txgal34

txgal34 has 7 years experience and specializes in LTC, HH, Psych, Med-Surg.

Latest Activity

1. 0200 BP's - Dealing with Tired Rude Doctors

   txgal34 replied to Jennifer in Cali's topic in Relations

   on my med surg floor vs are taken at 2000,0000,0400. i had a similar situation where the midnight vs (got at 0030) were high with no PRN's ordered for the BP. when i called the hospitalist he asked if they were sleeping. when i answered yes, i jus...

2. Med Surg or Tele? How is it decided

   txgal34 replied to venousr3tuRN's topic in Med-Surg

   this is my first hospital job...so this place is all i have to go on. we are med surg nurses, obviously trained, but not cardiac nurses....possibly why it is the way it is. i know larger hospitals that have a true "tele" only floor, we don't. we h...

3. Med Surg or Tele? How is it decided

   txgal34 replied to venousr3tuRN's topic in Med-Surg

   First, it is not a "tele only floor." They lump two floors... one is medical, one is surgical and if tele is ordered, tele box is on. On one floor our tele tech sits and watches the monitors which are for both floors. While this in not a rural hos...

4. Have any of your patients ever told you that you're a good nurse?

   txgal34 replied to EquinoxSolstice92's topic in Relations

   ....i love it! i had a family member track me down as i was standing in front of the elevator to leave. just a simple hug and thank you for the attentiveness and explaining care and the planned care! i love the education part of nursing, and alway...

5. Med Surg or Tele? How is it decided

   txgal34 replied to venousr3tuRN's topic in Med-Surg

   My med-surg has LVN's and RN's. We have tele on both floors. While the acuity is higher on a tele pt, both RN's and LVN's get tele pt's and it doesn't change the amount of pt's we get. All nurses have PALS and ACLS. We also have a tele tech on th...

6. WHY do so many people hate nursing? Sigh.

   txgal34 replied to RachealAnne's topic in General Nursing

   i enjoy med surg! and at our hospital....all new grads start on med surg as they think you need to get that experience before working ED or ICU.

7. WHY do so many people hate nursing? Sigh.

   txgal34 replied to RachealAnne's topic in General Nursing

   I don't think people hate nursing, it's just sometimes the longer you do it the more frustrated you get. I work on a busy med surg floor and deal with a crazy busy shift most nights, then add on top of that more and more pt's and/or family either tr...

8. First day on my own and feel like a failure!

   txgal34 replied to txgal34's topic in Home Health

   thank you everyone for the positive comments. i now have a little over a week under my belt and am feeling much better. my confidence is growing every day! sometimes i think you just need to hear "it's going to be ok" and i thank you for that :)

9. First day on my own and feel like a failure!

   txgal34 replied to txgal34's topic in Home Health

   thanks MomRN0913, I asked the DON to review my documentation as I have done LTC documentation but this is different system. I asked and wanted the input to ensure i was documenting correcting instead of going on for a month and finding out that I wa...

10. First day on my own and feel like a failure!

    txgal34 replied to txgal34's topic in Home Health

    "kind swear is a challenge". Meant Kinnser.....darn that auto correct...lol.

11. First day on my own and feel like a failure!

    txgal34 replied to txgal34's topic in Home Health

    Thanks for the comments....I guess it's hard feeling lost and feeling like I don't have the answers so often. I am so used to be "in my element" that now I am definitely out of my comfort zone. I love learning new skills, but it's challenging not k...

12. First day on my own and feel like a failure!

    txgal34 replied to txgal34's topic in Home Health

    The feedback was asking DON to review my submitted documentation.

13. First day on my own and feel like a failure!

    txgal34 posted a topic in Home Health

    I have worked LTC for 3 1/2 years and decided to get out of the rat race and try some HH. I love the idea of spending one on on time with my pts and actually being able to talk to them instead of the crazy rush of LTC. I was given some training, an...

14. Should I become an lpn first or just go for ASN?

    txgal34 replied to Will-B's topic in Indiana

    i think you have to look at several factors. I am in TX, so it may be different here. I choose the LVN route because it can be done in 11 months (fulltime student). Here, there are crazy waiting lists to get into RN programs. LTC is EASY to find ...

15. Our new hire, new grad charge nurse

    txgal34 replied to kimbo9's topic in General Nursing

    not all LVN's/LPN's are "jealous" of the RN. I graduated with a 4.0 from an LVN program. I CHOSE the LVN route. I will in some point in the future probably pursue my RN, however I am quite content in the LVN role. TX is very liberal state "we work un...