YumCookies

YumCookies BSN, RN

acutecarefloatpool. BSN/RN/CMSRN. i dabble in pedi

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About YumCookies

YumCookies has 10 years experience as a BSN, RN and specializes in acutecarefloatpool. BSN/RN/CMSRN. i dabble in pedi.


Latest Activity

  1. Aspiration Precaution

    If the patient is alert and oriented, is able to elevated the HOB themselves, and has been educated on the fact that the HOB must be at 90 degrees with eating/drinking I see no problem with it.
  2. Forearm First!

    Depends. In general, I prefer the forearm and will look there first. In the ED setting: If I need a large bore, labs, and something quick, I like the AC (unless I can find a juicy forearm one). I will go right for the AC if I suspect the patient may ...
  3. When they're SO sure they're right...

    I've had patients at risk for urinary retention who ended up having >500cc in their bladder and needed to be straight cath'd when the previous shift tells me "Oh he's peeing all the time." Yes he may be peeing frequently and the patient may tell y...
  4. Do you look up the push rate for IVP meds?

    I do. I pushed IV vitamin B once. I couldn't find a push rate in my drug book so I pushed it over 5 seconds or so. I thought "Oh it's just vitamin B, it probably doesn't even matter." Wrong. The patient yelled bloody murder because it burned so bad ...
  5. Charge Nurses Who Micromanage

    Hi all, I've been a nurse for about 3 years and have worked at my current position for about six months as a float pool nurse. Most of the charge nurses I work with are fantastic and supportive, however, there are a few that I feel micromanage. How c...
  6. What do you like most about your specialty?

    I just started doing float pool nursing a few months back - I float to the med surg units (telemetry and orthopedics), ICU, ED, adult psych, detox floor, and day surgery and will take a full assignment on those floors. Most days it feels like I'm fly...
  7. Social Media and Patients

    I would never accept a patient friend request, no ifs no buts. As far as the name on the ID badge, our ID badges have our full names on them with our credentials. I have covered my last name with a sticker for my privacy - anyone can Google YumCookie...
  8. Funniest/strangest dementia patient stories

    A few months ago, my 80 year old lady rang her call bell to tell us that the patient next door walked into her room, peed on the floor, and left. She was a good sport about it - she laughed and said she just wanted to make sure he was okay.
  9. How full do you fill your lab vials?

    I go by the mL amount on the tube.
  10. What I learned from my first med error

    Thank you for posting your experience. The worst med error I have ever encountered was when I had a patient that had an insulin drip on one pump and on another pump had IVF and apparently had an IV med run as a secondary during day shift. When I was ...
  11. Interesting - I would've done just this to cover my own behind. I don't want to be at fault if the patient's BP happens to tank after getting Dilaudid.
  12. D/C Foley when patient is sitting?

    I would've waited until the patient was back in bed for the above reasons.
  13. How Long Does It Take To Get An Interview?

    About one week, sometimes two weeks. I would keep doing what you're doing.
  14. Unsteady hands

    I read your other post, and I think the bigger issue you need to tackle is your anxiety. How long have you been a nurse? Have you recently started a new job?
  15. Weird question for clinicals.

    I don't know about an ice pack - all I can really think of is bringing ice cold drinks to clinical to keep yourself cool. If personal hygiene is a concern, you could bring a travel sized antiperspirant.