LongislandRN23

LongislandRN23

Step-Down

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About LongislandRN23

LongislandRN23 has 5 years experience and specializes in Step-Down.


Latest Activity

  1. Not taking a break

    I make it a priority to take my lunch break- which is 1 hour and unpaid. I usually figure out what time another nurse can cover my patients and then prioritize from there, I will try and do as much of my documentation, clarification, ect prior to goi...
  2. Brain Death/Support

    Giving the gift of life through organ donation is really powerful, although emotionally taxing I try to leave my emotions and the job at the time clock when I punch out, doesn't always work but the emotional draining can be exhausting.
  3. I work in stepdown unit our ratio is 1:4, we never go over ratio since it is only a 8 bed unit with 2 RNs and an aid or Lpn. However different hospitals have different policies and criteria for their units. In my stepdown unit we only have vented p...
  4. EBP for not holding beta blockers

    All meds especially cardiac related should have clear and concise parameters in the orders. I always clarify with MDs if orders do not indicate parameters for bp/hr
  5. My hospital is unionized so there is a base salary for all new hires. Those with experience make a few dollars more as well as certifications and those with BSN/msn. All of these are clearly stated in the union contract so men and women are paid the ...
  6. Hosptial call out policy

    Some of these policies are absurd! My hospital recently implemented their "unexpected absence" policy which is basically the call out policy. We get 10 sick days a year as per our contract. As per our new policy if you call out sick twice within a 3 ...
  7. Too sick to leave AMA?

    In my hospital of a patient wants to leave AMA they have to be alert and oriented X4, be sound of mind and able to understand and make medical decisions. This is determined by the physician, and if the patient is deemed not competent they have to sta...
  8. Day 7: 2016 Nurses Week Caption Contest

    " how did that beer bottle get up there!?"
  9. Day 4: 2016 Nurses Week Top 5 Things Contest

    1. I have learned to leave my emotions out of the situation, because nursing can be emotionally exhausting. 2. People will surprise you in good ways and bad. 3. Always stand your ground and make your opinion known and verbalized when your intuition/...
  10. Day 6: 2016 Nurses Week Meme Contest

    " If you don't put this thermometer under your damn tongue,I'm going to intubate your ass"
  11. Day 1: 2016 Nurses Week Caption Contest

    " I am going to put this on your mouth, so I can pretend to hear your breathing!"
  12. Day 2: 2016 Nurses Week Fill In The Blank Contest

    "A dislodged new peg tube that the patient ripped out"
  13. Nurses not taking breaks

    I work on a busy telemetry unit, and we are assigned brakes at the start of our shift. I always try to plan ahead and resolve all issues/ discharges / admissions / meds to make sure everything is done before my break, I never intentionally leave work...
  14. Started a new faculty job...[rant/need advice]

    Honestly these sound like huge red flags! I would leave and like they said of there is a large faculty shortage then you should be able to get a faculty job elsewhere easily.
  15. A less stressfull career choice

    Nursing is an extremely stressful, labor intensive and demanding career. We are truly overworked and under appreciated. That being said --lunch break!? I haven't had a true one hour long lunch break in the past 2 years of my job (hospital step down u...