Double Dunker

Double Dunker

Med Surg/PCU

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All Content by Double Dunker

  1. Getting new patient at shift change

    I work med surg at two different hospitals. Both hospitals have shift report from 0700/1900. At hospital A, if you get a new patient after 0600/1800, we get vitals and complete the admission paper...
  2. Getting new patient at shift change

    Sadly, hospital B is
  3. IVPB

    Not always. It depends on how your facility has the pump's library programmed. The only time I've ever seen a variable time frame like that is for blood administration. Is it the time span that's...
  4. What do you consider a heavy patient assignment?

    Oh my. Just your rehab patients on my medsurg floor would be considered heavy. Hats off to all you LTC nurses. You amaze
  5. WILTW 9/19/16: Dystonic Tasks and Masks

    I've been orienting to a new job, and I've learned that dealing with the constantly changing orders on day shift is more levels of time management than I ever imagined. I've learned GOOD compression...
  6. Dreading work

    I agree with everyone else. Totally normal. Keep up the hard work, you'll get
  7. New grad in the float pool?!

    I'm literally in my 2nd week at this job, so it's too early to be able to answer most of your questions. Neither my previous employer nor this one hires new grads into their float
  8. New grad in the float pool?!

    I've never heard of float pool like llg described - it does sound like a good plan if it's like that. I've been a nurse for just shy of 2 years in a med-surg unit and just took a float pool position...
  9. LPN new grad to start medsurg floor

    Organization of your brain sheet is key. If the way your preceptor does it doesn't seem to work for you, ask some of the other nurses how they do
  10. PCA pumps and capnography

    I just accepted a new job at a new hospital. During orientation this week, we were told that any patient with a PCA pump is required to be on capnography for a minimum of 24 hours. We never did this...
  11. Threatened staff

    Yep, and then the acute care facility is stuck with those patients for weeks on end because then we can't get placement for them. We certainly aren't equipped to deal with all of that either. The...
  12. Cardiac drips on a med/surg floor

    My experience is that the cardizem drips aren't too bad and very few have to be transferred for titration. I'd take a cardizem drip over an insulin drip any day. Now those are time consuming.
  13. Cardiac drips on a med/surg floor

    We only hang cardizem and we don't titrate it. Ratio is
  14. Need advice about jobs

    Any job you apply for will ask for previous work history and references. You want this employer to be a good reference, so I suggest sticking it
  15. The Case for Patient-Specific Stethoscopes

    Not just providers refuse to use the disposable ones. I'll often use my own scope in an isolation room and then bleach it when I walk out. This is only a viable option if we get REAL
  16. Question about Infusing IV Potassium

    So did you hang the potassium as a piggyback or were the potassium and saline on two seperate
  17. I think your understanding of LTC is not the standard definition of LTC. LTC generally means nursing homes and post-acute care facilities. No, hospitals don't have long term care. They have acute...
  18. Pediatric Nurse need help with Adult IV insertion

    I agree with what's already been said. I usually only insert a 20 if the patient needs contrast or if they have fluids ordered for over 100 mL/hour. I have a lot of older, confused patients, so I...
  19. Having a conversation about FT to PT

    Try to stay objective when interviewing for the new job. Make sure it really is all that and a bag of chips before getting your hopes up. Let's assume you get an offer. If you could only have one...
  20. Hands off my vent!!

    Really? Do
  21. Overhiring?

    We are currently overstaffed, with most nights having one more nurse than needed on the schedule. Assuming no one calls off, that extra nurse either floats to another unit or is called off. My...
  22. med-surg to endo or PACU?

    Hospitals in my area require ICU experience to go to PACU, so I would be doubtful about that
  23. Meaning of your username?

    Mmmmm, my
  24. Overhiring?

    We have a fairly new CNO (within the last 2 years) so I was wondering if this might be the working idea. Then I thought, "Now you're just being paranoid." Maybe
  25. What States Pay the Highest and Lowest Nursing Salaries

    I'm sorry, but this info is completely unhelpful. I live in Indiana and I just got a $2.50/hr raise for a market adjustment. My base yearly salary still puts me in the bottom 6 states for BSN...