DextersDisciple BSN, RN

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All Content by DextersDisciple

  1. Getting an acute care job as a new grad can be very difficult in certain areas. A lot of times you just have to pick the first offer you get. When asked as a new grad why I chose Oncology, I liked to...
  2. DextersDisciple

    What made your jaw drop

    I heard they allow up to a year maternity leave. Macawake can you weigh
  3. DextersDisciple

    Dark Scrubs

    There's always the suffering ICU pts who have already died at least once being kept full code by family. So another nurse and myself thought "Consult to Jesus" should be added to nurse driven orders...
  4. DextersDisciple

    What made your jaw drop

    Yes that really was the point of my post! Wow, what kind of floor was the pt
  5. DextersDisciple

    What made your jaw drop

    Preach! Were you aware of the "nationwide shortage" of dilaudid we're experiencing? The hospital completely ran out of IVP dilaudid (but still able to make PCA doses for some reason) and said it's due...
  6. DextersDisciple

    What made your jaw drop

    Yes I should have made the duration clear in the OP. I wasn't in recovery until later so before I did the math I didn't know how much time had
  7. DextersDisciple

    What made your jaw drop

    I wanted her kicked out as well! I am surprised that many here think 2mg/hr seems high. THere is a higher concentration dose however I can't recall the exact numbers. This procedure and pt population...
  8. DextersDisciple

    Patients & Pet Peeves

    This Is why Nurses go over and provide printed discharge instructions with the patient and family. My pet peeve is when a non-nurse/nursing student feels it's appropriate to be an instigator and post...
  9. DextersDisciple

    What made your jaw drop

    Duplicate
  10. DextersDisciple

    What made your jaw drop

    Are you from the UK? I thought I read that in one of your posts
  11. DextersDisciple

    What made your jaw drop

    Hey macawake, your post really makes me think- I had no idea dilaudid wasn't common in the UK. Anyway, patients typically receive 250mcg of fentanyl during along with a sedative- is it a pretty...
  12. DextersDisciple

    What made your jaw drop

    Hey macawake, your post really makes me think- I had no idea dilaudid wasn't common in the UK. Anyway, patients typically receive 250mcgnof fentanyl during along with a sedative- is it a pretty...
  13. DextersDisciple

    Can you take phentermine during a nursing shift?

    I don't know if just one missed dose is enough to do that but several in a row could. Withdrawing from Benzos can be
  14. DextersDisciple

    What made your jaw drop

    Lol no this was the standard PCA dose used daily throughout the hospital. Lockout is 2mg an hour. Pt usually sleeps off their bed rest (4-6hrs), VSS so team wasn't concerned. Incident report was...
  15. DextersDisciple

    Cna incident investigation

    Is it weird that I love how you wrote up Your son?
  16. DextersDisciple

    Can you take phentermine during a nursing shift?

    I'm saying if a person has a daily Psych medication regimen that effectively manages their condition then they should not change that. The OP is a student, not an employed RN providing independent...
  17. DextersDisciple

    Can you take phentermine during a nursing shift?

    And quite frankly, it is none of their damn business to know what prescriptions you take. if it does not affect your performance then don't change your
  18. DextersDisciple

    Can you take phentermine during a nursing shift?

    then how would any Nurses with adhd, depression, GAD or bipolar disorder be able to take their daily meds? Even if you did skip a day or two of say Abilify and Wellbutrin, the drug would still be in...
  19. DextersDisciple

    Patient safety compromised

    You did the right thing. I thought the RRT(s) would end your nightmare but I'm assuming the intensivist had their Hands tied as well. The intensivist is just mad he was wrong and the lowly RN didn't...
  20. DextersDisciple

    Best thing about being a nurse?

    -Feeling trusted, professional and accomplished. -Good pay/job stability -Having so many different options (specialty, setting, hours, etc.) But most of all- making people feel good, inside and out
  21. DextersDisciple

    Philly hospital job comparison...

    The only negative things I noticed in your post are short staffing and inability to use ETO-which unfortunately I feel like happens everywhere you go. At least management actually closes beds instead...
  22. DextersDisciple

    What is considered evidence

    I'm not sure what "participating in the investigation" means but the pt can refuse the exam OR can go through with the exam BUT still does not have to press charges. May be different state to state...
  23. DextersDisciple

    What is considered evidence

    This sounds like something the SANE should have handled. It's not in the scope of an ED RN To know evidence collection and chain of custody. But if pt refused SANE probably had left by then. I'm not a...
  24. DextersDisciple

    Caring for end of life patients

    It's just something you will adjust to over time. If you still find caring for actively dying patients very difficult even with a lot of experience then you may just do better in a specialty without...
  25. DextersDisciple

    radiology nursing

    Big addition to this is administering moderate sedation and monitoring vital signs. You will learn those skills working in an intensive care unit. Interventional radiology (usually) requires critical...