mlbnocnurse

mlbnocnurse

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About mlbnocnurse

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  1. For MD's I write Dr. _______, When referring to coworkers, I use 1st initial & last name, If I don't know (&can't find out) the last name, I chart first name RN (or RT or whatever applies). If any of my charting is used in court, I want to be...
  2. PCU/ICU Prioritization Tips

    Based on the very limited amount of info that you have been given, I would say that I would do exactly what your answer was. I find it hard to believe that prioritization is something that you need to work on so much. You have responded to the limite...
  3. Be My Friend at the End

    That level of caring is what makes a 'real" nurse. How sad for that family. I work in an ICU, we see that same lack of caring, concern, understanding (or whatever) from family members way to often. Our society does not accept death as a part of life,...
  4. Successful night shift stories...

    I have worked nights for 18 years. I chose to work nights because my choices were swing shift or nights (8 hr shifts). 11-7 worked out well for me, but my kids were 1st grade & up when I started. I slept while kids were in school, had time for af...
  5. Want to cry

    What you are feeling is fairly normal. Any ICU can get really intense. The most important thing is that you know that how much you still need to learn, you are not trying to work outside of your skill level. It will get better!! You will learn new sk...
  6. prioritizing

    There is no right answer to this question. It all depends on what is going on w/ each patient @ that moment. If the CHF pt is SOB w/ /low O2 sat, he/she will be a priority. If the CVA pt has an acute change in mental or neuro status, he/she would the...
  7. What will you do if they change the Ratios

    I am very involved w/ the CNA as a nurse rep @ my hospital. We just finished negotiating a new contract. I have been told NOTHING about any potential change in the ratio language. I have asked our union rep (he has heard nothing about it either). I t...
  8. Being put Oncall too often

    If you are working in a union hospital, check your contract. Most contracts have a provision that states being placed on call must be done in rotation. Most hospitals also pay a percentage of your salary for being on call. If your hospital is not uni...
  9. pressors and sepsis

    Hypotensive septic pts usually have a high HR already. Dopamine increases the HR. Levophed doesn't, making it the drug of choice most of the time, there is always an exception to the rule though.
  10. 3pm-11pm or 11pm-7am? Which one??? HELP

    If you have children, go for the 11-7 shift, 3-11 just doesn't work if you have children in school. I slept while they were in school, was awake for dinner, homework, after school activities, then put them to bed @ 8pm so I could take a nap before wo...
  11. I really, really, really can't stand female nurses.

    As a female I have got to say I do agree w/your statement that if nursing were male dominated the pay would be 1.5 x more, actually I think that it would be more than like 3x(but that is another argument). I also know that there are many MD's who res...
  12. Thank-you Son

    I to am sitting here w/ tears in my eyes. I too, was a single parent going through nursing school. Your essay echoed some of the things I told my 3 kids over our "champagne" One thing that you may not realize yet is that you have taught you son the v...
  13. A nurses Request

    I am sorry for the nights you had that lead you to write this, but I am glad that you did. This great! Every pt (& their family) needs to read this when they are admitted!!! Thank you
  14. The life of the child who dies because the car wash did not raise enough money to pay for needed treatment is more important than any profit an insurance company makes, or the bonus the CEO makes.
  15. HELP: state nurses' assoc. serving as bargaining agent

    I am a member of the CNA (CA Nurses Assoc), a union made up of staff RN's, not managers. I have negotiated 4 contracts @ 2 diff hospitals w/ a CNA negotiator's help. The negotiators have always been on the side of us nurses, & have done a great j...