Double Dunker

Double Dunker

Med Surg/PCU

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All Content by Double Dunker

  1. Getting new patient at shift change

    Double Dunker posted a topic in General Nursing

    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

    Double Dunker replied to Double Dunker's topic in General Nursing

    Sadly, hospital B is

  3. IVPB

    Double Dunker replied to mdiada's topic in General Nursing

    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?

    Double Dunker replied to LPNtoRNin2016OH's topic in Geriatric, LTC

    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

    Double Dunker replied to LadyFree28's topic in General Nursing

    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

    Double Dunker replied to adlxoxo's topic in General Nursing

    I agree with everyone else. Totally normal. Keep up the hard work, you'll get

  7. New grad in the float pool?!

    Double Dunker replied to lelms's topic in Medical-Surgical

    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?!

    Double Dunker replied to lelms's topic in Medical-Surgical

    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

    Double Dunker replied to RKCK0409's topic in Medical-Surgical

    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

    Double Dunker posted a topic in Patient Safety Issues

    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

    Double Dunker replied to RNBSC's topic in General Nursing

    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

    Double Dunker replied to tokmom's topic in Medical-Surgical

    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

    Double Dunker replied to tokmom's topic in Medical-Surgical

    We only hang cardizem and we don't titrate it. Ratio is

  14. Need advice about jobs

    Double Dunker replied to Karamia0x's topic in General Nursing

    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

    Double Dunker replied to adventure_rn's topic in General Nursing

    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

    Double Dunker replied to Hamsiao's topic in Medical-Surgical

    So did you hang the potassium as a piggyback or were the potassium and saline on two seperate

  17. Advice to novice who wants to work with geriatric population.

    Double Dunker replied to ebcifaldi's topic in General Nursing

    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

    Double Dunker replied to kheemooy's topic in Pediatric

    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

    Double Dunker replied to abouttimeRN's topic in General Nursing

    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!!

    Double Dunker replied to adventure_rn's topic in Critical Care

    Really? Do

  21. Overhiring?

    Double Dunker posted a topic in General Nursing

    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?

    Double Dunker replied to tinybbynurse's topic in Medical-Surgical

    Hospitals in my area require ICU experience to go to PACU, so I would be doubtful about that

  23. Meaning of your username?

    Double Dunker replied to Flightless Bird's topic in General Nursing

    Mmmmm, my

  24. Overhiring?

    Double Dunker replied to Double Dunker's topic in General Nursing

    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

    Double Dunker replied to allnurses's topic in General Nursing

    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...