PamRNC

We often have pigtail catheters (blue and other colors, 8 French and other sizes) also placed in abscesses or as nephrostomy tubes with a 3-way stopcock attached between the tube end and drainage bag. If/when ordered it is usually to flush forward o...

physics & available technology... the y tubing is roller clamped directly under the blood bag and ns bag, it also cannot be used with an iv pump which may lyse the rbcs. if you do need the blood to go through a rapid infuser or warming pump, i th...

I've always stopped other IVfluids, and meds, because we're looking to find out if the patient is going to have a reaction to the blood. Anything else running might make it a little difficult to determine where the problem came from. Also, not as big...

Let's see...I've worked general med/surg so usually have adults and geriatric pts. When I used to start IV's and draw bloods...Thanks for your donation! When untangling IV lines...As a nurse you have to be part spider and part vampire. While giving d...

Yes and matter of fact just did. Had my Dad come down from Canada in July for hernia surgery. Everything was great - he was in and out same day, had his post-op check up and then back home. If we waited for it to be done in Canada it would probably b...

Our computer physician order entry system (Eclipsys) has something similar... Order sets that pull up all the general standing and prn meds for a given diagnosis/procedure. All the docs have to do is click on/activate the orders they want (Tylenol, P...

I am the admission RN for my unit. We recently decided to try something different, everybody took a turn trying out the role for a day or two, but I'm the only one who has stuck with it. (my idea-go figure:trout: ) I work 4 days 12pm - 10pm, try to ...

Have you checked out IHI.org? http://www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/ImprovementStories/AccuracyatEveryStep.htm

oh yes!!! i want a stress ball - make that twenty, gotta pass 'em out to my co-workers!:biggringi you got questions? we have answers... http://www.allnurses.com or http://www.allnurses.com bringing all nurses together... all arou...

I joined in '96. I was probably searching the web for something on nurses or nursing - couldn't tell you what or why. Probably just passing time. Have to say though, I've had a grand time coming back here and reading or posting to the different threa...

Depends on how many credits of your RN program and other prior education/experience will be counted towards the program in the school you decide to go to. Many colleges will offer you credits for life experience if you complete some kind of portfolio...

I love computer physician order entry. Orders go in whether they are picked up or not. That said I've worked in other hospitals where we had to pick up our own orders or had unit clerks to pick up the orders. Relying solely on the unit clerks (except...

If you are using a PDA with a recording function that should work as well. Check out the PDAs and Nursing forum, do a search and see if it has been discussed. https://allnurses.com/forums/f234/

In the meanwhile, this may be the closest we get. Maybe some of our other computer savvy nurses can create and produce their own online shows? http://www.nursetv.com/ :icon_wink

We use Eclipsys for our RN and ancillary documentation, labs are imported to it from the Cerner system, Physician order entry is in it and communicates to other departments including Pharmacy, lab, radiology, etc. The system is great for paperless ch...

It depends on the clinical reason for the Heparin. Heparin 5,000 units subcutaneous injection q12hr or q8hr are typically for deep vein thrombosis (DVT) prevention. A Heparin drip is used for several reasons: DVT treatment - the patient is started on...

They are. Z track is to avoid the subcutaneous tissue and keep the med locked in. With Lovenox and Heparin we want to get the med into the subcutaneous tissue and avoid the muscle. That's why we bunch up the skin "pinch an inch" and use a 25gauge, 5/...

Hey there SheriLynnRN, General surgical units are the other half of general medicine units and many nurses or new grads figure that they'll do a year in med/surg before going to whatever specialty they really want to do, be it the ED or ICU, etc. Whi...

http://www.nyp.org/careers/ Check this site for jobs. New York Presbyterian has housing (read apartments) available for some staff. If you want a place in Manhattan. Check other hospital websites as some may have positions posted. For general touris...

What should you check? * Does the medication match the order? * Does the patient's name/ID band match the name on the MAR/label for the antibiotic (Abx) (assuming your IVPB bags are delivered pre-mixed and labeled with the patient's info)? * Allergy ...

Short version: Get report; give report; check orders and lab/test results; assess patients; teach patients; give out drugs; reassess patients; chart assessment and drugs given; work with doctors and social workers to discharge patients safely to ei...

Time-and-a-half is the standard rate for overtime. So they are only offering you what you should already be getting when you work past 40 hours or your regularly assigned schedule. Now if they were offering double time I might consider it something s...

Let's see where I work now: overnight on a 32 bed surgical unit is 4 RNs and 2 NAs, and that's a good night. It could be 3 RNs with 2 NAs (or 1), depending on what the census is before the shift begins. Where I used to work: 43 bed unit med/surg 4 RN...

Tuesday, being the extra shift should be the only one you get paid time-and-a-half for, the only problem I see is if the pay the overtime only for your hours past 40. Then you first 4 hours on Tuesday will be straight time. Don't they already pay tim...

Do you mean cultural nursing? Could you be refering to Madeleine Leininger's Theory of Culture Care Diversity and Universality? Three parts of this are culture care maintenance/preservation; accommodation/negotiation; and repatterning/restructuring. ...