mi_dreamin

mi_dreamin BSN

L&D, Cardiac/Renal, Palliative Care

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All Content by mi_dreamin

  1. Doctors Say the Darnedest Things Nurses Week Contest

    Hospice patient died, time of death called by two nurses, Dr. F notified. Dr. F arrives on the unit: Dr. F: does anybody have a penlight? Nurses: Dr. F, why do you need a penlight? Dr. F: you know,...
  2. To look professional

    Funny story but first some background: I work on a floor that does palliative care and we have a team of NPs and docs who only do the palliative care. Typically when we have a "palli patient" the...
  3. Any facilities actually using an AccuVein? Any thoughts?

    I think so, we call it a veinfinder. IME, those who are "good sticks" don't care for it. Others love it. I'm somewhere in the middle. The reality is that I still have to be able to feel the vein (most...
  4. Growing up?

    A follow-up to my baby nurse post.... I had a patient who needed a second IVplaced d/t incompatible antibiotics. One of the patient care techs (PCA) on our floor is a student nurse...
  5. Growing up?

    A follow-up to my baby nurse post.... I had a patient who needed a second IV placed d/t incompatible antibiotics. One of the patient care techs (PCA) on our floor is a student nurse also and was there...
  6. Baby nurse doo doo doo doo....

    This is for all the new grads out there thinking they are the only ones running around like a crazy person... 07:00: Getting report, pulling tele strips as we go. Me: Hmm, has her heart rate been 120?...
  7. Baby nurse doo doo doo doo....

    Not in that circumstance...not sure about others. That sounds like it could be beneficial
  8. Baby nurse doo doo doo doo....

    During the 4 (LONG) minutes between contacting the Dr. and getting a reply...never even occurred to me at the time
  9. Baby nurse doo doo doo doo....

    Aww thanks! I guess I'm a toddler nurse now
  10. Just grin and bear it!

    A little background... I admitted a patient at the end of my shift Monday. From home with hospice, admitting dx UTI/sepsis/hematuria. He's 91, baseline non-ambulatory, very minimal verbal response, at...
  11. Does nursing ever get easier?

    That is basically what my brain sheet is. I have one for all my patients that day. I actually really like the system I came up with for this, it is great for helping me remember what needs
  12. Just grin and bear it!

    Exactly!
  13. Does nursing ever get easier?

    First of all, take a deep breath and CALM DOWN. Everyone started out new, overwhelmed and confused. Speaking fresh out of orientation I can say that I think it was more stressful for me to have a...
  14. Just grin and bear it!

    I am actually concerned about that...she wanted to know why we wouldn't bring him
  15. Just grin and bear it!

    I hear you, I do, and I get that piece of it. In most cases I do see it that way and understand, and I tried to flip my persepctive with this case as well. However, I truly believe her "care" is to...
  16. Just grin and bear it!

    Yup. Also sweetie, honey, and daddy It was even weirder because with the age gap he could have been her
  17. No, you can't do that!

    In this case it was just the policy of the company for safety reasons. I was just glad I hadn't been the one to tell her that, usually it IS me putting my foot in my
  18. No, you can't do that!

    This makes me think about my little palliative lady today. She had said on admission that she wanted to be able to go home. Today she was completely out of it and daughter from out of town came and...
  19. Iv antibiotic running as primary?

    I am a very new nurse so I have very limited experience but where I work we never hang antibiotics with fluids unless both are prescribed. It seems the providers at my (and apparently your) facility...
  20. Adult med-surg to peds? Advice...

    Thank you! It is great to hear from someone who has btdt. I know that peds is a whole 'nother rodeo, but I am hopeful that my experience in the foster care world will give me at least a semi-solid...
  21. 'graduated' but could not sit for NCLEX

    I highly recommend Mark Klimek live review to help you prepare. He addresses all the things you mentioned plus tons more. It is pricey but definitely worth the
  22. Infusion times....in a pickle...

    Strange question here... I am currently in a 14 week internship for new grads so I'm with a preceptor every shift. Saturday when I worked I got a little behind and had two IV antibiotics due for one...
  23. Infusion times....in a pickle...

    Thanks everyone for your replies! Obviously I do not intend to make adjusting infusion times without a physician's order a part of my practice. I just was curious if anyone else had encountered this....
  24. So I am a baby nurse (graduated in May, NCLEX in June, started orientation July 30th). But I am curious if anyone else had this problem as a new nurse (or still does)...when I leave work I hear IV...
  25. IV pump alarms - am I the only one?

    Thanks everyone for your feedback. I actually did just learn to adjust parameters for our teley monitors (YAY!) but the IV pumps that go off constantly are usually running something that tends to be...