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YumCookies BSN, RN

acutecarefloatpool. BSN/RN/CMSRN. i dabble in pedi

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  1. Aspiration Precaution

    If the patient is alert and oriented, is able to elevated the HOB themselves, and has been educated on the fact that the HOB must be at 90 degrees with eating/drinking I see no problem with
  2. Forearm First!

    Depends. In general, I prefer the forearm and will look there first. In the ED setting: If I need a large bore, labs, and something quick, I like the AC (unless I can find a juicy forearm one). I will...
  3. When they're SO sure they're right...

    I've had patients at risk for urinary retention who ended up having >500cc in their bladder and needed to be straight cath'd when the previous shift tells me "Oh he's peeing all the time." Yes he...
  4. Do you look up the push rate for IVP meds?

    I do. I pushed IV vitamin B once. I couldn't find a push rate in my drug book so I pushed it over 5 seconds or so. I thought "Oh it's just vitamin B, it probably doesn't even matter." Wrong. The...
  5. Charge Nurses Who Micromanage

    Hi all, I've been a nurse for about 3 years and have worked at my current position for about six months as a float pool nurse. Most of the charge nurses I work with are fantastic and supportive,...
  6. What do you like most about your specialty?

    I just started doing float pool nursing a few months back - I float to the med surg units (telemetry and orthopedics), ICU, ED, adult psych, detox floor, and day surgery and will take a full...
  7. Social Media and Patients

    I would never accept a patient friend request, no ifs no buts. As far as the name on the ID badge, our ID badges have our full names on them with our credentials. I have covered my last name with a...
  8. Funniest/strangest dementia patient stories

    A few months ago, my 80 year old lady rang her call bell to tell us that the patient next door walked into her room, peed on the floor, and left. She was a good sport about it - she laughed and said...
  9. How full do you fill your lab vials?

    I go by the mL amount on the
  10. What I learned from my first med error

    Thank you for posting your experience. The worst med error I have ever encountered was when I had a patient that had an insulin drip on one pump and on another pump had IVF and apparently had an IV...
  11. Interesting - I would've done just this to cover my own behind. I don't want to be at fault if the patient's BP happens to tank after getting
  12. D/C Foley when patient is sitting?

    I would've waited until the patient was back in bed for the above
  13. About one week, sometimes two weeks. I would keep doing what you're
  14. Unsteady hands

    I read your other post, and I think the bigger issue you need to tackle is your anxiety. How long have you been a nurse? Have you recently started a new
  15. Weird question for clinicals.

    I don't know about an ice pack - all I can really think of is bringing ice cold drinks to clinical to keep yourself cool. If personal hygiene is a concern, you could bring a travel sized...
  16. Depends. I try to medicate and meet the other needs of my patients before leaving the floor. However, there are certain situations where I may not necessarily do that (i.e needing to eat something...
  17. omg I forgot to give report!

    I had a nurse forget to give me report once - she gave her report to me on the phone, we laughed about it, and moved on.
  18. Ethical issue regarding antipsychotic

    Honestly I don't blame the RN - I would say anything to my psych patient to get the psych med they need for both their safety as well as my own. xD Instead I might've said something like "this...
  19. Both classes are very work intensive. If you absolutely need to take both in the same semester, keep the rest of your workload
  20. I don't run into this too often - I am pretty open with my patients and don't mind talking about my life story briefly and in general terms. If I happen to run into a patient who asks questions about...
  21. is this really bad nursing judgment?

    I would've done the same. You covered you behind by notifying the surgeon, and you did what you were instructed to do. The day nurse was in the wrong here by d/c'ing that central line without an...
  22. Setting priorities

    I'm not sure how much orientation you've had, but I do have some tips: + Patient safety is #1. Is everyone pink and breathing? Are your confused patients bed alarmed? + Chart as you go. + Cluster what...
  23. What meds would you not give together?

    Depends on a lot of things. If my patient says he/she takes oxycodone, tramadol, and Ativan every night before bed when at home, I would give all three together to maintain their routine as long as...
  24. Telemetry patches

    At my hospital, q24h is considered best practice. I usually change them when they come off or if there's a lot of
  25. You are definitely not alone! I was extremely anxious and depressed for the first two years of being a nurse. I think a lot of it had to do with working nights - to this day I can only get 3-4 hours...