TigraRN

TigraRN

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All Content by TigraRN

  1. Big Med Error.

    I am sorry it happened. the good thing is that the patient will be OK. Time will pass and you will feel better as it does. I had a similar error and it took me a year to get over it. It teaches...
  2. Superstitious Nurses

    Yes, I used to have scrubs and each time I was wearing a patient would die. Got rid of the scrubs. And I never ever go to do postmortem care by myself... I just can't. And sure enough, if...
  3. New California Nurse to Patient Ratio

    1:6 in ER, all 6 being MedSurg patients, 1:3 ICU "with a nurse extender" (who cannot be given appropriate orientation time). It really depends on the day. Rapidcare patients ESI 4 - a lot
  4. Moving to the Triangle area

    Rubyagnes, how was your move, can you share what you have learned? please? I am planning on moving to NC as well and looking for an ER to
  5. Try setting the record straight with them - tell them "from now on I will not be able to pick up any extra shifts due to ... ". Don't let them make you feel guilty, you are already working full
  6. Your Favorite Nursing "Hack"

    Burping NS bags to save the tubing if a second bolus is needed
  7. Resign first or wait until I find out if I'm fired?

    Calliope26, what happened if you don't mind me
  8. ER Overtime?

    In our facility, you can usually pick a shift a week or so. Also, flexing in and out is easy, if you need more beauty rest or need to come home earlier. Basically, the schedule can be
  9. Notes in 3rd person style

    In nursing school, we were taught to describe things in the third person and stay neutral. Sometimes I use "I" if something needs to be
  10. Reasons nurses get fired

    1. Checking BG on someone who refused it. 2. HIPAA
  11. A patient came in for a glue stick stuck in his rectum. I explained the dangers of using glue the way he did, to what he replied: "Don't worry, it's
  12. My IV Skills are Terrible!!!

    It is actually good that you need to insert them every day, because now it is only a matter of time till you become a pro. What I found helpful for myself: 1) do not look for a veing, but feel for it;...
  13. Needlestick Accident

    I once had a needlestick with a contaminated (patient's blood) needle. That patient had a whole array of liver problems. I felt like I went through hell waiting for results, but will not make the same...
  14. How Much Junk do you Keep?

    Remotefuse, I love this book! In my library it was available as "The life-changing manga of tidying up" which is a comic book. I literally had to stop myself from reading it further so that I could...
  15. Mandatory double verification would be helpful for paralytic as well. If we have another RN witness insulin, heparin, amio, why not do the same with
  16. I don't feel like a real nurse

    It is ok to like your unit and not want to switch jobs. I feel like this is exactly how I feel as well. People came and go, getting into school and going to bigger and better things, but I am really...
  17. Charge Sheet

    At our facility, we only use charge sheets for foleys, c-collars, slings, crutches/walkers/canes, and other supplies. It can get tiring to fill out all those BG checks and blood draws, glad we don't...
  18. Make lists of things pending for each patient and check them off as you
  19. Dr Death

    Very interesting podcast. It is scary overall to go through any type of surgery and completely trust strangers in white
  20. Getting into the Emergency department

    In our ER it is about 6 weeks for transitional nurses and 14 weeks for newgrads. If an orientee needs more time, they get more time. Good luck, I hope you like it! I would say the nurse is ready to...
  21. Cen, tcrn, cpen, atcn, atls, ccrn

    There is also a stroke certification that you can get, SCRN, check out About the SCRN Credential | ABNN Certification
  22. Miserable nurses

    Having students is taking more responsibility, because you have to explain and teach how things work, teach skills and answer numerous questions. Sometimes nurses have a choice to decline having a...
  23. What's the nicest compliment you've gotten as a nurse?

    I work in ER and our rooms are divided by curtains. I came in to my new patient and introduced myself. In a moment of silence, I heard a patient next room (not my patient) saying "Your name is...
  24. One patient came in for a bus
  25. What to say?

    You can use SBAR when they pick up the phone: Situation: Hi Dr So-and-So, calling you to let you know the hemoglobin on patient A just dropped by ... . Background: patient's last hgb was ... ....