Thedreamer

Thedreamer

PCU/Hospice/Oncology

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About Thedreamer

Thedreamer has 4 years experience and specializes in PCU/Hospice/Oncology.


Im a kid at heart

Latest Activity

  1. how do you night nurses do your assessments?

    Just make sure you do your assessments after youve gotten report.
  2. Patient and family priorities

    I had a lady being admitted for low H/H and Afib new onset, 88 y/o to my PCU. CRX/CT = r/o CHF + she had pleural effusions. All her sitter cared about? When is she getting a dinner tray? I was just floored. The lady is just got to my unit, shes con...
  3. Enough is enough- taking back our profession

    I think the gist of this was, "I like turtles."
  4. Run. Its just a SNF. Its not worth your license.
  5. Please take our burnout survey

    I got lucky in that regard... 5-7 patients on PCU though is NOT fun!
  6. Please take our burnout survey

    I wrote that new nurses should try to find a unit that they sense an openness and teamwork atmosphere. Feeling alone on the floor and stressed is the fastest way to burnout city!
  7. Please take our burnout survey

    Done and done!
  8. Do I have to train for a new job on day shift?

    To be honest, on our unit we have a saying, Day shifters can do nights but night shifters cant do days. Day shift is a fast pace, procedures happen, Drs need to be called, family is there.. Theres just a LOT of action going on that needs to be manage...
  9. Considering her age.. who cares? Its ONE freaking vicodin every 4 hours. I have patients with the Fent patch, Dilaudid q3 and Benadryl q3 that are young. Shes probably not even getting a "buzz" from the pill because shes actually feeling PAIN. When y...
  10. Anyone ever ask for more orientation?

    Orientation should be you following the same nurse for a few weeks. Thats my solid opinion on the case. Being tossed around from nurse to nurse only confuses you since you arent seeing a consistent work flow. It also has the issue of comfort. A new f...
  11. From what the nurses on the floor are telling me, online is a LOT more writting, but I think all in all it equals out to the same effort.
  12. Patients' "home remedies"? What have you seen

    Patients family "prayed" for the evil spirits to leave thier son (26 years old) so he wouldnt be diabetic. Guess who came in DKA?
  13. Criteria for Giving IV BP Meds?

    We had a lady come in with persistent N+V, throwing Irregular rythyms, BP, the whole 9 yards. Once we got her to stop vomiting and got the stat labs back.. potassium was 2.5! Eek! Gave her some NS with K20meq and few days later had her outta there wi...
  14. Criteria for Giving IV BP Meds?

    Yea, treating that underlying should paint a better picture to work with. Maybe some Zofran IV to help with the N+V, see if the BP comes down, check out what the CBC looks like, maybe get a BMP or CMP. Hopefully after that the BP comes down, VS get t...
  15. Criteria for Giving IV BP Meds?

    So call and get the order changed. Nurses are problem solvers as one of our many hats. True we dont know the entire situation but I see lazy nursing every day on my unit. As a patient advocate sometimes we need to "suggest" to the Dr what might be be...