Simple Solutions to Everyday Problems

Work on your McGyver skills! A piece of cut oxygen tubing makes a great bypass for a split PEG tube that can't be replaced right away. Lopez valves are your friends on ALL NG and PEG tubes if your policy allows.

Try to get all your charting done by 12. That way you aren't behind the 8 ball if anything goes wrong.

The patient that says "I"m fine, I walked yesterday" definitely needs a gait belt and a 2 person assist the first time.

I have a pen on a badge reel attached to a key ring and carabiner that I wear on my right waistband. Perfect for labeling IV tubing or signing a document without searching for a pen. On the same carabiner, I also keep scissors (on a reel, but detachable) tape on a keyring, a penlight and an inexpensive pulse ox. It's much better than keeping all of that stuff in your pockets and fumbling around. Also easy to detach each and saniwipe. I'm Nurse Gadget ?

I have one of those fancy clipboards and a tether for my pen on it. (I refill the ink when needed!). When I start my shift, I print out a sheet with all my patient info, on our Cerner, it is the "clinical snapshot". I write my report notes on it.

Square bordered foam dressings can be cut and put over heels. The heel/ankle bits can flip.

Some dementia patients can be kept "busy" by giving them a few towels to fold.

I honestly find it easier to just do something rather than try to find someone else to do it (water, changing wet chux on a patient that can help turn). I delegate when I am busy, but, often it helps with ASSessments, and helps reposition the patient.

If I draw blood into a syringe, I usually pop the lids off of the vacutainers and squirt in rather than fumble with the needle. (I prefer drawing into a 3ml syringe rather than use the connectors into the tubes since those seem to hemolyze more often).

Tape an upside down medicine cup to the wow, and stack others on it - they are harder to knock over.

I've also blown up gloves to help elevate the 'boys', with a moisture barrier like a towel or pillowcase.

On 4/8/2019 at 7:03 PM, ClaraRedheart said:

I have a pen on a badge reel attached to a key ring and carabiner that I wear on my right waistband. Perfect for labeling IV tubing or signing a document without searching for a pen. On the same carabiner, I also keep scissors (on a reel, but detachable) tape on a keyring, a penlight and an inexpensive pulse ox. It's much better than keeping all of that stuff in your pockets and fumbling around. Also easy to detach each and saniwipe. I'm Nurse Gadget ?

I'd love to see a pic of this!

Reverse trendelenburg is your friend when it comes to boosting patients. Sometimes the patient is completely able to boost themselves when working with gravity. Protecting your back and shoulders is key, plus it saves you time from finding another nurse.

Nurse fanny pack is my life. I love being able to carry pens, pencils, highlighters, scissors and rolls of tape.

Keeping a list of common IV drip rates.

^ Trendelenburg. (Reverse trendelenburg is tilted with head up/feet down)

And you should still get adequate help according to the pt's weight and the task at hand.

On 4/19/2019 at 12:07 PM, araew2129 said:

I'd love to see a pic of this!

Me too! Visual learner here

Always go see your patients immediately after report. Update your white boards, ask them if they need anything, tell them when they can expect their meds. You would be surprised just how much smoother your day/night goes when you do this.

Carry alcohol flushes, NS flushes, and IV caps in your pockets. Nine times out of ten, when you enter a room because of a beeping IV pump, you're going to need at least one of these. Also carry bandage scissors and a pair of hemostats.

If you work night shift, unless the patient has been A&Ox4, up ad lib, no known hx falls since their admission to the hospital, you should put their bed alarm. If you're giving them a ton of sedating meds at bedtime, you should bed alarm them anyway. I always tell people, "No one ever thinks they're going to fall until they do." when they give me lip about it.

When something happens, like abnormal BP, critical lab values, etc. go ahead and make a quick note in the chart about it. Your charting will be current and UTD when you get the orders to tx the pt to ICU or when you have to call rapid response or a code. And it will keep you from staying late to chart about it, when you're exhausted and struggling to remember the details.