General Forums >> Ask A Nurse >> Hints from Nancy Nurse
Hints from Nancy Nurse
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Posted almost 5 years ago
Place your clinical tips here. Any time savers, you may have. Clues for patient teaching. Tips on delegating to staff. Whatever you think would be helpful |
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| Posted almost 5 years ago Carry and use antibacterial hand sanitizers. They're available at commercial drug and department stores. |
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| Posted almost 5 years ago Always, always, always, have your stethescope with you. You never know when you're gonna need it. Carry extra gloves in your pockets too, you never know when you're gonna need them either.
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| Posted almost 5 years ago Always have extra pens, and never give anyone your favorite. You'll never get it back! I walk around looking like Captain Kangaroo with a small spiral notepad, pens, gloves (lots and lots of those) lip balm for me only, baby powder in case I'm using one of those old slides, gum, mints, cough drops(if it's cold and flu season) and whatever else I shove in there during my day. |
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| Posted almost 5 years ago I have an enormous "Nursing is my bag" bag. When people ask me what I could be carrying in the huge thing I say "Everything". Thank Goodness for Cargo pocket pants. CHAP STICK, scissors, pens, paper, watch, hand sanitizer, pen light, STETHOSCOPE, calculator, and TAPE. Then in the bag, peanut butter crackers, extra shoes, loose change, more pens, more paper, more hand sanitizer, gum, mouth wash, toothbrush, tooth paste, drug book, clipboard. Today's mighty oak is just yesterday's nut that stood it's ground.
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| Posted almost 5 years ago Don't forget the always handy adhesive remover pads. |
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| Posted almost 5 years ago Also, A good nurse will always have a pair of scissors . I never heard this when I was in school, but have heard it alot since I started working as an RN three years ago. Even in the OR, I never thought I'd need scissors, but in the 6 weeks I've been in the OR, I have needed them and used them and heard serveral times, "A good nurse always has scissors." |
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| Posted almost 5 years ago I constantly reach for my scissors. I can not have them in the jail. Having scissors in my pocket is an old trick I learned in school. Pens, paper, scissors, pen light and ETOH wipes. Had a great teacher that taught me that. |
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| Posted almost 5 years ago Roll of tape on a kelly forcep clipped to your scrubs. |
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| Posted almost 5 years ago I always ask, "Is there anything else I can do for you while I'm here?" before I leave the room. This saves me TONS of time & headaches from call-bell-itis! |
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| Posted almost 5 years ago Take more than one cath kit into the room with you. |
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| Posted almost 5 years ago Always carry (labeled) saline flushes with you |
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| Posted almost 5 years ago kayak. Very good. |
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| Posted almost 5 years ago Anyone have any tips for short cuts on charting? |
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| Posted almost 5 years ago Anyone have any tips for short cuts on charting? |
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| Posted almost 5 years ago Not a short cut- but keep up on charting through out the shift! (I worry about new team members looking for short cuts on charting....) |
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| Posted almost 5 years ago They all sound like good tips so far. With new technology I carry a palm pilot that has medical downloads on it. It goes EVERYWHERE with me. Cargo pockets are a must on a set of scrubs. The pockets have a pair of scissors, kelly clamps, tape, penS (not just one). A tourniquiet, an IV needle or two, a saline flush for each IV needle. ETOH wipes and some 2x2's. Each pocket has certain things that go in it so that I always know where things are. (That comes from being a flight nurse and packing my flight suite, I do the same with my floor scrubs.) Oraginzation and being prepared for the unexpected plays a big roll in productivity. |
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| Posted almost 5 years ago Piece of cloth tape on the leg of my scrubs for emergency notes |
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| Posted almost 5 years ago I bought a fanny pack type thing that I had seen in a catalog. I used it one time. I like my pockets. Pockets in scrub top, lab coat and pants. I love cargo pants pockets. I need to get myself a palm pilot and learnt to use it. |
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| Posted almost 5 years ago Nursing is the best job and it so precious..........nurse should have more patience so that they have to look after there patients who are suffering from sick they have to work hard till the patient becomes recover and active from ilness......they have to give the right medisine at right time.......if any problem arises they should immediately contact to doctors.......... ======================================================================================================= jackkatewinslet [url=http://www.drugtreatments.com/wyoming]Wyoming Drug Treatment[/url] |
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| Posted over 4 years ago I hate to be a kill joy, and I have been trying to supress the need to say this. I know we all know it, but the Infection Control Nurse in me has just got to say "wash wash wash your hands", if you carry alot of stuff in your pockets your contaminating it every time you put your hands in your pockets. Wash your scissors, and throw away the tourniquets after each patient. Sorry, but I do feel better now. No wonder they used to cringe when they saw me coming. Also, wipe down your stethoscope, and pull a glove over the end. Listen wth the palm of the glove over the diaphragm. Today's mighty oak is just yesterday's nut that stood it's ground.
