mi_dreamin BSN

I was addressing the sentiment that people who test positive somehow don't care about anyone or anything but themselves.

Most of the people I know who have tested positive did "all the right things" and still got it. You cannot stop a virus.

When I worked the floor I usually looked at my pt's labs/admission note, and any test results once I knew they were coming. It took me 5 minutes and then I knew what questions to ask, e.g. I see ancef was ordered, was it given? I think that would be...

Placing IVs and getting that first set of labs, cervical exams, especially when there is progress ?, placing Foley's (in females) so satisfying to see that urine in the tube ?

As long as we have met our per diem (0.60, 0.90, etc.) we are offered CN1 (critical need 1) which is time and a half plus $10/hour or CN2 which is time and a half plus $20/hour. At our main campus they almost always offer CN2 versus CN1 and usually w...

I encountered a situation on the floor this week that made me angry but I don't want to form a judgement without a better understanding of why and how this happened. So with that being said, let me hear your perspective (especially ED nurses!) 38 yea...

I definitely appreciate all of your feedback. I guess the thing about it for me is that they weren't calling it anything, not a stroke, not encephalopathy, just, "her brain is fried." They provided no treatment beyond some fluids. I guess I just wan...

I'm not disagreeing with you, however, based on our protocol they should have at least done a stroke assessment and then modifieds Q4H. I do know for a fact that she had a decline in function. I'm not even saying she was a candidate for tpa at the t...

No MRI was ordered. We called MD to bedside immediately but no stroke alert was called d/t being outside tpa window. MD ordered aspirin supository and said she needed an MRI in the morning. We did the initial NIHSS as none had been done. Beyond that ...

^What she said. Also, their meeting doesn't necessarily mean your preceptor "threw you under the bus." What you are describing sounds like an error that requires an official report. Where I work an incident report goes to your manager who addresses t...

Where I work nightshift can definitely be steady but tends to be much less busy and demanding. I am primarily dayshift but like to pick up nights because it is more money and less work ?‍♀️There are actually several open day shift positions on my uni...

So I just graduated in May and am currently in an internship that required a two-year contract where I will be working on some type of adult med-surg floor (I'm thinking probably GI or renal). I have an interest in switching to a pediatric hospital ...

If not in a pain crisis pt can switch to SL meds, oxycodone and morphine are often given sublingually in patients who cannot swallow, unconscious patients included. The provider may also add a fentanyl patch for continuous release of pain medication...

Among my favorites: Pt grabbed scissors, held them up and loudly stated, " I want to see the son-of-a-***** who put those orders in!" Dr. Do-Nothing made aware. Pt pushed sitter and ran into hallway, stated loudly, "I'm not ashamed, do you wanna see...

In this specific circumstance I would have educated the family regarding the dying process and asked the provider for comfort meds; roxanol, oxycodone SL, atropine SL, scopalamine patch, ativan, haldol, etc. A rapid response is for patient's whose p...

Oh my! I wouldn't want that! ? ?

I've posted a few times before, not often, but it's apparent from my posts that part of my job includes inpatient hospice. I am really good at this part of my job. The palliative care providers like me (the way I do my job), the families like me, and...

I certainly didn't see your post that way, regardless of which title they were referring to. Also, I realized recently that I am very good at disassociating with death until I find myself crying over the cancer diagnosis in a sappy movie. It's not th...

My entire 4-year degree was just under $30k for an in-state university. Have you considered going back to your home state and getting your adn? Even with having to retake courses you've previously taken that would ve much more financially prudent and...

Thanks for the feedback. In daylight with sleep, food, and rational thought onboard I agree.

I should have clarified - this wasn't a hospice patient and she did have a sitter. We do palliative care in addition to tele/renal/dialysis on our floor (some ICU stepdown as well). Honestly it wasn't so bad except the not knowing what to do nobody ...

Exactly! Lol

Thanks @Davey Do. And to clarify, I wasn't angry, or really even upset by any of this, I simply didn't feel I had the skill set to manage it. I knew I was not strong enough to hold her down myself and useless security guards stood there for an hour ...

If you are going to procure someone else's urine for a UDS 1.) Ensure it is not so cold it will not register on the themometer 2.) Ensure it is not positive for meth 3.) If you fail to do both of the above, do not stand and stare dumbfounded and sa...

I work 3, sometimes 4 12s/week. One of the nurses I work with will sometimes do 5 or 6 12s in a row. 2 is definitely doable ?