Night__Owl

Night__Owl BSN, RN

ICU and Dialysis

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All Content by Night__Owl

  1. Interesting case of the spilled pills

    Night__Owl replied to KCMnurse's topic in General Nursing

    I'm not fishing anything out of a sharps container unless a gun is held to my head. I'll get fired, I'll flip burgers instead of being a nurse, I don't

  2. When to call for IO access

    Night__Owl replied to LibraNurse27's topic in General Nursing

    IO access is usually only needed in the field, since it's pretty much your only option if peripheral IV insertion fails. In the hospital in an emergent situation, I would expect either anesthesia or...

  3. Working on weekends!

    Night__Owl replied to PubSub's topic in General Nursing

    The hospital I used to work for was a small private hospital which competed with a large public hospital. One of the ways they helped keep staff was having no-weekend positions. In our ICU, there was...

  4. Robot tells man he'll be dead in hours

    Night__Owl replied to Emergent's topic in General Nursing

    I've used a "doc in a box" computer before l, and I strongly doubt that there was "no one else in the room." The tele doc computer cannot "roll into the room" like some kind of android. It's a COW...

  5. Robot tells man he'll be dead in hours

    Night__Owl replied to Emergent's topic in General Nursing

    I've got a wild idea. Maybe, considering this man had just hours of time left, the MD did not want to delay his visit whatever amount of time it would have taken for him to physically arrive there. If...

  6. Nicotine Drug Testing in the Texas Medical Center

    Night__Owl replied to MA8675309's topic in General Nursing

    I get it, but at the same time I think it's ridiculous. I use nicotine replacement to keep me from going back to smoking. But every "smoke free" hospital around here, heck even my insurance company,...

  7. Do as I say, and not as I do.

    Night__Owl replied to Davey Do's topic in General Nursing

    What do you

  8. Do as I say, and not as I do.

    Night__Owl replied to Davey Do's topic in General Nursing

    I'm fairy certain we had a Clark in the ICU I worked in. A tech who iirc had failed out of nursing school, but had just enough knowledge to be dangerous. Unit Clark went into the room of a vent...

  9. Sitting down - New nurse looking for advice

    Night__Owl replied to MgoBlue37's topic in General Nursing

    Is it possible for you to take shorter shifts? I know there are many EDs out there which have both 8 hour and 12 hour shifts. What is the minimal duration and frequency that you need to sit in order...

  10. Ventilated Patients

    Night__Owl replied to rn39648's topic in Patient Safety Issues

    Yes, imagine a pt with VS HR 90, BP 150/90, O2 sat 96. BUT.... they are breathing 45 times a minute over the set rate of 20. It's important information, as is knowing if the patient is never breathing...

  11. phenobarbital for ETOH withdrawal

    Night__Owl replied to freckles23's topic in General Nursing

    I've used both, both are good, but I definitely prefer phenobarbital. You usually don't want any pt on the floor receiving the high doses of benzos, because of the respiratory risk involved. I've seen...

  12. smokers and coughing

    Night__Owl replied to brownbook's topic in General Nursing

    When I smoked, I didn't have a chronic cough (didn't smoke enough years to get one, thankfully.) But I DID have a markedly longer recovery period after getting a cold. Hard to clear it out when you're...

  13. Grades when you were in Nursing School

    Night__Owl replied to poliwag48's topic in General Students

    I was scraping above passing almost every semester. Did not have to tell anyone my grades when applying for jobs, had an offer waiting when I graduated. My overall still looks decent because of how...

  14. Why is it "legal" for patient to decline male nurses?

    Night__Owl replied to carti's topic in General Students

    It's simpler than this thread has become. If patients want to refuse care from you because of your gender, your age, your race, or because they just don't like the way your face looks, that's their...

  15. PCU Nurse Feels "Second Rate"

    Night__Owl replied to PacoUSA's topic in General Nursing

    PCU stands for Progressive Care Unit. It's usually an intermediate unit, for patients recently out of ICU, or those who are too high acuity for Med surg, while also not requiring ICU care

  16. PCU Nurse Feels "Second Rate"

    Night__Owl replied to PacoUSA's topic in General Nursing

    I haven't taken the CCRN, but I did do some studying on it before I decided to leave ICU. I'll be honest, I think it would be very hard to pass the test with only a written knowledge of vents. Not...

  17. What's the funniest nursing superstition you've ever heard? Do you believe it?

    Night__Owl replied to guest1048932's topic in Nursing Humor

    When I was working ICU, there was a strong, unit-wide superstition about flies. More than once in the years I worked there, we would see a big, nasty house fly that had somehow found its way inside,...

  18. feeling bad after a rapid response on your patient

    Night__Owl replied to 2018nurseandbeyond's topic in General Nursing

    Look, our jobs are not G-rated. These things can be really hard on you mentally, and everyone around you who isn't a sociopath understands that. Don't fall into the trap of trying to place blame on...

  19. Trigger Warning!

    Night__Owl replied to hppygr8ful's topic in General Nursing

    The point of a trigger warning is not to protect people from hurt feelings. It's to be polite to those with PTSD, and physical reactions to certain things which they may not fully have control of. An...

  20. Already Over Bedside...

    Night__Owl replied to Cruzan_RN's topic in General Nursing

    I only worked at the bedside for two and a half years before getting burnt out. It wasn't the patients, it was the fact that the work environment was very nearly slavery. Eating lunch at the desk,...

  21. Heparin Drips And Lab Draws

    Night__Owl replied to Mr. Murse's topic in General Nursing

    Sorry, I suppose I wasn't clear. I meant that all you had to do was pause whatever was running in for a few seconds, flush adequately and draw a waste tube. I wouldn't draw blood without pausing...

  22. Heparin Drips And Lab Draws

    Night__Owl replied to Mr. Murse's topic in General Nursing

    There's a lot of superstition over these types of things. I will say, I've drawn a ptt from a heparin line, as well as a BMP from a TPN line. Never had unexpected levels, which would have been obvious...

  23. "Observing" my peers

    Night__Owl replied to advsmuch08's topic in General Nursing

    Sounds like you handled it pretty well on your feet. I wouldn't want to throw any of my coworkers under the bus short of something truly dangerous. After all, if you get into a mess on the floor, it...

  24. Charge Nurse in 6 months?

    Night__Owl replied to iheartnursing91's topic in Nursing Career

    Let me just say, I am somehow more concerned about the lack of teamwork in your department than you as charge. No hands on deck in a code? RIDICULOUS. Even if every other nurse on your unit is a day 1...

  25. As seen on TV

    Night__Owl replied to JBMmom's topic in General Nursing

    Davey, I don't mean she puts it in his AC vein. I mean she jams it straight into the bend of his elbow as deep as it will go, like it's a shot of epi to the thigh. Also, that scene in Mad Max: Fury...