dontbetachy90 BSN, RN

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About dontbetachy90

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  1. dontbetachy90

    Low Hospital Census

    From March - May, my 20 bed acute care unit closed down and our staff merged with another unit in the hospital. Census dropped big time due to lack of elective procedures and people wanting to stay home. We were cancelling staff like crazy for first ...
  2. dontbetachy90

    OR Nursing to Floor Nursing

    The last time my floor hired a seasoned OR nurse, her orientation was not that long; I want to say just a few shifts. Her preceptor essentially showed her "how our unit operates" but honestly, I was surprised they didn't give her a couple of weeks to...
  3. dontbetachy90

    Almost 2 years in and still making mistakes

    In the grand scheme of things, two years is still pretty "fresh." From what you have described here, it sounds like your co-workers may be a little hard on each other, and also sounds like you could potentially be a little hard on yourself. In a dem...
  4. dontbetachy90

    Feel like I don't know anything

    I did misunderstand! Looking for trouble where none exists No worries!
  5. dontbetachy90

    Team player

    I judge each situation differently. When I am in report with the other charge nurse going over 24 patients and Miss True tells me "she kind of don't got time to run and get a boxed lunch," I tell her that I am in report, I ask her if she knows the pr...
  6. dontbetachy90

    Please help - need to get over shyness!

    I agree with you that being quiet and being shy are not mutually exclusive traits! I think if you start small, as others are saying, you will slowly grow more and more confident. Achieving this may not necessarily make you more talkative (unless your...
  7. dontbetachy90

    Unstable Angina Pre-CABG management

    I wrote this from memory so forgive me for lack of accuracy but this was written in the impression on the stress test: "large fixed defect at the inferior posterior wall highly suspicious for underlying infarct "
  8. dontbetachy90

    Need advice

    As a step-down/progressive RN, I agree here. Interventional cardiology is a nice place to be (pre/post cath, PPM/AICD, post-TAVR, etc, though every one is slightly different) but in my opinion, you would benefit more from cardiac step down if your pl...
  9. dontbetachy90

    Unstable Angina Pre-CABG management

    I agree, which is why I am scratching my head. Isn't unstable angina considered ACS? And how can we be sure he was not having an acute MI if we neglected to investigate further with additional trops and repeat EKG? The patient had no interventions p...
  10. dontbetachy90

    Looking for options/opinions

    I agree with the other two comments, here. Acute care nursing is a tough gig; our patients have acute and chronic diseases that need managed, we are micromanaged like no other to meet certain standards, we are not only nurses but social workers, phar...
  11. dontbetachy90

    Team player

    Manipulation is key here. I work with a nurse (call her Miss True, because nothing she says is true) who TELLS ME what I will do to help her, especially when I am charge nurse. "I'm gonna need you to do this ultrasound IV." "My patient needs a boxed ...
  12. dontbetachy90

    Please help - need to get over shyness!

    I agree with the previous comment, and I would like to add a few things as well! There is nothing wrong with being a quiet, introverted person, so personally I believe it is worth asking yourself why you wish to change this about yourself? You said...
  13. dontbetachy90

    Dilated Cardiomyopathy

    Cardiac intermediate/progressive care RN here! I am sorry to hear this diagnosis has been sprung upon you; as a nurse you know that ANY new diagnosis can be troublesome and overwhelming, and as you mentioned you "aren't stressed," I'm sure you have ...
  14. dontbetachy90

    Feel like I don't know anything

    Shame on me, indeed. I misinterpreted the message and thought brownbook was calling the OP dumb for asking such questions, and was attempting to stick up for OP. Shame on you for shaming me and shame on me for shaming you! No worries, here.
  15. dontbetachy90

    Feel like I don't know anything

    I'm a little late to the party. @brownbook , I apologize for making bad assumptions on this forum. That is the trouble with the internet, JKL33. I don't necessarily think my response that you find so unflattering, which I believe I had rectified by e...