Silly_Sally_RN

Silly_Sally_RN has 13 years experience.

Latest Activity

1. Code Blue

   Silly_Sally_RN replied to BingoBoys's topic in General Nursing

   The patients on my unit get a purple DNR band if they are a DNR or a white and purple band that says MODIFIED DNR if they want something, but not everything. If I walked in on a patient who wasn't mine and noted they weren't breathing, I would look f...

2. As seen on TV

   Silly_Sally_RN replied to JBMmom's topic in General Nursing

   Amen, NurseNancy25! I hate that I started watching it (1 downfall of only working 3 days a week), but I keep tuning in. Sometimes I think it would be nice to be a nurse at Grey Sloan (or whatever the name is now) because the doctors do all your work....

3. As seen on TV

   Silly_Sally_RN replied to JBMmom's topic in General Nursing

   Keep an eye on the IV pumps on Grey's Anatomy. They frequently are programmed for Dextrose 5% at 100 mL/hr and Gentamycin 3 mg/kg/day. McDreamy had 4 pumps with these settings when he died.

4. As seen on TV

   Silly_Sally_RN replied to JBMmom's topic in General Nursing

   Can we include movies? I love watching While You Were Sleeping during the holidays, but it gets me every time when I hear a vent in the background of Peter's ICU room. Peter, who's in a coma, is not intubated and does not have a roommate. I guess the...

5. Where Were You...9/11

   Silly_Sally_RN replied to Daisy4RN's topic in General Nursing

   Taking the first test of the year in my A&P class, senior year of high school. Another teacher came into the class and told the teacher he had to turn on the TV, planes had crashed into the Trade Towers. That effectively ended the test. We watche...

6. New nurse staying way past 9:30 pm on day shift

   Silly_Sally_RN replied to connecticut23's topic in New Nurse

   First off, 9 med/Surg patients is insane! Are you including admits or do you have 9 patients at 1 time? I don't know if I could do 9 patients. Secondly, when does your shift end? Are you staying 3-5 hours after a shift? I could see management having...

7. Feeling unsure

   Silly_Sally_RN replied to KJRod's topic in General Students

   May I ask what you felt never really clicked? It might help us give more directed advice. The unknown is scary and your feelings of uncertainty are certainly understandable. I knew I wanted to teach and I knew I didn't want to work full-time on my fl...

8. Shift Differental

   Silly_Sally_RN replied to phdeha777456's topic in General Nursing

   My facility offers night differential between 1900-0700. Day shift gets about an hour of night pay, depending on when the shift change happens. Very few floors here have an evening shift; a majority of the shifts are 12 hours. We also have a weekend ...

9. NSO Insurance

   Silly_Sally_RN replied to ab197's topic in General Nursing

   I have insurance through NSO. Thankfully I've never had to use it. I know a lot of people will say you don't need it, but I would rather have the peace of mind. NSO does more than provide malpractice insurance. They will reimburse costs of helping pe...

10. Quit while on orientation

    Silly_Sally_RN replied to Throwaway11's topic in New Nurse

    I would see if your employer has a policy on how much notice is required to leave in good standing. I know my facility has one and requires licensed professionals to give 4 weeks notice.

11. Supposed to teach part of a class where I relate tele to systems - please!!!

    Silly_Sally_RN replied to Nurse162's topic in General Nursing

    For the GI system maybe you could talk about dehydration, prolonged vomiting/diarrhea, nutritional deficiencies, and anorexia/bulemia and how they can lead to electrolyte imbalances which can lead to cardiac issues.

12. New Clinical Educator

    Silly_Sally_RN replied to abqregisterednurse's topic in Educators

    I taught clinicals for a semester while in grad school. Hope these help you: 1. Realize you can't do everything. I had to watch each student pass meds and assess a patient at least once in the term. I felt like I needed to be there everytime each st...

13. Epic Charting

    Silly_Sally_RN replied to newvillemom's topic in General Nursing

    Our version of EPIC allows you to alter other's charting, but it leaves an audit trail that is clearly visible. There would be a red triangle in the upper right corner of the cell. If I clicked in that box, I could see what was charted, when, and by ...

14. Got a new nurse in trouble

    Silly_Sally_RN replied to TwoLayi's topic in General Nursing

    I would speak up. If holding a med is what is in policy, that is what you need to do. If a surveyor came and saw you "borrowing" meds, they would have a cow. Especially if they asked you what the policy was and discovered you were not following it. Y...

15. It Never Occurred To Me.

    Silly_Sally_RN replied to Have Nurse's topic in General Nursing

    Great article! Thank you for sharing. I agree it is very hard to come on shift and get told in report that the patient is awful/demanding/rude, etc. I like to talk to the patient and make up my own mind. I have found listening goes a long way!