exp626

exp626

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About exp626

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  1. You Guessed It! Coworker Probs...

    I look at it this way: when I'm a bedside nurse, I work for the patient. When I'm a charge nurse, I work for my coworkers...my job is to help them take care of their patients. Obviously I have other duties as a charge nurse, but patient care and safe...
  2. The other day I was taking care of a patient admitted for rectal bleeding. He had a history of chronic pain and took an opiate and a separate dose of Tylenol. I called the doctor for orders for his home pain meds, and she said he can't have the Tyl...
  3. Chest Pain protocols

    If they have a pacemaker or preexisting left bundle branch block the EKG won't reveal anything. Several years ago a cardiologist admonished me for ordering an EKG on a pt with a pacer, saying he wouldn't sign that order.
  4. Chest Pain protocols

    I work on a cardiac unit, so we don't have rapid response for CP. My manager gets annoyed when we call a rapid response for anything though, which I think is an unsupportive and unsafe culture. He doesn't say much, but he'll take it out on them by ...
  5. Did I commit career suicide?

    ...What Earthmama said. But to give you hope, let me share this: I diverted. I was able to keep my job, thank goodness. Now I've completed a contract with IPN, and I'm working in a new and wonderful job. When I interviewed, without going into det...
  6. Back to a hospital, y'all!!!

    Congratulations! I believe that if we're going to disclose our story, it's important to share what we've learned and how we've changed as a result. I'm so happy for you!
  7. Positive drug test letter from BON

    Surrendering your license is a drastic move you may come to regret. I would imagine getting it back will be more difficult than keeping it, and you're making the decision based on assumptions. Why don't you cooperate and find out what happens as it t...
  8. Can you test while on vaca?

    COC stands for "chain of custody". It's a form that you may have to take to the lab when you test. I've completed a 5-year monitoring program and never once had to use one. I know someone who went to Hawaii while she was being monitored, and it was...
  9. Finally!

    Don't forget, each step of this journey is your choice. And congratulations on reaching this next step! Best wishes
  10. If we had a conservative nurses forum

    I assume you refer to political leanings, as I don't know what else it would be! If so, it's probably more related to your location than anything else. I'm a liberal, but I live in a very red district and most of the nurses I work with are very con...
  11. Top 5 Do's Top 5 Dont's

    All the stuff people already said, and Don't complain about or judge your patients...and don't complain about spending money on indigent or non-compliant patients. Don't sit on your discharges all day to avoid getting new patients. Your coworkers a...
  12. I'd go to Asheville NC. Close to the Appalachian Trail and demographically they're my people...liberal hippie-types. I live in a very conservative "red" area. That, and it's not too far from my family, so visits wouldn't be too hard.
  13. There's a saying, "Home is where your family is". Those ties are important.
  14. How a stethoscope can get stolen?

    My stethoscope is always either in my pocket or my bag, I don't like to wear it around my neck. No one borrows my stethoscope. No one. I don't care if it offends anyone, having my scope in someone else's ears is so gross I may as well give it to t...
  15. Alcohol screening?

    Here's how it works in my state: If you're being monitored for drugs, you're being monitored for anything that can be mood altering. This includes alcohol, Benadryl, NyQuil, the kind of antihistamines that come from behind the counter such as Clarit...