NurseExec

NurseExec

Geriatrics, ICU, OR, PACU

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About NurseExec

NurseExec has 21 years experience and specializes in Geriatrics, ICU, OR, PACU.


Inpatient case manager for skilled nursing facilities for a large health plan. Formerly DON in SNFs. Spent 8 years as an open-heart recovery nurse, also worked in trauma ICU and OR. I've lived from FL to AK, and points in between.

Latest Activity

  1. Nurses struggling with mental illness

    Take the time off. Be selfish, or self-caring if that suits you better. Get your meds right, so you can be the other things in their time. After I was diagnosed, I took almost a year off to get everything squared away. I'm glad I did. This recen...
  2. Nurses struggling with mental illness

    Newly diagnosed, and your psych won't see you until January? You should be being seen every week to two weeks, and getting your meds tweaked based on how you're feeling. Have you considered changing? I personally love psychiatriac ARNPs--I've been...
  3. Nurses struggling with mental illness

    I have akasthisia from my Geodon as well, although not as severe as what I had with Abilify. I'll probably end up on Cogentin, considering I haven't been able to tolerate any of the other AAPs. It can be managed.
  4. Nurses struggling with mental illness

    I've been away for awhile. It's been a rough few months, and I just wanted to check back in. I have bipolar I, rapid cycling, mixed state, and after I had gallbladder surgery I ended up in the mother of all mixed states. Anesthesia and lack of med...
  5. In your LTC dining room

    I don't staff a nurse in the dining room. I have three aides there, they are CPR certified, and there is an emergency paging phone on the wall. The dining room isn't so far away from the floors that a nurse couldn't be there in under 15 seconds.
  6. That's sort of like insisting people call you Dr. So and So, when you have a PhD in Llama hearding or somesuch, isn't it :)
  7. How do you address your patients?

    I grew up in, and live in the south. We use Mr. or Miss followed by the first name. Miss Mary, Mr. John. I also Ma'm and Sir everyone older than me. I remember learning this at a very young age--not addressing anyone older than you in this manner...
  8. Bipolar Disorder and other Psych DX

    I am a Director of Nursing who happens to have Bipolar Disease Type I. My fellow department heads, as well as my Administrator are all aware of my disease, and are very supportive. I have chosen not to disclose to my employees at this time. I also...
  9. Please help me come up with a name for a New LTC facility!!

    Think about something local for your facility--something that evokes "home" for the elders living in your local area who will become residents.
  10. Alaska Nursing

    I lived in Eagle River (just north of Anchorage) and worked at Alaska Regional in the ICU/CCU from 1997-2000. At that time, it was a great unit to work in, and I had nothing but good experiences with the hospital. We did quite a few open hearts, an...
  11. I am BP1, and I take: Seroquel 450mg at HS Lamictal 200mg BID Effexor 75mg BID Neurontin 300mg at 5p and HS I've been on the Seroquel/Lamictal/Effexor combo for about 5 years, and recently added the Neurontin for breakthrough hypomania in the evening...
  12. Accuracy with new admissions!!

    We use case studies to do admissions teaching. We spend an entire day of orientation on admissions and discharges. Then, they do both during their floor orientation. If they are having trouble after that, the unit manager goes through it with them...
  13. You didn't say whether or not the BON had put you in a nurse recovery program (a diversion program). Each state has their own time frame. Where I live, it's a 5 year program, after you attend rehab. You can work, although you may lose the keys for...
  14. Monthly MAR/ TAR order checks

    Here's what we do: 1. The desk nurse takes off the days orders and during the transcription process, updates both the computerized order system and hand updates that month's POS/MAR/TARs. 2. The night shift nurses check each chart and make sure the...
  15. It's about time. It's been a 20 year long fight. I look forward to not having to "ration" the number of visits I can make to my psychARNP for a change!