Night__Owl

Night__Owl BSN, RN

ICU and Dialysis

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All Content by Night__Owl

  1. Help with secondaries

    I'm not sure I understand the question. When you have a secondary IV piggyback, the entire bag will infuse before any of your continuous does. You program the pump by telling it how much is in the...
  2. Reasonable time frame for prn medication to be given?

    Well I'll tell you what the nurse definitely WASN'T doing: sitting on her rear twiddling her thumbs. What does a nurse, or any other decent person, have to gain from making someone wait? Nobody ever...
  3. Open visitation in the ICU

    We have 7.5 total hours of visiting time per day. No kids under 12 (heavily enforced), and no food or drink (rarely enforced unless there's a problem.) We do make exceptions (on both the kids part...
  4. I was 20 when I finished my BSN and started working in an ICU residency. I was always open about it, and it never seemed to matter, with the exception of maybe 1 out of 20+ coworkers on my unit. You...
  5. Thai cave boys in hospital

    I also don't see any obvious personal effects in the pictures either, or any family members around in iso garb (which they have apparently been allowed to do at the time of the pictures.) The simplest...
  6. 12 and 1/2 hours with only 30 minutes for lunch

    My clinical hours were horrible too. I'm sorry, but unless you are at Man's Best Hospital, the nurses have too much to do to be teaching new minds every second of the day. And nursing students have so...
  7. Do you go to work with vomiting/diarrhea?

    I rarely get sick, but yes, if I am able to drag myself to work, I go. Why? Because our sick time is only usable after being out for TWO DAYS and using 24hrs of your PTO. I'm the primary breadwinner...
  8. Do 3, 12 hr shifts for weekdays only exist?

    My hospital does this. We have weekday people, who work three out of four days Mon-Thurs, and a "weekend crew" who work every friday, Saturday and sunday. The weekend option comes with its own shift...
  9. Starting over

    Get a brain sheet, and stick with one job. You say you've had "several" jobs over three years, sounds like you haven't had enough time at one place to really get a feel for things. Sticking it out at...
  10. Patients & Pet Peeves

    1) People who stay over at visiting times and make me kick them out. You are an adult. You know it's awkward and uncomfortable for me to have to parent your lack of manners. 2) people who try to...
  11. New Grad Orientation Contracts

    I'm in a contract (sort of) right now. My hospital is decent, but definitely has some Wrongway affiliations. I signed a contract for a residency in ICU/ED for 3 years, with a prorated buyout for...
  12. Pain patients being denied their medication!

    Proper use is what we should all be striving for, but taking someone off of opioid medication because it's "not appropriate" without having an appropriate new plan is morally
  13. Dazed and Confused: Blurred Lines

    Complete the responsibilities that you had before report started. If possible, I try to check on all my pain patients and check all my incontinent patients once after 5am. Our report starts at 6 45....
  14. Jahi McMath is finally at peace

    There's no way to know what happened to cause her brain death. The hospital can't release details, so the only "side" of the story we have ever really heard is the family's. We all know how far a...
  15. IV insertion: 20 gauge vs 22 gauge

    IME, the hand veins are more likely to have valves that will stop you from threading. You can either remove the needle, attach the flush and try to thread the catheter after flushing the valve open....
  16. Quit new LTC job for dream job offer?

    Where I live even the "good" LTCs have a hard enough time finding decent nurses that something like that definitely wouldn't constitute a burned bridge. Your mileage may vary. If you took the...