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CandiceNTexas's Latest Activity

  1. CandiceNTexas

    Are 24-Hour Open Visitation Policies a Bad Idea? (Yes)

    We really need to inject common sense back into nursing, or we may as well be hospitality services, ie really expensive hotels! I recently had a patient ask me about her neighbor, she knew all the details of this patient, pmh,diagnosis, family business, everything, from the family talking in the hall. It was like she was missing her daily soap opera. another time, I walked into my patients room to find a family member taking selfies with my incubated ventric patient. How pretty do you think that pic was? and the best one was my h1n1 patient, grand kids, toddlers, crawling everywhere, barefoot drooling. Omg, imagine them going to daycare the next day. As nurses, we are responsible for educating and protecting the public from health threats, and I wish we were given room to assess some of these situations for ourselves, instead of following a one sized fits all solution to address the visitation policies.
  2. CandiceNTexas

    The use of LPN's in ICU CCU

    RnParamedic, I thanked you because you are truly one of few advanced titled nurses who seems to recognize that the value of a nurse can't always be ascertained by the number of letters after their names! I was a nurses aide for a few months, an LVN for 6 years, currently an RN for the last 12 years, and just now starting my BSN education. My critical care preceptor was an LVN, and she was the most experienced ccu nurse on the floor at that time, with a total of 30 years of operating room, recovery room, open heart recovery, and critical care experience. Sadly, when our hospital tried for magnet status, she left, only to be replaced by baby BSNs, and it left a gaping hole, as she was a wellspring of information. Physicians would ask HER what to do next! From this experience, I learned to open up and learn what I can from every nurse, and give freely what I know to anyone who asks.
  3. CandiceNTexas

    Will I get a raise after corrective action.

    LOL. Fess up Idaa, we're all friends here! Let's see; I have been written up probably twice a year, since 96. I'm that special problem child who management seems to love dearly. I also get plenty of positive write ups from patients and their families, so I figure it keeps the scales balanced in my favor. I have never, ever not gotten a raise, and I have even received bonuses for favorable reviews by patients/families. So it really depends on the policy of the facility you work for. But, come on, spill the beans! And whatever you did, DONT DO IT AGAIN!
  4. CandiceNTexas

    A possitive tb test

    A positive quantiferon is not indicative of active tb, it shows exposure to tb. Most likely your cxr will be fine (if you have no symptoms, ie coughing, night sweats, fatique, weight loss, etc). BUT you may still be prescribed inh forever, not really, 9 months, but it seems like forever, and you will always test positive on the ppd test. I was told I would not have to have a ppd test anymore. This happened to me a couple of years ago, due to exposure at work, and boy was it scary, I ended up having a ct, because of a "shadow" on the xray. It can be a frightening experience, but I didn't lose one day of work. Don't let your fear get the best of you, most likely you will be just fine!
  5. CandiceNTexas

    New RN starting in ICU Question

    Nurses do at the facility I work at. We pull cts, cordis/swanz lines, a lines, pacer wires. Part of nursing duties, and all ya need is an order and training.
  6. CandiceNTexas

    No briefs?! Is this an ICU thing?

    Several years ago we got new beds/mattresses that were supposed to reduce pressure ulcers. We were told in product training that we should only use 1 sheet and 1 chuck on the mattress for it to be effective. A few years later, our beds are covered in a fitted sheet, a draw sheet, a chuck, and a lift sheet routinely! People have amnesia sometimes. First thing I do when I turn my patient is remove all unnecessary layers of bedding. I rarely use briefs, for the reasons already stated, but this thread made me laugh.
  7. CandiceNTexas

    Is there a place for non-confrontational nurses in ICU?

    I work with a lot of new nurses, a lot of soft spoken nurses, and with nurses who are ESL. I feel sorry for them, because they get dumped on a lot! Your post says that the order was put in AFTER the er nurse gave you report, as a stat order, the mri dept called the er, the er nurse probably thought, "I already gave report, the pt is being moved", and technically, it was a ccu order. That seems to be the fault of the doctor, and they often don't have any sense of how it will inconvenience nursing or delay treatment, etc. You could have ASKED the er nurse if she would mind stopping at MRI, and offered to meet her in MRI to take the pt to icu, something I have done several times when the ED is slammed. I will say, I do understand how you feel, but sometimes you will have to stand your ground, and confrontation, in a professional manner, may be needed. You may have to even question doctors, especially residents, or they will eat you for lunch! Your patient comes first, and they need you to speak up for them. You did a good job by taking the pt yourself, in spite of the way it happened.
  8. CandiceNTexas

    confused ER or nursing resource team?

    That depends on what your goals are. Do you like the rush of er, the controlled chaos, adrenilin rush? Or do you want to work in several areas, to gain experience? Does resource pay more? Would you have specific areas you would work, ie er, icu pcu, or would you have to float all over the hospital? Is resource first to go home? What are your long term goals?
  9. CandiceNTexas

    Alone as a New Grad in the ICU

    I take offense to that statement. I have almost 20 yrs nursing, with my little ole ADN degree. I also have a teaching degree and a BFA degree. You are assuming an awful lot, based on what? I am not easily intimidated, and I love to share what I have learned from patients, doctors and other nurses. School and books don't always teach you everything. It takes time to develope instincts. Also new grads have their own issues. . . for the most part, they don't know what they are doing. It is stressful to be responsible for your patients and THEIR patients. It takes time to get the hang of the culture. The nurses who act in a demeaning way to new grads, most likely do the same thing to their patients and all the other nurses they work with. And remember, YOU will be a dinosaur someday, if you are lucky!
  10. CandiceNTexas

    Alone as a New Grad in the ICU

    Really? Nurses still eat their young? The facility I work at doesn't seem to have this problem, maybe because we are so short staffed, we look at every able bodied nurse as a godsend! I do confess to coming across as, well witchy, rarely, but only because of the stress of the load. . . I feel bad when I am not a perfect example of a bright eyed, excited bushy tailed, rally round the troops kind of nurse, but real life nursing is, lets face it, not school. The other day, I lost it with a new nurse, but I had a good reason, not an excuse, but a good reason: in icu we each had 3 very sick patients, I actually had 4, one patient w/ a mother, who needed as much care as he did,mom was early stage dementia as well. . . we had 4 codes, and lost a 20 something pt. . . she's getting report from me, she kept inturupting me during report, to ask things I was in the process of tellnig her, just being all super special. Then we went into the pts room, to do a quick bedside, pt was getting a breathing tx and this nurse says help me turn her so i can look at her back. Well, I came unhinged on her, because it had been an awful night, she was rude, and demanding. Well, that's how you are trained to do things maybe, but A. the patient is not going to die if we don't turn her to do her skin assessment, B. she was still with a preceptor who could have assisted her in turning, C. no one had done any charting, and D. she was being all anal and super duper at a time when I was just wiped out! There are times when a newbie just needs to chill and observe and absorb the unit.So, maybe a self check is needed, just to make sure its not YOU, being super duper and ruffling feathers of us old hens. It will get better, I promise.