dontbetachy90 BSN, RN

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All Content by dontbetachy90

  1. dontbetachy90

    Low Hospital Census

    dontbetachy90 replied to Sophie Garcia's topic in General Nursing

    From March - May, my 20 bed acute care unit closed down and our staff merged with another unit in the hospital. Census dropped big time due to lack of elective procedures and people wanting to stay...
  2. dontbetachy90

    OR Nursing to Floor Nursing

    dontbetachy90 replied to miksyrak3's topic in General Nursing

    The last time my floor hired a seasoned OR nurse, her orientation was not that long; I want to say just a few shifts. Her preceptor essentially showed her "how our unit operates" but honestly, I was...
  3. dontbetachy90

    Almost 2 years in and still making mistakes

    dontbetachy90 replied to Newbie_Newbie_New's topic in General Nursing

    In the grand scheme of things, two years is still pretty "fresh." From what you have described here, it sounds like your co-workers may be a little hard on each other, and also sounds like you could...
  4. dontbetachy90

    Unstable Angina Pre-CABG management

    dontbetachy90 posted a topic in CCU, Coronary, Cardiac

    I recently encountered a situation in which a 60-something male with no PMH aside from 30 pack-year smoker was admitted for unstable angina, troponins negative x3. Probable large inferior infarct on...
  5. dontbetachy90

    Feel like I don't know anything

    dontbetachy90 replied to mindiianajones's topic in First Year After Licensure

    I did misunderstand! Looking for trouble where none exists No
  6. dontbetachy90

    Team player

    dontbetachy90 replied to missmollie's topic in Patient, Colleague Relations

    I judge each situation differently. When I am in report with the other charge nurse going over 24 patients and Miss True tells me "she kind of don't got time to run and get a boxed lunch," I tell her...
  7. dontbetachy90

    Please help - need to get over shyness!

    dontbetachy90 replied to nursiee's topic in Patient, Colleague Relations

    I agree with you that being quiet and being shy are not mutually exclusive traits! I think if you start small, as others are saying, you will slowly grow more and more confident. Achieving this may...
  8. dontbetachy90

    Unstable Angina Pre-CABG management

    dontbetachy90 replied to dontbetachy90's topic in CCU, Coronary, Cardiac

    I wrote this from memory so forgive me for lack of accuracy but this was written in the impression on the stress test: "large fixed defect at the inferior posterior wall highly suspicious for...
  9. dontbetachy90

    Need advice

    dontbetachy90 replied to veterannurse86's topic in CCU, Coronary, Cardiac

    As a step-down/progressive RN, I agree here. Interventional cardiology is a nice place to be (pre/post cath, PPM/AICD, post-TAVR, etc, though every one is slightly different) but in my opinion, you...
  10. dontbetachy90

    Unstable Angina Pre-CABG management

    dontbetachy90 replied to dontbetachy90's topic in CCU, Coronary, Cardiac

    I agree, which is why I am scratching my head. Isn't unstable angina considered ACS? And how can we be sure he was not having an acute MI if we neglected to investigate further with additional trops...
  11. dontbetachy90

    Looking for options/opinions

    dontbetachy90 replied to Cardiac.smartiac's topic in CCU, Coronary, Cardiac

    I agree with the other two comments, here. Acute care nursing is a tough gig; our patients have acute and chronic diseases that need managed, we are micromanaged like no other to meet certain...
  12. dontbetachy90

    Team player

    dontbetachy90 replied to missmollie's topic in Patient, Colleague Relations

    Manipulation is key here. I work with a nurse (call her Miss True, because nothing she says is true) who TELLS ME what I will do to help her, especially when I am charge nurse. "I'm gonna need you to...
  13. dontbetachy90

    Please help - need to get over shyness!

    dontbetachy90 replied to nursiee's topic in Patient, Colleague Relations

    I agree with the previous comment, and I would like to add a few things as well! There is nothing wrong with being a quiet, introverted person, so personally I believe it is worth asking yourself...
  14. dontbetachy90

    Dilated Cardiomyopathy

    dontbetachy90 replied to AlabamaBelle's topic in CCU, Coronary, Cardiac

    Cardiac intermediate/progressive care RN here! I am sorry to hear this diagnosis has been sprung upon you; as a nurse you know that ANY new diagnosis can be troublesome and overwhelming, and as you...
  15. dontbetachy90

    Feel like I don't know anything

    dontbetachy90 replied to mindiianajones's topic in First Year After Licensure

    Shame on me, indeed. I misinterpreted the message and thought brownbook was calling the OP dumb for asking such questions, and was attempting to stick up for OP. Shame on you for shaming me and shame...
  16. dontbetachy90

    Feel like I don't know anything

    dontbetachy90 replied to mindiianajones's topic in First Year After Licensure

    I'm a little late to the party. @brownbook , I apologize for making bad assumptions on this forum. That is the trouble with the internet, JKL33. I don't necessarily think my response that you find so...
  17. dontbetachy90

    Would You Rather: ICU or Floor?

    dontbetachy90 posted a topic in General Nursing

    Hi, all! I have been working in a 24 bed step-down cardiac unit for the past 4 years on night shift, 4:1 patient ratio, and I am finding myself dreading work more often than not. I was looking to get...
  18. dontbetachy90

    Feel like I don't know anything

    dontbetachy90 replied to mindiianajones's topic in First Year After Licensure

    Perhaps just a different perception. The "voice" in my head as I was reading was not a pleasant one especially when she said the bit about these being dumb questions. To each their own, but yes, maybe...
  19. dontbetachy90

    Feel like I don't know anything

    dontbetachy90 replied to mindiianajones's topic in First Year After Licensure

    ( in response to brownbook ) Why so hateful? These are valid questions from someone who perhaps needs a little boost of confidence or reassurance, not for you to be confounded and invalidate these...
  20. dontbetachy90

    Feel like I don't know anything

    dontbetachy90 replied to mindiianajones's topic in First Year After Licensure

    Your feelings of apprehension are SO normal, and even welcomed! Trust me. I was an aid/tech in an ER and then precepted in that same ER, and I had the exact same feelings -- "they expect me to know...
  21. dontbetachy90

    Transitioning into Charge Role

    dontbetachy90 posted a topic in General Nursing

    Hello, all! I am looking to hear some of your real life accounts regarding either your own transition to a charge nurse/clinical leader position, or your experiences WITH your charge nurses/clinical...
  22. dontbetachy90

    Fall prevention

    dontbetachy90 posted a topic in Patient Safety Issues

    I have a general question in regards to fall prevention and am looking for some ideas to bring to my unit! Our unit (as most units do) takes fall prevention very seriously. We do safety audits every...
  23. dontbetachy90

    What is harder- nursing school or first year working?

    dontbetachy90 replied to BookishBelle's topic in General Nursing

    Nursing school will test you and fill your head so full of knowledge, data, lab values, questions, comments, concerns, and therapeutic phrases... that you will hit the floor for the first time and...
  24. dontbetachy90

    What is harder- nursing school or first year working?

    dontbetachy90 replied to BookishBelle's topic in General Nursing

    Nursing school was only majorly difficult up until the moment I began to reflect back upon how simple it was compared to real-life nursing. The first year of being a new nurse... phew, buckle up!...
  25. dontbetachy90

    New RN on Cardiac floor

    dontbetachy90 replied to lvn-bsn2018's topic in Cardiac

    Congrats! Cardiac/telemetry will give you an AWESOME skill set that you can take with you anywhere you go. Similar to above... - Become familiar with common cardiac medications; their uses, adverse...