Jan 25 - Jan 31 Hottest Topics
I have been taking care of a client for about 8 months. The parents would like to be able to go out once in awhile in the evenings for a few hours ... and have asked if I could cover those hours on the side, and they will pay me out of pocket. I am wondering if their are any steps I can or should take before saying yes...
I got the job at a local state psych facility! Yeah! I have always loved psych and really feel like it's what I was meant to do. I'll be on an adult admissions unit. There will be a 30-day orientation, but I want to be prepared. Going back to paper charting will be a challenge, and the nature of the workflow (as I recall) is very different. So...please help me refresh my memory! What skills, things do I need to revisit?
I am strongly considering seeking employment in an office as a new grad. Are offices open to hiring new grads? Or do they prefer experienced RNs? I would very much like to go straight into an office over a hospital. Another question:
As a new grad RN, are you more likely to be hired into a hospital or an office? The job market for nurses is not very good where I live, so I will most likely be limited to what is available to me when I graduate. But, like I said, I really would like to avoid a hospital setting if i can help it.
I have been looking to see if there is anything proactive that can be done to help prevent NEC. I recently completed the NICU University presentation on probiotics and felt really compelled by the research results. I have also found some compelling research that shows that probiotics really do help prevent NEC.
When I mentioned the research with an NNP on my unit I was shocked by how against probiotics this NNP was. Our Medical Director said that the use of probiotics is under consideration but I'm not holding my breath. Does anyone work for a unit that uses probiotics and if so what has your experience been?
There is no significant difference in compliance with emergency department length-of-stay measures for admissions, discharges, observations, and transfers between safety-net and non-safety-net hospitals, according to a study published in the Feb. 1 issue of the Journal of the American Medical Association.
If you have a primary doc, why don't you go to him/her? Why come here and expect to be fixed by someone who knows you not from Adam's housecat? I'm great if there's not an appointment available, or they're closed. But you just know that some are using the minute clinic as a candy shop, or don't want to be bothered with having to make an appointment.
Another thing in the same vein that I don't get...
Another nurse told me something the other day that I have never heard before. I tried googling it and couldn't find anything either. He said that if you are giving insulin and you aren't sure when the pt will be eating, you can divide the BS by 50% and if it is still in a save range, you can give the insulin. He says it should never drop the sugar more than 20 - 25%, but he uses 50% to be safe. So what he is saying is that if the BS is 200 and you give the ordered SS dose, the sugar would at most drop to 100 which is still safe for the pt.
Has anyone ever heard this before?
I witnessed my patient have "tremulous" legs for about three seconds. I had some serious doubts that it was an actual tremor; it happened when I pulled his blanket off his legs, and I thought at the time that his legs were shaking that little bit because he became cold. He acted concerned about it, but also said that this happens every once in a while. He asked that I document it so his primary doctor would know that it happened.
Imagine my surprise when I receive a email from our hospital patient advocate services office. The patient advocate told me that he had wanted to talk to someone in their office about me. Apparently, he was told by the nurses who later took care of him on the med/surg floor he transferred to that I never did "write a report" like he told me to...
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