evilolive

evilolive BSN, RN

Cardiac/Step-Down, MedSurg, LTC

Member
  • Content

    193
  • Visitors

    5,019
  • Followers

    0

About evilolive

evilolive has 6 years experience as a BSN, RN and specializes in Cardiac/Step-Down, MedSurg, LTC.


Latest Activity

  1. Stopping patient care for another patient

    I would have done the same thing as the OP. How would it make the resident feel if the nurse dropped what she was doing for patient care for a pain med that could wait 10 minutes or so? If I were a resident receiving incontinent care, or having a dre...
  2. Giving/getting report

    Diagnosis, pertinent history, ambulation, treatment plan, and discharge plan are my necessities. It's a bonus if you tell me what fluids they're on, and how they take meds (I take a lot of medical overflow, and it would be nice to know if I need to b...
  3. Need help with labs!

    Electrolytes, Mag, Phos, CBC are the ones I see regularly on a telemetry floor. If you use a computerized system it may give your facility's lab value range when results come back, which makes reading them easier. Always know your facility's high/low...
  4. Med/Surg vs. Cardiac Stepdown?

    I work on a stepdown unit now, and started with med/surg prior to transferring. The telemetry experience can only benefit you in looking for positions down the road! We have a lot of med/surg overflow, and patients who really have a lot of co-morbidi...
  5. D-ring on scrub pants?

    You know, I never thought about that D-Ring until you brought it up! Maybe if you had a few items on a carabiner (like scissors or hemostat) it would come in handy. I never liked that much stuff banging against my leg all night though!
  6. Filter needles for glass vials?

    Very infrequently do I have to use filter straws, but on the rare occasion when I have to draw up phenergan, I always use one. I remember when I did a L+D rotation in college we used them frequently to draw up Vitamin K. For some reason, there are a...
  7. Being threatened with physical abuse. I am generally the "nice" nurse, but if you make a fist at me, get ready to hear me get very serious.
  8. One thing I thought about when I heard about the reimbursement issue: I only fill out surveys when I feel as if I have had sub-par service. I know this is only my personal opinion, but I feel the need to vent and complain about things I don't like. I...
  9. Never stop asking questions
  10. Love for med surg

    I think you'd succeed in critical care by starting in med-surg. With med-surg, you'll learn a lot of the basics, and a ton of skills over the course of a year or two. If you have the basics under your belt, my thought would be that you'd transition e...
  11. First time as a preceptor

    Oh god no, that is just a mistake waiting to happen for the both of you. I have precepted two new grads in the past year, and we have shared the same patient assignment of 5 each time. You are responsible for teaching the new grad the ropes, and alth...
  12. For the first 16 months or so of my current job, we had this glorious, convenient way of communicating with whatever in-house hospitalist was covering our unit - The Text Page. With The Text Page you could send a nifty little message to Dr. to get a...
  13. Peeves at work

    1) IV tubing that has an alcohol wipe wrapper covering the end instead of a sterile cap 2) Overflowing linen/trash cans 3) When the new lady in material services reports our night staff for "refusing" to use a program we haven't been able to log in t...
  14. Night shift and Sleeping

    In three years of working nights I've never taken a nap. I believe there was one night when I laid my head down on the nurses' station for about 4 minutes, but then couldn't even think of closing my eyes. I don't get a "paid" lunch break, but I usual...
  15. Nurse-Patient Ratios on East Coast

    I work in CT on a medical floor. 5 patients per nurse at night max for my floor (we have 15 patients). The acuity ranges from "walkie talkie" ready to be discharged to ICU transfer who still looks like they're going to require a ton of care. It reall...