prinsessa

prinsessa

LTC/Skilled Care/Rehab

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About prinsessa

prinsessa specializes in LTC/Skilled Care/Rehab.


Latest Activity

  1. That Dreaded 3-11 Shift

    I have worked all shifts and 7-3 is my favorite. 3-11 was too difficult because I never got to see my kids. I was always exhausted when I worked 11-7. I like 7-3 because I can still get home...
  2. Did I just get thrown under the bus? Or I'm a bad nurse?

    But you should call the doctor first and get an order to hold it. If one of my patients is going for surgery, I will call the doctor in the morning (if there aren't already orders) and ask how much...
  3. Did I just get thrown under the bus? Or I'm a bad nurse?

    Don't feel bad. I have seen very experienced nurses hold Lantus without a MDs order. That being said, you should never hold any insulin without a doctor's order. If one of my patients is running...
  4. Is it possible to get the holidays off?

    I don't mind working the holidays but it annoys me to work a holiday and not get paid extra for it. For example, if you work Christmas Eve or New Years Eve, holiday pay doesn't start until 3 pm. I...
  5. RNs: How much vacation time do you get?

    It depends on how long you have been working for my hospital. You start off with 24 days/year for full time employees. PTO includes sick days, vacation days and mandatory holidays (for employees who...
  6. Do you have to count lyrica at your LTC facility?

    When I worked at a SNF, one patient's cytotec came up missing several times. The DON asked several of us if we know anything about it. She also asked what it was used for. All I knew was that it...
  7. I haven't worked on many units but the least stressful for me was Mother-Baby. Yes, you can have 8 patients but I felt like I actually had time to do education. This was my final semester during...
  8. Covering up Medication Patches

    We use tegaderm. It drives me crazy when someone applies a patch and doesn't document where they applied it or when. We even have a spot on our eMAR for notes. And the note will stay at the top of...
  9. Become friendly with some of the doctors you work with. I know quite a few RNs (including me!) who got hired at the hospital I work at because a doctor recommended
  10. Possible TIA or effects of medications?

    I had patients who looked like they could die any second and it turned out to be a UTI. And the strange thing was that all vitals were normal. Not even a low grade temp. I have called MDs before...
  11. What are you really good at?

    I'm really good with dealing with difficult families/patients. Plus I remember random information from nursing
  12. CHF Protocols

    I work on a skilled care unit in a hospital and we don't even give IV push meds. We remind the MDs that if the patient really needs IV push meds, they don't belong on our unit. Usually they will...
  13. Possible TIA or effects of medications?

    When I worked at a SNF we would send someone to the hospital if they showed any of those symptoms. It really could be anything from a stroke to a
  14. 8 or 12hr shifts?

    I work 5 8s per week and it works for me right now. I have kids so I like being home shortly after they get out of school. I live very close to work so I get home in 15-20 mins. Plus I like getting...
  15. NPO and meds

    Generally if a patient is going to surgery the MD will say to hold all meds except for Beta blockers and long acting insulin. When the NPO order is being put in there is a section for NPO except meds...