OnceMorewithFeeling

OnceMorewithFeeling has 6 years experience.

Latest Activity

1. Open visitation in the ICU

   OnceMorewithFeeling replied to Mini2544's topic in Critical

   We actually recently went in the opposite direction in my unit. It used to be a free-for-all. We are now a locked Unit with an official visitor policy--three visitors at a time, visits discouraged/restricted after 2100. For critical or dying patients...

2. Why do we do codes?

   OnceMorewithFeeling replied to scrubs0204's topic in General Nursing

   I think that we need to remember that the term discharge” does not mean discharged back to home, fully functioning, baking muffins for the grandkids.” Discharged simply means discharged from the hospital, and it often also means that the patient ...

3. Doctor's lying about telephone order

   OnceMorewithFeeling replied to Irabee's topic in General Nursing

   100% this. You must document your phone orders. If you work in a facility where the phone orders you take later get disputed, this will protect you.

4. Starting in ICU

   OnceMorewithFeeling replied to Tacomaboy3's topic in Critical

   I was a new grad in the ICU. How did it go? Not so good at first. Orientation and the initial year after orientation was pretty terrible. For both me and my patients, honestly. I should not have started in my ICU--I had zero health care experience, n...

5. RN recovering from perfectionism burnout seeks experienced ICU advice

   OnceMorewithFeeling replied to Good_day's topic in Critical

   I wonder, is your perfectionism internally or externally motivated? Did you feel bad because you thought you should and could do better by your patients, or because your colleagues pursed their lips at a bath you couldn't get done d/t an unexpectedly...

6. Repealing ACA

   OnceMorewithFeeling posted a topic in Activism

   I have been closely watching both the House and Senate's efforts to repeal the ACA. As nurses, we are on the frontline of our nation's health care delivery system, and it seems to me that we have a lot to add to this issue. Questions: 1. How would yo...

7. Not taking a break

   OnceMorewithFeeling replied to Yellow90's topic in General Nursing

   So, when you don't get an uninterrupted break are you paid for that time? 30 minutes unpaid three times per week = 1.5 hours. 1.5 hours times 52 weeks per year = 78 unpaid hours

8. Does this feeling ever go away?

   OnceMorewithFeeling replied to ps3114's topic in General Nursing

   I have been an RN in an ICU for over six years. I have never, once, not felt "behind." I am always anticipating. Once the "expected" anticipations are resolved, my mind wanders. Even on the rare days that I am 100% caught up on charting, and my patie...

9. Not taking a break

   OnceMorewithFeeling replied to Yellow90's topic in General Nursing

   Seriously though, I get real twitchy about the whole "lunch" break thing and what it is. If you get a free, totally uninterrupted thirty minute break from your duties, that is an unpaid lunch break. You are able to do whatever you wish during that ti...

10. Not taking a break

    OnceMorewithFeeling replied to Yellow90's topic in General Nursing

    Breakfast break? Is this a thing? Where do nurses get this?

11. School verses Real World

    OnceMorewithFeeling replied to Sage611's topic in General Nursing

    I did not find school hard, but I found it very, very time-consuming. Keep in mind, I did not have a husband and kids like you do, so it it will be different for you--it might be hard, depending on your other obligations. I did evolve into a good nur...

12. Question about fent OD?

    OnceMorewithFeeling replied to benmca13's topic in CCU

    benmca13, I hope you read all of the replies to your post and learned something new. I just wanted to the highlight one portion of your post that I thought was the most important, and the one we should all remember: "She was A/O x3 on days but when I...

13. New Charge Nurse

    OnceMorewithFeeling replied to Chilled1121's topic in Critical

    No, this is not okay behavior. Assignments should be based on what is best for the patient--who has had this patient before and therefore knows her/him, who has the skills/knowledge this patient needs...etc. On occasion, we will have a patient in our...

14. How do you deal with unexpected death in the ICU?

    OnceMorewithFeeling replied to YP CVSICUnurse's topic in Critical

    You did nothing wrong. You had an incredibly busy day by your account, and were still thoroughly attending to this patient. Even after the fact, you can account for his vitals, his gtts, his mentation...etc throughout the day. You did all you could f...

15. Question about fent OD?

    OnceMorewithFeeling replied to benmca13's topic in CCU

    Based on the information you have provided, I do not think a fentanyl overdose is the culprit here. But, I am concerned about the management of this patient.