Vanilla101

Vanilla101

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About Vanilla101

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  1. Bad preceptors and the demotivated state of nursing.

    I've worked in large teaching hospitals for most of my career, and have been a student, a preceptor & a clinical instructor at both the undergraduate & graduate levels. I've been seemingly drafted into both precepting & into being a clin...
  2. No pump, no drip rates - OR

    Before pumps, Dial-a-Flows were the BOMB! The first generation of pumps only measured rates in ml/hr. Weight based drugs had to be calculated by hand, fortunately pocket calculators had been invented by then. The current pumps that have the formula...
  3. Nurse residency programs--be aware!!

    When applying for a new job, the hiring hospital will call HR of the former employer. HR will let the hiring hospital know if the candidate is "eligible for rehire". Its basically a way of finding out if the employee has been fired. Hospitals chec...
  4. I don't want to clean poop

  5. I don't want to clean poop

    "Truthfully most nps never clean poop." I was an NP for 8 years in acute care. While I didn't clean poop regularly, I would offer to help. I also got the job of disimpacting every patient who needed it. Every single patient. I'm in a unit based...
  6. I don't want to clean poop

    I find it amusing that she is going into psych to avoid cleaning poop. In med/surg/icu at least poop (and most other bodily fluids) is mostly found in one predictable place. If she has kids or wants them, she'd better get used to being on the poop/...
  7. My preceptor is everything they taught us NOT to be...

    The standard process for orientees in virtually all hospitals is to have regular meetings with your preceptor & a representative from your units leadership. At these meetings issues in practice may be discussed, and you will always know where yo...
  8. Every other weekend & holidays??

    Is this a joke letter? Why didn't you go into teaching? If you are unwilling to do weekends/holidays, you probably won't get a job. These jobs go to experienced nurses. Oh, get ready for night shift as well.
  9. Anatomy of a Code

    It's why mock codes are so important. The room doesn't need to be full, the room should be clear of extra people. It's more help to the team, especially when (as the author noted) the other patients on the unit, especially the roommate of the patie...
  10. What can I do to these scrub stains? Help Me!!!!

    For an extra whitening boost, use blueing. It's in the laundry section at the supermarket, look for it carefully, it's one of those things that's hidden away and there are usually only about three bottles. Follow the directions CAREFULLY!
  11. Rookie ICU Nurse Headed Your Way

    First thing, travel light, everything should fit in your pockets. I recommend a stethoscope. Second, a penlight. There are some nice ones for physical exams, but I assume you will be working nights as a newbie. A small, but not too small, maglite...
  12. Do you chart lies?

    My mistake, I should have clarified. To decrease self extubations, in restrained or unrestrained patients, there also must be other interventions put in place by the team, such as sedation vacations and respiratory driven protocols. With the use of...
  13. Do you chart lies?

    "I don't believe a single nurse, save possibly the ICU, who doesn't admit to "copy paste". Trust me, it's done in the ICU. It's not considered illegal if the nurse accurately documents changes from the previous assessment by changing what they wro...
  14. Do you chart lies?

    About self extubations: it's been shown in the literature that unrestrained patients do not have significantly higher rates of self extubations than restrained patients who use all sorts of creative maneuvers to get the tube out. They will shake the...
  15. Dealing with calls from work

    Trust me, management/administration doesn't mind if you say no. They also don't mind if you don't answer your phone. As a bedside nurse for 25+years! I learned this. I also figured out that if we were short staffed on a dayI WAS THERE all of us on...