-job?

    Better to ask for assistance than to make a
  24. Clinicals: Worried about isolation rooms?

    This is a part of the nursing job that you need to get use to. If you use PPE the correct way, you should be
  25. Alarms? Do they work?

    We don't have alarms in our LTC. The rooms are just too far away to hear them from the nursing station. I like the bed alarms that are attached to the call bell system so it does not alarm in the pts...