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lhflanurseNP, MSN, NP 10,766 Views

Joined Jan 6, '13. Posts: 621 (40% Liked) Likes: 482

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  • Dec 4

    First never post or take a picture that you would not want the entire world to see. All it takes is one of your friends to share or copy your picture. A picture of you on the pole is not very professional even if it is a fun thing (which it is very fun) but future and even current employers will use it against you!

  • Dec 3

    That is tough to find. Most of those types of practices just have a provider level person and "assistants". Don't want to pay RN's unless they are doing IVstuff that may or may not be acceptable RN practice.

  • Nov 28

    Jules, you're in for a long gripe session, lol.

    Here's my take. It's probably a generational thing but I'm noticing a lot of the new grads (who are typically millenials) do tend to require more hand-holding and coddling (experienced as RN or not).

    There is that air of entitlement of "I deserve this job", "I don't need to work that hard", "I can't handle night shift", etc. I also notice a big deficiency in the ability to critically think (i.e., slow thought processing in putting together a coherent, organized, and elegant presentation of patients on rounds, difficulty piecing together the summary of the patient's clinical picture).

    On top of that, it takes them hours to finish a freaking H&P which leaves them unable to do any other work. And you know what, I've observed that it doesn't matter whether they graduated from Ivy League or Podunk State U. We've let go of a few new hires actually for under-performance.

    So that's it and that's not really a long gripe but I'm sure I'm going to ruffle some feathers. If it's any consolation, I don't know what my seniors were saying about me when I was new myself.

  • Oct 29

    Metal bedpans, urinals and emesis basins which were gathered up by the night shift and put in the bed pan hopper in the dirty utility room every day. I also remember burning my fingers more than once taking those things out so we could slip the sterilized ones into a paper cover, pile them on a utility cart and trundle them down the hall to the clean utility room or put them back into the bedside tables in the patient rooms.

    Stock meds on every floor. The metal pill trays which had a hole for the pill cup and a slot for the med cards for that pass. It was sort your med cards pulled from the kardex before each scheduled pass by patient name, check them against the kardex, correct the cards if changes had occurred ( and grumble under my breath that the other shift didn't update the cards), go into the med room and pour the meds for each patient and line them up on the pill tray. Take said tray, put it with water, food if necessary, tongue blades and some paper towels and off down the hall to pass the meds. Yes we carried the tray into each room, put the pill cup into the patient hand, gave them some water and watch them take their meds. Repeat until complete. Then chart said meds on the MAR

    Using this system I could pass po meds to 25 people in under 45 minutes & the whole prep for said 25 people took me maybe 10-15 minutes max. Using today's system....much slower especially if an automated dispensing system is used.

  • Oct 29

    Putting blue dye in the tube feeds so you would know if you were suctioning food from the lungs, also the green poop that it gave.

    Painting decubs with betadine and using a blow dryer to dry it on.

    Mixing your own 20 of K into your IV bottles, and putting a strip of tape down the side of the glass so you could make sure you weren't ahead or behind on your hourly rates.

    Boards only offered twice a year, 5 separate exams (OB, psych, medical, etc.), took two days, had to have your diploma in hand to go into the exam hall; no make up until 6 months later, waited for your results in the mail for at least 6 weeks. If you didn't pass, couldn't work as a grad nurse, which means you promptly lost your job. My head nurse was waiting on the floor for me and my (passing!) letter the next day, as I got off the elevator.

  • Oct 29

    Rotating tourniquets for pulmonary edema.

    Endless iced saline lavage for ugi bleeds.

    Paraldehyde given rectally for DTs - with a glass syringe because it melted the plastic ones.

    Using those Byrd respirators to give IPPB treatments: kind of a bipap with meds added - including mucomyst (pew!).

    q2hr sippy diet feedings.

    Blenderised tube feedings: real food run thru a blender like baby food.

  • Oct 29

    IVs connected with needles instead of claves. IVP meds were given via syringe with needle into a hub. Needleless systems unknown.

    Potassium kept concentrated in the units.

    Continuing Ed consisted real classes and skills days instead of computer classes.

    DAR and SOAP charting.

    IV lines flushed with saline , then heparin, they were called heplocks, not saline locks.

  • Oct 29

    Flat, non-fitted sheets, fingercots, Bird respirators for breathing treatments, tincture of opium.

  • Oct 29

    I'm surprised no one has mentioned glass IV bottles.
    Having to adjust IV flow rates using a roller clamp & your watch.

  • Oct 29

    Polishing my white Clinic shoes and scrubbing the laces before clinicals. Yes, they were inspected.
    The addressograph machine
    Hand crank beds (in other words, the patient could not raise/ lower their head themselves)
    OB before epidural anesthesia

  • Oct 29

    Charting in different color ink for first, second, or third shift.

    Clipboards at the foot of the bed for rounds.

    Giving up your seat to the doctor. My first preceptor post RN obtainment insisted on it and some docs at that hospital expected it. The surgeons called the surgical floor "God's country." (verbatim).

    Going by your title and last name "Nurse Shadow." (I kind of liked and miss that.)

    Kardexes when done correctly were the bible of the patient's plan of care (both medical and nursing).

  • Oct 28

    Having had some fail when tested with preinflating, I intend to go on doing so.

  • Oct 26

    Glad you feel better about sharing that. Hope nobody from your school sees it ...

  • Oct 24

    I would make sure you're documenting everything clearly: "Notified Dr. Jerk of CO2 result, requested anesthesiology be notified. Anesthesiologist paged. See new order from Dr. Sleepy."

  • Oct 24

    Is it too late to drop the class and get a withdraw? If so, that might not be a bad option. I'm not in the habit of dropping classes, but you have three difficult classes going on at once and it might be a bit much. You might do better at Chem if you don't have stats and A&P II to compete for your mental capacity.