patwil73

patwil73

ICU/CCU, Home Health/Hospice, Cath Lab,

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All Content by patwil73

  1. Very Frustrated - does this sound safe?

    patwil73 replied to Roseyposey's topic in Patient Safety Issues

    As most people have said the ratio nurse to patient sounds ok, but the lack of ancillary support is what kills. I am the supervisor at my hospital on nights and our surgical unit will take: 3-5...

  2. Charting pain assessments

    patwil73 posted a topic in Pain Management

    Hello everyone, I'm a clinical manager at my hospital attempting to revises the way we assess pain and pain control. Although I know mostly what I would like to see I'm also cognizant of the workload...

  3. Hourly Rounding / Walking Reports

    patwil73 replied to patwil73's topic in General Nursing

    Thanks for all the responses! For those who do hourly rounding how many patients are a typical load? Do you notice any difference in rounding if you have a primary team (no aid) or a larger team with...

  4. Charting Pain Assessment

    patwil73 posted a topic in General Nursing

    (I posted this originally on the Pain Management Forum but it didn't seem to be getting a lot of looks and thought I'd try cross-posting here - Thanks!) Hello everyone, I'm a clinical manager at my...

  5. Charting Pain Assessment

    patwil73 replied to patwil73's topic in General Nursing

    I agree that asking someone to chart on the first pain assessment I posted every time their is an intervention is ridiculous which is why I am trying to get it changed. I think the first part could...

  6. Charting Pain Assessment

    patwil73 replied to patwil73's topic in General Nursing

    Bump

  7. Hello..new and wondering???

    patwil73 replied to jamer's topic in General Nursing

    I always clean pill crushers before and after I use them - I don't believe we have a specific protocol for it, but I have seen patients go into anaphylactic shock with just a touch of whatever they...

  8. Don't know what to expect in nursing

    patwil73 replied to NewBrand's topic in General Nursing

    Miyoung107 - I'm sorry to hear about your experience with nurses and hope they don't scare you away from being a nurse. One thing to consider (and it is not an excuse) is that nurses deal with...

  9. Any past teachers here?

    patwil73 replied to Mama2girls's topic in General Nursing

    Hello, Before nursing I was a high-school English/Drama teacher for 3 yrs. These are some of the differences I have personally encountered. 1) I found teaching easier in that the knowledge was...

  10. Med-Surg certification

    patwil73 posted a topic in Medical-Surgical

    Hello, Anyone know any classes or how to find them for med-surg certification in Washington state particularly King/Pierce county? Thanks,

  11. Doctors going over your head?

    patwil73 replied to perfectbluebuildings's topic in General Nursing

    One thing our hospital has is a medical response team (if you have a clincial practice meeting that you can suggest this at might be a way of starting it). What happens is if the pt meets a list of...

  12. Hi Seattle nurses, need advice from you please...

    patwil73 replied to velardern's topic in Agency Nurses

    Hello, I currently work for Cascade Healthcare which is a very nice agency. They have lots of contracts, aren't too big so you can always get a hold of someone to answer questions. They primarily...

  13. Input, please! Need to choose where to precept

    patwil73 replied to here_kitty's topic in Nursing Career

    Hello, You seem to have two areas you have enjoyed, would it be too obvious to say choose one of them? :) However, my opinion would be to go for critical care as it should give you more opportunities...

  14. Do ICU RN's sugarcoat things to patient's families?

    patwil73 replied to mama2amaya's topic in MICU, SICU

    Depends on the nurse, although from this picture I would probably say the same, as it appears infection related -- with the infection you have to wait and see if the antibiotics clear things up and...

  15. Charting Bloopers

    patwil73 replied to AHarri66's topic in Nursing Humor

    I caught this one in a dictated H/P Pt is married, other medical problems include (with a list) Still causes me to chuckle to this day.

  16. Opinions needed!

    patwil73 replied to JahbingRN's topic in CCU, Coronary, Cardiac

    I'll post from the opposite spectrum that says no to med/surg. When i graduated nursing school I went straight into critical care -- the hospital I chose had a medical/surgical and open heart unit....

  17. Pondering nursing as an option

    patwil73 replied to timster1984's topic in Men in Nursing

    I don't know how med school looks at nursing versus straight biology, but being a nurse will never hurt you in your quest to be a doctor. One thing you might consider if you're going for your nursing...

  18. Asn Or Bsn?

    patwil73 replied to 05NRSE's topic in Nursing Career

    Not sure if it is different per state, but here in Washington there is no difference in pay between ASN and BSN. If you are trying to save money go to a community college, get out in 2yrs and live it...

  19. Fired AGAIN!! HELP!!

    patwil73 replied to kwagner_51's topic in First Year After Licensure

    I'd just like to offer some support. You've been given some good advice as to refresher courses and alternative places to work. I too have been fired twice in 6 months and I know it feels like hell,...

  20. Endless Medication Administration....

    patwil73 replied to MrsMinor's topic in First Year After Licensure

    Just like to second the encouragement, it does get easier. One ting I do that really helps me is I write down the meds and times on my "brain" sheet. If I have a lot of meds I start combining times...

  21. Salary: Including or excluding Overtime/Differentials??

    patwil73 replied to lancerRN2b's topic in Nursing Career

    My first year I made over 60k, base pay was 22/hr, 3.50 night diff, 4 weekends, worked 12 hr shifts with usually 1 day of overtime a week. This was in seattle, wa. You can make good money here if you...

  22. No I wouldn't recommend nursing

    patwil73 replied to manuelvillanueva's topic in Nursing Career

    I have to disagree. I would and have reccomended nursing to multiple people who have asked and some who have not. I realize that one purpose of these boards is too vent and I hope it has helped...

  23. Need Help!

    patwil73 replied to CanadianRN2005's topic in Patient Safety Issues

    Hello, I currently perform conscious sedation for a cath lab and Radiology and sometimes ER. We never use propofol for conscious sedation - the reason being it knocks people out, hence not conscious...

  24. Hasten end so wife won't doubt DNR decision????

    patwil73 replied to markm739's topic in First Year After Licensure

    Do nurses give meds on their own? Sometimes yes, but the case should always be an emergency -- example I have given ativan for a pt in sustained seizure (however, I had someone calling a doc at the...

  25. Best area to start nursing carreer?

    patwil73 replied to Bicycleboy's topic in General Nursing

    Hello, I'm going to disagree on the med/surg as the best place to start. It is a great place to meet lots of different pt's but the owrkload tends to make it very busy which I believe doesn't allow...