midnightRN

midnightRN

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About midnightRN

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  1. Showing up to work SICK

    I prefer to stay home when sick; I think most of us do. However, a lot of us are limited by unrealistic work policies. At my place of employment, we are allowed five days a year before diciplinary action commences. Not very realistic when you conside...
  2. On the med/surg floors we have up to 6 on days and pms, then up to eight or nine (rare, but possible) on nights. In the ER we have 12 rooms and typically 2 RNS, a tech, and a triage nurse if it's really busy. ICU will have 1 or 2 ICU patients, or up ...
  3. Should I or Should I not is the question!

    It is scary, realizing you are responsible for several patients. I started on the night shift and had 8 to myself within a month. Did I make mistakes? Yep. Fortunately, they were minor and easily corrected. On days at my workplace we generally have 5...
  4. Union?

    I do know the union in question has a long history of representing nurses. They have represented another local hospital for quite a few years. The other hospital's nurses are very satisfied, from the few nurses I know that work there. I'm interested,...
  5. Union?

    Hey all. I have a question about unions. What are the pros and cons of a nursing union? I'm not familiar with them at all.
  6. How would you handle this and what is your opinion?

    I've got to agree with everyone else. This doc's behavior was wrong. I've never has to refuse a procedure (would have refused this one), but I've had to politely state "Dr. I think the patient needs something for pain," during a chest tube insertion....
  7. When do you start feeling like a RN

    I'll let you know when I get there! Most days I leave work and think about what I should have done, and will do next time if...I can say I always do my best. I've been a nurse a little over a year. Some misguided knucklehead nominated me for a "nurse...
  8. From psych to med-surg??

    Don't be discouraged! I'm planning on going into psych when my contract is up. Truth is... psych issues are everywhere, in almost every patient! Just last night I took care of a guy going through DT's in ICU. I get the same kind of feedback, but I li...
  9. From psych to med-surg??

    I read the post and thought I'd reply. I have been an RN for a year. Like you I LOVED psych in school, and was also told I did really well there (they offered me a job). Because the facility was 50 minutes from my home, I started in a local hospital ...
  10. I feel soo bad

    Isn't it the truth about that darn toilet! I had a patient who stopped breathing while on the toilet. We carried her back to bed, and a sternal rub later, she "pinked up" and resumed breathing before the code team got to the room. The first death is...
  11. What path to nurse practitioner?

    I've been a nurse for about a year, and am pursuing a NP degree, though I won't attain it until at least 2009. I work on a med/surg floor, and would suggest it as a place to start. The reason I do is because here you see a wide variety of the conditi...
  12. Introductions

    Nursing is a great place to be right now, and we can always use more men in nursing. Good luck in your career
  13. Routine assessment on night shift - how thorough?

    I'm on night shift, and wake up my patients do an assessment. The question is when. I work 12 hr. shifts and if I have not seen them at 7pm, then I wake them at 2330-0000, to make sure everything is as it should be. I do a an assessment focused on th...
  14. Need advice and reassurance on a bad situation.

    Thanks. I don't trust my instincts enough. I also charted everything. I wish I'd been a better pt. advocate. I can promise I will be next time. Sincerely, Anna
  15. Here's the story... At 2330 I picked up 2 pts. on my m/s floor giving me 8 total. My pt. b. after assessment showed these abnormals: BP 60/30, R 28, P 89 apical and irregular, peripheral pulses weak but palpable. Pt. denied any s/s of hypotension, pa...