Biffbradford 8,539 Views
Joined Sep 23, '10.
Posts: 1,117 (48% Liked)
There are times though, when patients ARE on their lights too much. Their families tend to their every whim in day to day life, and now it's YOUR turn.
"Oh, straighten the wrinkle out of the lower corner of the pillow. Nooo ... the other side!"
"Okay, wait, don't go away .... give me a minute to see if that's okay."
Here's your Percocet, it's time for you go for a walk in the hall. When you get back, brush your teeth and sit in the chair for a FULL HOUR to do your coughing and deep breathing.
I know, that's not the case every time, but there are times when you need to lay down the law. It's your job to help them get better, and if it's a kick in the a** they need ... then that's what you give them.
When they've done their part, then I'll give them a back rub. Not before.
I stop being a nurse the second I leave the hospital. My job is not who I am, or even a part of me. Who I am is reflected in my job though.
I am not new to the health care, CNA, LPN, RN world. Really? Is this common practice where you work?
My first post here because this topic fits my situation perfectly.
I worked in a local CVICU at one of the major hospitals here for 12 years. We took care of anything involving surgery in the chest: CABG, valves, aneurysms, lung transplants, heart transplants, VADS, Total Artificial Heart, EVERYTHING. In addition, the nurses were all trained in ventilators, IABP, CVVH, about 7 different VADS, ECMO, cryogenic therapy after MI's, the works! I floated to all the other ICUs (cardiac, medical, neuro). The unit had always had a high turnover rate, so being one of the more senior nurses, I kept getting the harder assignments, and they just kept coming. We had some pretty tragic deaths, some real ugly post-ops, and having surgeons that were, quite frankly, mentally handicapped when it came to working with others, it all just built up to be too much. I was also working 3rd shift. I couldn't sleep anymore, wasn't eating right, had no energy to exercise at all ... so I gave my 3 week notice and split. My manager never said a word to me. I worked there for 12 years and I never even got a "Later!" My co-workers were great though and very supportive (take me with you!), and while I hated to leave, I'm glad that I did. The hospital paid me my 400 hours of vacation time that they would never give me (no, we can't give you a week off. You can have Wednesday off, but you'll have to work Saturday!) and I used most of my savings getting my health back (mental and physical). It is such a shame to put all that experience to waste (+ getting my BSN), but the hospital does NOT CARE. New nurses are cheaper to pay wages for, plus - get this - recently the hospital has been firing doctors for low productivity! Yes, the hospital is so big, that it bought out all the physician practices so now the hospital owns the MD's. If you don't bring in enough really sick patients to make lots of money ... out you go!
Anyway, I've spent the past year and a half scraping by making a living doing photography which I really love. However, with the economy the way it is, it's just not cutting it. I've kept my nursing license current and am now considering applying to the same hospital to work in the hyperbaric chamber / wound care unit. I don't think too many people die there. I need the insurance coverage and the pay would still be pretty good, but again it's back to every other weekend and ?? holidays. In the CVICU I swear I worked 3 out of 4 weekends and 80% of the holidays because "We need machine nurses!" (new RN's don't learn all those machines immediately). I'm NOT looking forward to that.
So, there's my story. Maybe I'll do it for a year and bail. We'll see. I'll get my resume together tomorrow and decide by Monday. Maybe some other job option will pop up in the mean time.
You go shopping at Walgreens and someone opens a fire door out back or something and you think they just called a code!!
What I have read on Indeed about coding is that medical records is eating into that profession. Even very experienced coders are having difficulty finding work.
No I would not. Easy answer.
Came home from night shift. Plopped down in the chair, turned on the TV to watch the news and saw the second plane hit live. Got to bed late that day.
The only thing that really gets me is GI bleed, like has been bleeding for days/weeks. I once had this little old lady from a nursing home, bil AKA, GI bleed, and very dead. She coded at the nursing home and was not revived enroute or in the ED. I tried to clean her up before taking her to the morgue. Oh my. Every time I would roll her over to put the body bag under her, more horrible smelling GI bleeding diarrhea would come out. Finally after running out of the room gagging (and laughing) about 4 times, I put a towel under her buttocks and zipped her up and took her to the morgue. It was unreal how bad the whole ER smelled for hours after that!!!
Great post. Had to look that one up! Genetic huh? So, so there is no 'cure' just 'management'.
Found this link: http://ghr.nlm.nih.gov/condition/cyc...atient+support
The place to start is with the emergent:
Ventricular tachycardia (VT, Vtach)
Ventricular fibrillation (VF, Vfib)
3rd degree block
Superventricular tachycardia (SVT)
Atrial fibrillation with rapid ventricular response (Afib w/ RVR)
Don't get too hung up in all the details. Be able to spot these and know the treatments and you'll cover >95% of the cases.
And recognize that the monitors have pretty good algorithms to spot the lethal rhythms.
If the rate is greater than 50 and less than 110, it's not likely to be an emergency.
Start with Thaler's book and go from there.
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