Latest Comments by LovingLife123

LovingLife123, RN 3,356 Views

Joined Dec 20, '16. Posts: 573 (73% Liked) Likes: 2,074

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  • 1
    AJJKRN likes this.

    How do you think the nurses are controlling infection?

  • 8
    Mavrick, Fiona59, LibraSunCNM, and 5 others like this.

    You may have this dream to become a nurse, but don't you dream of retirement one day? $900 a month for student loans is insane. Depending on where you live, that could be one entire paycheck a month.

    Not worth it.

  • 2
    BadwomanM and sevensonnets like this.

    I agree with this whole heartedly.

  • 0

    Quote from meanmaryjean
    My youngest daughter's boyfriend is from England. He was here in the states a couple months ago, and we were watching TV. An ad for the hospital I used to work at came on (starring the famous QB it is named for). A while later, they re-showed the same commercial.

    Nathan (the BF) said, "I know who (famous QB) is- but I don't understand why this little 'show' comes on so often. It's almost like a commercial for a hospital!" When we told him it WAS a commercial for a hospital- he asked "Why?".

    It was an interesting discussion from there!

    I will tell you though that famous QB does a lot of work at that hospital. I honestly thought when he moved we'd never see him again there, but he's there often. He actually just visited a friend of mines child who was there.

    I don't get the commercials myself because if something happens and you call EMS or it's an emergency, you are going to the closest hospital.

    Nobody wants to drive 30 miles to another hospital when they are sick enough to warrant going.

  • 23

    Quote from wondern
    That's fine. We can totally agree to disagree.
    You say you've taken care of cath patients before. Fresh Cath Lab patients? Because saying it's no big deal for the patient to have water tells me you haven't.

    My icu is a little different from CardiacDork but I get patients from the Cath Lab. They often have angios but for different reasons. Many of my patients are still npo when they come back as they may have to go to surgery later.

    I'm very protective of my patients' safety and well being. Often I'm given orders that if the patient passes a nursing dysphasia screen, then we can start with ice chips are advance diet as tolerated. After, I'm done getting them settled in and stabilized, I can do that for them. I don't think any of us are there to deprive patients of water and nutrition, but I think you are vastly missing the point. The patient was not asking for water. The family was demanding the nurse immediately give their loved one water and ice when it's not the priority.

    ICU is all about prioritizing. It scares me a little that you would just cycle a pressure and walk away for ice. What about the rest of the vitals? What about checking your orders? What about ensuring your patient is safe, clean, and comfortable in bed?

  • 33

    Quote from wondern
    Respectfully if it was you laying there you might feel differently. I've taken care of cath patients before too. Check the pressure and get the ice. It's not the end of the world to have an ice chip!

    I disagree with you completely. I've spent plenty of time in ICUs in my lifetime as a patient, not just a nurse, so I can speak to being the n both sides. You don't just cycle a pressure and grab ice. If you had read the OPs scenario, this patient came back a mess.

    Everybody who comes to my icu unit gets a bath immediately and new sheets. They are fresh from surgery, infection risk is high. I often get unstable people back from OR or Cath Lab. People are not allowed to die down there. So, there vitals are of the utmost importance to me.

    Once I get them clean, stable, and settled, I will swan out their mouths if they are dry. I'm not giving ice chips until given the order to do so. People aspirate on ice chips.

    My job is to keep them stable and safe, not to give them what the family feels they need at the moment. All family are escorted to the waiting room until my patient is settled. They can visit afterwards, but when you come to me, the physician has deemed you critical. That makes my assessment critical as well.

    If you don't see that, maybe icu is not where you should be.

  • 0

    I read through their accreditation. They are not accredited and I don't think you can sit for NCLEX with them. It does a run around with accreditation stating that the ACEN is about to be shut down by congress and that someday there will be national nursing licensure and this program is preparing you for that.

    They are accredited by that for profit scam college agency. Lol. I had to laugh trying to understand what they were stating about accreditations.

    Each always has had and probably always will have their own BON.

  • 2
    Nurse Leigh and meanmaryjean like this.

    They don't have a nursing program.

  • 33

    I tell you in one word why people act like this. Internet. Everybody now has their Dr. Google degree and now knows more than those of us who have studied for years and work the job.

    It's not going to end anytime soon.

  • 0

    Oh my. This is not the place for this. And FYI, getting straight cathed is not the same as a foley. What exactly did you expect them to do when your bladder filled up?

    Take it up with the hospital. But I would suggest that you don't have any type of surgery due to your fear of catheters.

    Hospitals don't put people in briefs. They are not called diapers. Briefs cause skin breakdown and infection.

  • 5

    I very rarely enter additional notes about my day. I check my boxes and get done. Does your unit not have a standard on when and how often things are to be charted? I often notice notice that the previous shift nurse charts way more than what is required.

    I don't know your charting system, but we only the chart the abnormals. I do three, head to toe assessments each shift. In my early one, I only chart the abnormals. In my other two, I only chart the changes.

    I work in an icu so certain things like vitals and I/Os get done hourly. I never put in any word charting on meds. If I give it, it gets scanned, all done. If I hold it, I tick the appropriate box as to why.

    Find out your unit standards. There should be some in regards to charting and use that as your guideline. It sounds like you are over charting. That can get you in just as much legal trouble as undercharting. Some people don't get that.

  • 0

    Why is this being brought back up over 6 months later?

  • 0

    I've never done a drug test despite the initial. Does your hospital actually do random screenings?

    NPs should be subjected to the same rules as the rest of us, but my hospital doesn't do it. I'm wondering if yours is the same.

  • 2
    ajin and rn1965 like this.

    Quote from ajin
    Illinois

    Have you actually went to the BON website and saw these rules? Usually it's a specific period of time when you graduate, then you need a refresher course.

  • 0

    Quote from NurseDisneyPrincess
    New Years Eve is popular here it seems like... also TG and Christmas. Any other holidays, meh... I honestly don't care. I'll work 4th of July, Easter, the superbowl etc.

    If I were in retail I would NOT want to work Black Friday. No way!
    In retail, you don't get the choice. The entire staff works.


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