jessRN465

We put on yellow socks, yellow arm band, and a light on above their room- as well as reading the room number in huddle. Bed alarms are utilized as appropriate. This all is totally ineffective as most of our falls are from patients that aren't even de...

A Semaj.. His dad's name is James so they turned it backwards...

I had a pt in A.Fib and had orders to administer PO diltiazem (Cardizem), then in the next few hours call the MD on call and let him know if it's improving. Now, I don't work on a cardiac unit so it isn't super common to give that medication. I cal...

RNs wear grey and white (all grey or mix, not all white), NAs wear light blue and black (but not all black), PT wears navy, OT wears purple, respiratory wears royal blue, peds/picu/nicu wear "kid friendly" print or colored scrubs. Environmental servi...

That was extremely rude. He/she is asking for advice- don't respond if you don't have constructive input.

I work on day shift, and labs are drawn early morning so that when our doctors round, they are able to see them. I never call the doctor prior to rounds (unless very serious obviously!!) because they will be up on the unit (always prior to 8am). I ca...

I've had a littman classic II since nursing school (2012). I do not wear mine around my neck (only for my morning assessments and then PRN) but it serves it's purpose well and I don't see getting a new one any time soon! Love it! I also tied a ribbon...

Hgb 3.3... Was told a few days prior at PCP office it was extremely low at 4.0 (or something around that) and to head to the ER. Patient wanted to attend a bday party instead..

A mosquito bite

I work on a post surg unit (we obviously get preop too!) and we do hold anticoagulants prior to surgery, even aspirin most of the time.

My favorite was one time on Greys, I think it was Arizona, told a patient they had "psoriasis" of the liver instead of "cirrhosis." I cracked up..

In my nursing program- in order to pass the first semester we were required to make 100% on a med-math exam. We had 3 tries, and all of us were successful. The pressure to start our program off with a good foundation in med-math makes being an RN muc...

And it's not that heparin affects hgb.. But if a patients hgb is trending down and below 8.0.. It could possibly be a bleed.. Which heparin would make worse. This was Atleast how I understood the rationale..

At our facility YES! Always hold heparin/lovenox if platelets are less than 100 (and call MD), and hold if hgb is 8.0 or less (ESPECIALLY if that is trending down from previous lab draws and call MD). BUT if the patient has anemia or sickle cell and...

Best advice- get to the unit about 15 minutes early and review your patients for the day. When your day starts, sometimes it can get hectic and you aren't able to read up on their history or progress and key information can be in there. (ALWAYS CHECK...

I always check the day priors glucose levels and see how they did with their long acting and sliding scale. I know with new admits this isn't always possible, but it helps see the trend the patient is following. Typically, my rule of thumb is, If th...

On a post-surgical unit.. We have 5-6. Fully staffed, some RNs may only have 4 while some take 5.

I feel like the other nurse calling you an idiot is what made you question the Xanax. You had no control over what the patients response would be and have a good justification for giving the med (stable prior to giving.. Has had the medication before...

Everyone kept saying how hard it is to get a job as a new-grad. I got a job in less than a month after nclex which was the case for almost all of my classmates and we are all "only" ADN grads. You just can't expect to land that coveted peds/ICU/ER p...

I would 100% crank the O2 up! Those sats are far too low to be adequately oxygenating that pt- regardless of hx of copd. I wouldn't keep them on it for long- but at least until ABGs were drawn and/or a solution was found to help and a lower level of ...

I was prescribed vyvanse- it has a much longer lasting effect. Careful though- it can work TOO well and doses may need to be adjusted!

Honestly, you have to do what's best for you. If your uncomfortable and you feel your licensure is at risk- leave. Another opportunity will come in the future.