patwil73

patwil73

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

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All Content by patwil73

  1. Is this inappropriate?

    patwil73 replied to 2shihtzus's topic in General Nursing

    Which part are you asking that is inappropriate? The placing in the room or looking at the chart? At my hospital any time an employee is admitted we try to get them a good room - usually at the end...

  2. A little insight....... (long sorry)

    patwil73 replied to Nurse Lulu's topic in First Year After Licensure

    I think you did the right thing. You can not force medication on someone who is in control of their faculties and does not want it. You can not hold someone who is in control of their faculties and...

  3. Aahhhh!!!!

    patwil73 replied to StrwbryblndRN's topic in General Nursing

    As a supervisor who works constantly with staffing, this appears to be a common problem - I know we see it every day. The problem starts with the fact that most hospitals don't have adequate staff to...

  4. Would You do the same thing I did?

    patwil73 replied to vnsam's topic in General Nursing

    i keep seeing posts that say you shouldn't be too worried about a high fever that appear to be ignoring the other symptoms - namely severe headache. the child was worried enough to call the parents...

  5. Would You do the same thing I did?

    patwil73 replied to vnsam's topic in General Nursing

    I'm confused a bit here - as an LVN are you actually taking a patient assignment or just assisting with the RN"s in the ICU? Did your charge agree to cover for you leaving an hour early? I could be...

  6. OMG.Do Nursing students really practice on eachother??

    patwil73 replied to AspiringNurse7's topic in General Nursing

    We practiced IV's, blood draws, chem sticks on each other. It is how you learn. We only had to do each once in class to be signed off, but some would practice much more just to get it down. I...

  7. What exactly is so bad about Med Surg?

    patwil73 replied to Lisa CCU RN's topic in General Nursing

    Med-Surg requires a lot of varied knowledge that can be difficult for new nurses who are just getting their bearings. On a large medical floor you could have cardiac patients, renal, gi disorders,...

  8. About productive hours per patient day?

    patwil73 replied to rrroyer's topic in Nurse Management

    At our facility we staff according to an acuity based system. We do have recommended HPPD - Surgical 7.2, Medical 7.91, CCU 15.87, Neuro 8.67. However these numbers are based on an average acuity...

  9. Graduate Programs - Which to choose?

    patwil73 replied to babiiprycess's topic in Nurse Management

    Nurse Administrators can be a varied lot. I am the supervisor for nights at my hospital - I work 80 hrs every 2 weeks, plus about 5 hours extra for meetings. I'm salary so don't get paid for those...

  10. blood transfusions

    patwil73 replied to ncoug06's topic in General Nursing

    Unfortunately, many hospitals have different protocols for blood transfusions and schools require you to (usually) state everything such as: 1) Open chart 2) check for order 3) check name and MRN on...

  11. where should I start?

    patwil73 replied to douladi's topic in Nursing Career

    You might check your school's program and see if you can take the LPN boards halfway through. My ADN was like that, after quarter 4 you could take LPN boards but classes continued on through an RN...

  12. 1 year (semester) male nursing student having Doubts

    patwil73 replied to Kennyboy117's topic in General Nursing

    You have gotten a lot of encouragement and I would like to add a bit more - when I started nursing school I was one of two males. I had no (and I mean no) medical experience. I did not even know...

  13. Clinical Tips

    patwil73 replied to griffly's topic in General Nursing

    Hope this helps, Words of wisdom: 1) You are a student - it is ok to not know something. However, it is not ok to not know something and try to do it anyway. Always ask when unsure. 2) Get in the...

  14. How is it possible to be in 5 places at the same time?

    patwil73 replied to SuesquatchRN's topic in General Nursing

    Every shift has different stresses. At my hospital evening shift tends to be the admit/discharge shift - I have seen nurses start with 5 patients, discharge 3 and admit 3 by the end - talk about...

  15. I'm going from Med/Surg to Nursing Home

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

    From what you describe it might be difficult to get the supervisor to give you another chance, but if the only choice is between hospital or nursing home - I would definitely try. (This is nothing...

  16. Need some career advice

    patwil73 replied to VinoLover2030's topic in Nursing Career

    You have figured out office jobs - OR might be an option depending on the facility but you often have to take call (depending on how many work there you might not have to take much). In my facility...

  17. iv bolus injections

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

    I'm wondering if I am misunderstanding your question - are you asking how to dissolve a "pill" med and then administer it IV? I can't honestly think of a drug where you do that. Some medications,...

  18. Am I a safe nurse? (LONG)

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

    First off I want to say that every mistake is a golden opportunity to learn, as the "terror" tends to help reinforce the teaching. That being said, please don't beat yourself up over your actions -...

  19. Roles of the RN

    patwil73 replied to keaton90's topic in General Nursing

    I can give you a run-down from when I was doing agency (I'll skip ICU since you go a pretty good one of that) Tele: 1900 - arrive and get report on 5-6 patients (usually group, but sometimes nurse to...

  20. Survey: Do you think hospitals should require a uniform code for nurses?

    patwil73 replied to Brian's topic in General Nursing

    My hospital has a dress code - a kind of royal blue for nurses, light blue for aids, rose for secreteries, black for admitting, floral for housekeeping. According to our surveys it has helped...

  21. sedation policies vs practice where you are

    patwil73 replied to mosin46's topic in Patient Safety Issues

    At my facility we always have 2 people available and sometimes 3 (how can you do endo with only one person to assist and give the drugs?). When I did Cath Lab I was responsible for sedation. It was...

  22. Is a BSN critical

    patwil73 replied to Platypus's topic in Nursing Career

    Depends. For most nursing jobs a BSN is not critical - you will get hired either way. Most places have no difference in pay between the BSN and AN. Some places want there charge nurses to have...

  23. Elementary Education or Nursing?

    patwil73 replied to Kimmi73's topic in Nursing Career

    As someone who was a teacher before becoming a nurse I can share what my thought process was and hopefully it will help. I graduated at the top of my class for Secondary Education (Jr High and High...

  24. I'm a student looking for CPN/LPN in seattle area that I can interview in person.

    patwil73 replied to SamMan55's topic in General Nursing

    Hello, I currently work in Renton at their hospital nights. If you want someone to inteview I am available. You can send me a private message and we'll set something up. If it helps with questions I...

  25. Multiple preceptors = multiple "rights"

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

    Someone else mentioned it, but i would also go with "I must have misunderstood when i was last shown. . ." People often have favorite ways of doing things and think every other way is wrong - what...