pebbles BSN, RN

Trauma acute surgery, surgical ICU, PACU

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About pebbles

pebbles has 17 years experience as a BSN, RN and specializes in Trauma acute surgery, surgical ICU, PACU.


Latest Activity

  1. pebbles

    Old nurse won't retire

    I'm middle of the road. It sucks to carry the load and watch for the acute issues with both the old ones that have stopped paying attention and the young ones that haven't learned to pay attention. Talking too much about the young ones with their ph...
  2. pebbles

    Patients wants a back rub

    I will do them if I think a pt will truly benefit and isn't getting relief from other therapies. I actively resist if the pt "expects" it, in the same way they expect hotel service. It's a nicety on top of regular duties that I give if I feel motiv...
  3. that's a good one! we had a situation a few weeks back where nobody knew a pt was jehovah's witness and he got a transfusion, i think everybody felt horrible about it.
  4. In my ICU, I took care of a former ICU nurse once who had attempted suicide, written DNR on her arm with marker, and called 911 after a while. It was pretty awful on an emotional level. She was "one of us". I think she was full treatment because she...
  5. pebbles

    feelings on new grad in the ICU

    We have had two new grads hired recently into our unit that previously never hired new grads. It's been a learning process for everyone. We have a VERY acute ICU, and a lot of pt turnover, movement, etc. We've also had people recently come from very ...
  6. pebbles

    Critical Pt and More stable Pt

    I always try to remind myself that being extremely self-absorbed can be a huge aspect of the sick role - for a pt and their family. I remember one guy I had while I worked on a surgery ward, took it so personally that I wasn't cheerful and waitressy....
  7. pebbles

    Blind Nursing Student?

    Amazon.com: The Doctor Will Not See You Now (9782895072430): Jane Poulson, John I read this book a year or so ago and found it very interesting and enjoyable. Yes, this doctor must have some help from others to assess her patients. But she is absol...
  8. pebbles

    Night shift: let residents sleep?

    How many nights have you slept in a bed soaked with your own urine lately? It's not only bad for their skin, but if they have any cognition at all, it's embarrasing and humiliating and misery-provoking. Better to do proper care and change them. Mos...
  9. pebbles

    Patients Making Up Lies

    Oh yes. It was years ago, and it actually still haunts me, so I feel your pain. The family hovered over me all night. for three weekend nights in a row. They snapped and snarled at me when I asked the pt basic assessment questions. ("Are you havin...
  10. pebbles

    two people for hoyer lift-why?

    I took care of a pt who died in our trauma step-down as a result of severe fractures she got from falling out of a hoyer at a nursing home. Turned out the sling hadn't been pushed properly into the slots on the lift arm. The CNA who had taken the s...
  11. pebbles

    What has happened to nursing?

    Florence Nightingale faced some pretty stiff opposition to some of the changes that she tried to bring about to cleanliness and lifestyle in improving the outcomes of soldiers. And that's just what's known and documented about her life. Never mind t...
  12. pebbles

    New Grad in ICU?

    This is a VERY common thread topic if you go back a few pages. You might want to look at some of the other "new grad ion ICU" threads as well.... It's a mixed bag and it really depends on the supports in place and the expectation of your employment....
  13. I'm an experienced nurse. The reason I don't post too much on this forum is that I have worked in the field of nursing for 11 years and reading all these threads on here is sometimes like reading work stuff. I'm on a couple other online communities ...
  14. pebbles

    Quality Improvement Issues

    I work in an SICU and our biggest problem is VAP....
  15. pebbles

    Leveling art line to tragus for cpp???

    Wow, am I glad to see this being discussed! I work in an SICU that has many neuro patients. About a year ago, one of our attending doctors who is an anesthesiologist, did a whole bunch of "teaching" on Rounds about leveling art lines at the tragus f...