wanderlustnurse88

wanderlustnurse88 RN

OR/PACU/med surg/LTC

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All Content by wanderlustnurse88

  1. Will LPN's be around for long?

    I'm a RN in Canada with my BScN and I'm seeing RPNs being utilized more to their scope of practice with doing IVs, bloodwork etc. My LTC changed their staffing when we went to 8 hour shifts and RNs...
  2. Being a Hostage to Your Bladder

    I often pee so often during the day that I know exactly where the restrooms are just in case. A long trip where bathrooms are few and far between make me nervous (and then I think I have to go more...
  3. How do you give shift report where you work.

    In LTC and in acute care where I work now, we do a taped report. We don't have to stay while they listen to
  4. What is your ER like.....need advice?

    Small ER here. 8 beds. We have two RNs on days 7-19, one RPN 09-15, and a transfer RN 11-23 (in case we need to transfer anyone to a bigger facility for scans or admissions ) one nights there is one...
  5. Healthcare Facilities running out of medications + supplies

    The only I've run into is running out of diapers. We would only have one size available and everyone had to fit into
  6. Gaining confidence

    I feel like I could have written this post. I was so nervous when I finished nursing school. I still hate taking to doctors, managers. I feel uncertain of my skills at times. It does get better as you...
  7. New Grad- First week off Orientation

    It does get better. I've been a nurse for about 4 years and have worked on different floors. I still feel overwhelmed when coming off orientation. When I started in LTC 2 1/2 years ago, I was by...
  8. Do you clean bedpans or throw them out?

    Do your facilities not have a washer for them? We empty them down the hopper and then it goes into the washer. I don't think it sterilizes it, but it's like a little dishwasher for the bed pans and...
  9. Sending meds with family

    We have those prepackaged rolls. They are great. Sometimes I can't get them open and need to use scissors and other times it rips open the next package. I find it mor convenient than blister
  10. 24 Hour Services

    Small hospital (rural). 14 acute care beds and 8 bed ER. X-ray available 24/7 although after hours they are on call. No lab services but we can just our own basic labs on a system called Point of...
  11. New RN sup still orienting but full of questions

    You should have a facility medication reconciliation that will need to be filled out. We also have preset admission orders that the MD can check off. Things such as admission blood work, swabs...
  12. Impossible to work correctly

    Yes don't try to memorize your MAR as it changes too often. I tend to know who gets blood sugars, puffers, eye drops. Pretty much anything that isn't in their blister packages. I still double to check...
  13. Pausing IV, clotting?

    But if the IV was just going to keep on beeping, meaning that fluids are not going in due to whatever the issue was, pausing it would have the same outcome. Either way they are not getting any fluids...
  14. "Holiday/year end" gift

    We get a free dinner from the hospital cafeteria. Big
  15. Nurses need a pedometer

    They say that after your body gets use to a certain exercise, that you need to do more than just walking at work. My mom went to weight watchers and they said that while it is great that you walk the...
  16. Nurses need a pedometer

    I have a fitbit and it is great. It's pretty accurate I find. I can do around 10000 steps in a 12 shift at
  17. IV pushes

    Yup that is what we have as well. Only thing is that we cannot use the prefilled normal saline flushes as it is not compatible to fit onto the B
  18. Piloting discharge nurse on med/tele floor

    Our docs are usually in right around 8 or so since they all work over at the family medical centre during the day. They do their orders and the head into the office. We are a 14 bed facility so we...
  19. Piloting discharge nurse on med/tele floor

    We have a discharge nurse who works 9-5 Mon-Fri. It's just one nurse and we are a 14 bed unit. We also have a CCAC (community care access centre) who helps to ease the transition from hospital to home...
  20. IV pushes

    I don't think I've even seen hydromorphone or morphine given IM in my short career. Usually if they don't have an IV for it be be given in, we do it
  21. Brock University vs. Mohawk-McMaster Nursing Program

    Good choice. I'm bias towards Mac but that commute would have been tough. Doable, but tough. I commuted about an hour each way one summer and it was tiring. Since finishing, I have never been asked...
  22. Opinions on Trent, Humber, Mac and Queens

    I found that Mac has less clinical time than some of the other programs. I did a new grad orientation for 6 months after I finished my program (research into it wherever you go since it is a great...
  23. IV pushes

    If I can for those 1-5 min administration times, I will attach the syringe to the IV pump as if I was running a secondary line so that it is given in an accurate time frame. I find it hard to stand...
  24. I think having a coworker come in and verify an assessment or help with a skill that we are unable to do is acceptable. We need to know where our limitations are. We don't want to keep poking at a pt...
  25. Call Scheduled for Medical Unit Nurses?

    We do an 8 hour on call shift 1-2 times in a 6 week schedule. Since it's not the summer, this is how we are staffed. ER on days has 2 RNs 07-19, 1 RN 11-23, 1 RPN 09-17 for a 8 bed ER (2 trauma...