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Been there,done that 60,188 Views

Joined Aug 4, '09. Posts: 5,836 (74% Liked) Likes: 23,345

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  • 3:46 pm

    Now you know. Never call in for inclement weather..just call in sick.

    P.S. Get new tires or a SUV.

  • 3:30 pm

    35 years of experience and retired for 2 months.
    My current nightmare is ... I can't find the door to get out at shift change.
    What are your nursing nightmares?

  • 2:35 pm

    Quote from meanmaryjean
    I have the first one with the addition of I cannot locate their room. And then there's the one where I have to pee and the bathroom is out of order and I am trying to climb over the bedpan hopper thing...
    That's another dream... have to pee, no time.. no place. Luckily.. I can still wake up and make it to the toilet. So far..so good, it's only 10 feet.

  • 2:16 pm

    Quote from HMartinho
    Protocols!! This is why I love protocols. Protocols just keep us from look like a complete idiot, and use our own brain.

    Yes, oxygen is a drug, but, for real, are you telling me that I need to call a doctor every single minute, to titrate oxygen on my patient? Are you serious?

    Most doctors who I work with (and most of them are really nice), will throw me under the bus, if that's the case. Obviously, if I feel that my patient need an high flow oxygen device, or he/she is getting unstable, I call the MD for sure.

    In my 2 current jobs (ER, and prision), we have protocols for almost everything. Pain management (except opioids), chest pain, trauma, altered mental status/agression, asthma, possible anaphylaxys/angioedema, shock, Dyspnea, hypotension, fever, etc etc.

    In my last job (nursing home), the doctor's staff had the iniciative to create some protocols as well, just to avoid calls for some "stupid" things: "Hey dr. XXX, it's nurse YYY, I apologyze to bother you so late, but I just check the temperature on Mr ZZZ, and he had 38.5 ºC. I just check your orders and I don't see any acetaminophen prescribed. I wonder if I may give some??"

    Give me a break.
    I will give you all the breaks you need, the lawyers, not so much.
    Unless you have a standing order, you can not give Tylenol or change an oxygen order. It is called prescribing, nurses do not have a license to do that.

    CY your A.

  • 12:57 pm

    35 years of experience and retired for 2 months.
    My current nightmare is ... I can't find the door to get out at shift change.
    What are your nursing nightmares?

  • 12:17 pm

    Quote from TriciaJ
    I, too, just retired two months ago, and it's been ten years since I worked med-surg. But right up until a couple of years ago, I would frequently have the forgotten patient dream. I'd dream that I was back on my old floor, and at first I was really happy to be there. Then I'd realize it was nearly end of shift and I had one patient I hadn't even looked in on. I don't even know if he's still alive. Then I'd think to myself "Gosh, I've dreamt this so many times, I can't believe I've actually gone and done it this time." I'd be so surprised and relieved to wake up and find out this, too was a dream.

    The other dream is that I'd have to leave my unit to go on some errand and I could never make it all the way back. Sometimes I'd find myself on foot, miles from the hospital.

    Luckily I don't have those dreams much anymore.
    Both ...classic work nightmares! I actually did the "one patient I hadn't even looked in on" thing in real life (screwy assignment). Patient was a nurse and said something 6 hours into the shift.

  • 11:34 am

    So far retirement is my favorite .

    I agree with you. My other favorite was catching something that the doc missed. Once did my assessment 5 minutes after the doc. She charted, lungs CTA bilaterally. I could not hear anything on one side. Chest tube was in one hour later. Gotta love those saves.

  • 10:53 am

    Quote from TriciaJ
    I, too, just retired two months ago, and it's been ten years since I worked med-surg. But right up until a couple of years ago, I would frequently have the forgotten patient dream. I'd dream that I was back on my old floor, and at first I was really happy to be there. Then I'd realize it was nearly end of shift and I had one patient I hadn't even looked in on. I don't even know if he's still alive. Then I'd think to myself "Gosh, I've dreamt this so many times, I can't believe I've actually gone and done it this time." I'd be so surprised and relieved to wake up and find out this, too was a dream.

    The other dream is that I'd have to leave my unit to go on some errand and I could never make it all the way back. Sometimes I'd find myself on foot, miles from the hospital.

    Luckily I don't have those dreams much anymore.
    Both ...classic work nightmares! I actually did the "one patient I hadn't even looked in on" thing in real life (screwy assignment). Patient was a nurse and said something 6 hours into the shift.

  • 10:52 am

    Quote from Hygiene Queen
    I took care, my friend. I quit.
    Quitting does not treat PTSD. Dream on.. hope they are good ones.

  • 10:06 am

    Quote from HMartinho
    Protocols!! This is why I love protocols. Protocols just keep us from look like a complete idiot, and use our own brain.

    Yes, oxygen is a drug, but, for real, are you telling me that I need to call a doctor every single minute, to titrate oxygen on my patient? Are you serious?

    Most doctors who I work with (and most of them are really nice), will throw me under the bus, if that's the case. Obviously, if I feel that my patient need an high flow oxygen device, or he/she is getting unstable, I call the MD for sure.

    In my 2 current jobs (ER, and prision), we have protocols for almost everything. Pain management (except opioids), chest pain, trauma, altered mental status/agression, asthma, possible anaphylaxys/angioedema, shock, Dyspnea, hypotension, fever, etc etc.

    In my last job (nursing home), the doctor's staff had the iniciative to create some protocols as well, just to avoid calls for some "stupid" things: "Hey dr. XXX, it's nurse YYY, I apologyze to bother you so late, but I just check the temperature on Mr ZZZ, and he had 38.5 ºC. I just check your orders and I don't see any acetaminophen prescribed. I wonder if I may give some??"

    Give me a break.
    I will give you all the breaks you need, the lawyers, not so much.
    Unless you have a standing order, you can not give Tylenol or change an oxygen order. It is called prescribing, nurses do not have a license to do that.

    CY your A.

  • 8:50 am

    That was now YOUR patient, you acted correctly.
    Your co-worker does not administer /or seek pain control for sickle cell patients. YOU must write Nurse Ratchet up.. and advocate for future patients.

  • 8:08 am

    Quote from meanmaryjean
    I have the first one with the addition of I cannot locate their room. And then there's the one where I have to pee and the bathroom is out of order and I am trying to climb over the bedpan hopper thing...
    That's another dream... have to pee, no time.. no place. Luckily.. I can still wake up and make it to the toilet. So far..so good, it's only 10 feet.

  • 2:50 am

    35 years of experience and retired for 2 months.
    My current nightmare is ... I can't find the door to get out at shift change.
    What are your nursing nightmares?

  • 1:54 am

    35 years of experience and retired for 2 months.
    My current nightmare is ... I can't find the door to get out at shift change.
    What are your nursing nightmares?

  • 1:49 am

    Quote from DoeRN
    I had a nightmare about projectile vomit landing on me.
    Hah.. small stuff... had my kids and patients barf in my hair.. no biggie.. was not even a dream.


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