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| Posted over 4 years ago cdnurse says ...
Since we have started computerized charting a few weeks ago I take my computer with me into every room and I sit and chart while I am in there with the patient. There is a laptop computer and I usually try to steal that one so I can sit in the room and talk with the patient and chart. I also try to chart a blood pressure everytime I am in the room. |
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| Posted over 4 years ago Very good bit. that is a great idea and a shortcut that will improve patient care not hinder. |
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| Posted about 4 years ago This is kind of different but having been stranded at work due to storms, hurricanes other forces of nature I suggest an emergency personal kit. I mean clean underwear, socks, extra scrubs, whatever would make you more comfortable if you wind up spending the night/day longer than your standard shift. Got stuck at work once for three days due to weather condition. Next shift could not make it in. Even the police couldn't get them to us, all the roads were closed. All the staff that was there went on minimal staffing. Half of us became the night shift and the other half the day shift. The hosp gave us clean scrubs to wear. We showered, put on clean scrubs, washed underwear hung up to dry, slept, woke up, put on semi-dry underwear (or what ever) put on the scrubs you slept in, went and worked your minimal staffed unit. Got relieved by the other half and did the same thing again. The nurses of New Orleans would be good ones to comment on this. During hurricanes clean drinking water is a premium and so is water for hand washing. Gel stuff is good. Snacks/powered drink stuff to put in water is good. Keep a kit in your car trunk. We all shared what we had but I can work longer and better with creature comforts ;P |
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| Posted about 4 years ago Scarlett................wow, a nurse after my own heart! I have the extra clean clothes,undies in my trunk....and another set in my locker. Pens, penlight, stethescope, scissors, etoh preps in the pockets; wipes down the stethescope after each use, I dont share pens and desanitize after touching anybody and before I write. Ok, on the charting...........man, the only thing close to a shortcut I have figured out is take a little extra time charting after each incident and on patient, so no late charting, and then I dont have to do the 'one line across w/error', thingie........we dont do electronic charting yet, except for the meds....barbaric, huh? Nice place despite the barbarism, though.........love it. We cant help emergencies and I'm not perfect...but Id love to keep posted on anybody's success with the charting thing too. Oh, one more thing on locker stuff to stock..............if you guys are pals with dentists/orthodontists and their staff.............get a bunch of disposible toothbrushes. My sister inlaw words for an orthodontist. She gets those disposable toothbrushes that have pre-applied toothpaste. Wouldnt want to use them all the time.........but great for emergencies, sent my son boxes of them in Iraq, and I keep a couple in my purse. Her boss enables me to buy 3 boxes of them at a time, has over 150 per box.....cost $25 for all of them. We only have one heart, take care of it! Angie |
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| Posted about 4 years ago Ok, was offtrack on my last post on this thread <I blame Scarlett, I love planning for disasters>. But we <my barbaric and loving facility> has this teaching thing we do in our scanning system for administering meds. We are able to print the necessary teaching, has a barcode you scan like the meds we administer>, example coumadin teaching. The info is printed with a barcode just like the meds, we scan the teaching AND the barcode on their bracelet. That ensures they were given the needed info and its documented. Man, I feel like we are in the 80's with our technology........but still love it! I'll bet you guys have this too or something similar. We only have one heart, take care of it! Angie |
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| Posted about 4 years ago Sorry I was offtrack too! I just do a better job as a nurse when I feel clean from the skin out. As far as the charting, I learned a long time ago to sort of have a template for charting. New pt? gonna do a head to toe assessment. Then start with the head. Neuro, pupils,mentation. next chest -heart sounds, breath sounds, next abd- bowel sounds, soft?rigid? voiding? BM? next extremities- MAEW? casts/splints? drsgs? describe skin. When I go through each segment I describe the related tubes,drains. Ex listening to breath sounds describe chest tube. Listening to bowel sounds describe NG tube. Describe skin include IV's. Take a few minutes and prepare your "template" I don't do OB so there may be other things that need covering on a more routine fashion (nipples, uterine height,lochia) When I have a pregnant pt in the ED I always assess and chart Fetal heart tones. Guess where? When I get to the abd. I take time here to chart vaginal discharge. After my head to toe then I address C/O. You can make this as simple or as complicated as you need. When you develop your signature assessment (LOL) it becomes a tool like your stethoscope and helps you remember to assess and chart. New nurses actually make your self a little card to help yourself remember. Those of you who are computer charting don't you find the computer sort of forces you to do this? Much easier to chart at the desk when you remembered to get your assessment in the room. Those pesky COWS (computer on wheels) always have a low battery when you need them. Do your sister/brother nurses a favor and plug those suckers in when not in use!! |