missbutton

missbutton

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About missbutton

Latest Activity

  1. Critical Care Procedures

    There is a service at Vanderbilt run NPs that only does percutaneous trachs and follows those patients.
  2. Why go into trauma/critical care nursing?

    Earn your own internship.
  3. Shafted on Thanksgiving

    It's just business. I get called off all the time and have learned to never leave without double checking my phone. But I'm sorry you had a crummy night.
  4. New grad took unwanted position, now what?

    Everywhere I have ever worked has had a three month probation period where either they or you can end the employment without issues because you are not yet a real employee. Its a trial period. If you get the other job just quit at the SNF but tell ...
  5. ER Wasted

    I second looking at PACU/ ambulatory surgery for a lateral transfer. But have you looked for more supervisory positions? 10 years of hardcore er experience sounds perfect for advancing to a dedicated charge nurse position or a house supervisor posi...
  6. The heparin bottle for a cap?

    I'm a newish grad and that's the way I was taught to do it to. 1. As as student we were not to give meds without a nurse verifying the med were were giving/ actually watching us draw the med. 2. It is best to draw the med at the bedside. and 3. It...
  7. Mandated Flu vaccine?

    Required or you have to wear a mask. But I don't get why so many healthcare workers are against vaccination? It drives me crazy.
  8. Are any of you loyal?

    I'm loyal to my unit and direct management. I'm blessed that my direct manager is awesome and if she leaves before I do, I would strongly consider following her. But the humungous corporation I work for? No.
  9. Is this in our scope of practice?

    CA nurse practice act says that nurses are responsible for 'personal hygiene'; whatever you will make of that. Any restrictions about clipping nails are facility based. I strongly suggest that you read the nurse practice act, lots of people will te...
  10. Low Censused while on Orientation

    Hi guys, I'm orienting to the ICU (yay!). It's a rural and low acuity ICU and we're in the middle of a really bad summer slump. And both me and my 'dedicated' preceptor are getting low censused, but independently of each other, so as a result I've ...
  11. a new grad's gripes

    To the OP: I'm a year out and I'm still there many days. But you learn to tread water. And after switching units, I now know how important unit culture is to my professional satisfaction.
  12. "Don't be nice to her"

    Keep applying for other jobs now. As long as you are on probation, which I assume you are because everywhere I've ever been has had a 3 month probation, you can leave or they can let you go much easier then after you are a full employee. Once you h...
  13. Report without Orders?

    Thanks for sharing... I now feel very spoiled by my little hospital.
  14. Report without Orders?

    I didn't realize that that's the way it is at other hospitals. In my defense, the orders are the only official notice that we get, its the only thing that even has the pt's name and DOB. Thanks for sharing.
  15. Report without Orders?

    Is anyone else expected to routinely take report and accept a pt from the ER with out seeing the admitting orders? I just transferred from med surg to the icu; and I'm now forced to routinely take report on pts without the ER sending me the order. T...